Racial/ethnic differences in the development of disability among older adults.

TitleRacial/ethnic differences in the development of disability among older adults.
Publication TypeJournal Article
Year of Publication2007
AuthorsDunlop, DD, Song, J, Manheim, LM, Daviglus, ML, Chang, RW
JournalAm J Public Health
Volume97
Issue12
Pagination2209-15
Date Published2007 Dec
ISSN Number1541-0048
KeywordsActivities of Daily Living, African Americans, Aged, Disabled Persons, European Continental Ancestry Group, Female, Health Behavior, Health Status Disparities, Health Surveys, Hispanic Americans, Humans, Male, Prevalence, Proportional Hazards Models, Prospective Studies, Risk, Socioeconomic factors, Survival Analysis, United States
Abstract

OBJECTIVES: We investigated differences in the development of disability in activities of daily living among non-Hispanic Whites, African Americans, Hispanics interviewed in Spanish, and Hispanics interviewed in English.

METHODS: We estimated 6-year risk for disability development among 8161 participants 65 years or older and free of baseline disability. We evaluated mediating factors amenable to clinical and public health intervention on racial/ethnic difference.

RESULTS: The risk for developing disability among Hispanics interviewed in English was similar to that among Whites (hazard ratio [HR]=0.99; 95% confidence interval [CI] = 0.6, 1.4) but was substantially higher among African Americans (HR=1.6; 95% CI=1.3, 1.9) and Hispanics interviewed in Spanish (HR=1.8; 95% CI=1.4, 2.1). Adjustment for demographics, health, and socioeconomic status reduced a large portion of those disparities (African American adjusted HR=1.1, Spanish-interviewed Hispanic adjusted HR=1.2).

CONCLUSIONS: Higher risks for developing disability among older African Americans, and Hispanics interviewed in Spanish compared with Whites were largely attenuated by health and socioeconomic differences. Language- and culture-specific programs to increase physical activity and promote weight maintenance may reduce rates of disability in activities of daily living and reduce racial/ethnic disparities in disability.

DOI10.2105/AJPH.2006.106047
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/17971548?dopt=Abstract

Endnote Keywords

aging/Chronic Disease/DISABILITY/DISABILITY/Racial Differences

Endnote ID

18500

Alternate JournalAm J Public Health
Citation Key7175
PubMed ID17971548
PubMed Central IDPMC2089103
Grant ListP60-AR48098 / AR / NIAMS NIH HHS / United States
P60 AR048098 / AR / NIAMS NIH HHS / United States
R01-HD45412 / HD / NICHD NIH HHS / United States
P60 AR048098-010003 / AR / NIAMS NIH HHS / United States
R01 HD045412-02 / HD / NICHD NIH HHS / United States
R01 HD045412 / HD / NICHD NIH HHS / United States