|Title||Racial/ethnic differences in the development of disability among older adults.|
|Publication Type||Journal Article|
|Year of Publication||2007|
|Authors||Dunlop, DD, Song, J, Manheim, LM, Daviglus, ML, Chang, RW|
|Journal||Am J Public Health|
|Date Published||2007 Dec|
|Keywords||Activities of Daily Living, African Americans, Aged, Disabled Persons, Female, Health Behavior, Health Status Disparities, Health Surveys, Hispanic or Latino, Humans, Male, Prevalence, Proportional Hazards Models, Prospective Studies, Risk, Socioeconomic factors, Survival Analysis, United States, Whites|
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.
|User Guide Notes|
|Endnote Keywords|| |
aging/Chronic Disease/DISABILITY/DISABILITY/Racial Differences
|Endnote ID|| |
|Alternate Journal||Am J Public Health|
|PubMed Central ID||PMC2089103|
|Grant List||P60-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