|Title||Racial and ethnic differences in activities of daily living disability among the elderly: the case of Spanish speakers.|
|Publication Type||Journal Article|
|Year of Publication||2008|
|Authors||Tirodkar, MA, Song, J, Chang, RW, Dunlop, DD, Chang, HJ|
|Journal||Archives of Physical Medicine and Rehabilitation|
|Date Published||2008 Jul|
|Keywords||Acculturation, Activities of Daily Living, Aged, Aged, 80 and over, Disability Evaluation, Disabled Persons, Female, Geriatric Assessment, Health Status Indicators, Hispanic Americans, Humans, Male, Middle Aged|
OBJECTIVE: To compare incident disability patterns across racial and ethnic groups.
DESIGN: Prospective cohort study with 6-year follow-up (1998-2004).
SETTING: National probability sample.
PARTICIPANTS: A 1998 Health and Retirement Study sample of 12,288 non-Hispanic whites, 1952 African Americans, 575 Hispanics interviewed in Spanish (Hispanic-Spanish), and 518 Hispanics interviewed in English (Hispanic-English), older than 51 years, and free of disability at baseline.
INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURE: Disability in activities of daily living (ADL) tasks (walking, dressing, transferring, bathing, toileting, feeding).
RESULTS: Hispanic-Spanish reported disproportionately lower rates of walking disability (standardized rates, 4.31% vs Hispanic-English [8.57%], black [7.54%], white [7.20%]) despite higher reported Hispanic-Spanish frequencies of lower-extremity dysfunction than other racial and ethnic groups. Across the 6 ADL tasks, the development of walking disability was most frequent among Hispanic-English subjects, African Americans, and whites. In contrast, Hispanic-Spanish subjects reported dressing as the most frequent ADL task disability, whereas walking ranked fourth.
CONCLUSIONS: Aggregating all Hispanics, regardless of interview language, may be inappropriate. Future research on linguistic group differences in self-reported health outcomes is necessary to ensure that health status measures will be appropriate for use in diverse racial and ethnic groups.
|Endnote Keywords|| |
ADL and IADL Impairments/hispanics/DISABILITY/DISABILITY
|Endnote ID|| |
|PubMed Central ID||PMC2740915|
|Grant List||R01 HD045412-03 / HD / NICHD NIH HHS / United States |
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 / HD / NICHD NIH HHS / United States