Racial and ethnic differences in activities of daily living disability among the elderly: the case of Spanish speakers.

TitleRacial and ethnic differences in activities of daily living disability among the elderly: the case of Spanish speakers.
Publication TypeJournal Article
Year of Publication2008
AuthorsTirodkar, MA, Song, J, Chang, RW, Dunlop, DD, Chang, HJ
JournalArchives of Physical Medicine and Rehabilitation
Volume89
Issue7
Pagination1262-1266
Date Published2008 Jul
ISSN Number1532-821X
Call Numbernewpubs20090908_Tirodkar.pdf
KeywordsAcculturation, 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
Abstract

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.

DOI10.1016/j.apmr.2007.11.042
Endnote Keywords

ADL and IADL Impairments/hispanics/DISABILITY/DISABILITY

Endnote ID

21080

Citation Key7276
PubMed ID18534555
PubMed Central IDPMC2740915
Grant ListR01 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