Association of chronic diseases and impairments with disability in older adults: a decade of change?

TitleAssociation of chronic diseases and impairments with disability in older adults: a decade of change?
Publication TypeJournal Article
Year of Publication2012
AuthorsHung, WW, Ross, JS, Boockvar, KS, Siu, AL
JournalMed Care
Volume50
Issue6
Pagination501-7
Date Published2012 Jun
ISSN Number1537-1948
KeywordsActivities of Daily Living, Aged, Aging, Cardiovascular Diseases, Chronic disease, Cognition Disorders, Cross-Sectional Studies, Diabetes Mellitus, Disabled Persons, Female, Health Surveys, Hearing loss, Humans, Hypertension, Male, Mobility Limitation, Residence Characteristics, Respiratory Tract Diseases, Self Care, Socioeconomic factors, United States, Vision Disorders
Abstract

BACKGROUND: Little is known about how the relationship between chronic disease, impairment, and disability has changed over time among older adults.

OBJECTIVE: To examine how the associations of chronic disease and impairment with specific disability have changed over time.

RESEARCH DESIGN: Repeated cross-sectional analysis, followed by examining the collated sample using time interaction variables, of 3 recent waves of the Health and Retirement Study.

SUBJECTS: The subjects included 10,390, 10,621 and 10,557 community-dwelling adults aged 65 years and above in 1998, 2004, and 2008.

MEASUREMENTS: : Survey-based history of chronic diseases including hypertension, heart disease, heart failure, stroke, diabetes, cancer, chronic lung disease, and arthritis; impairments, including cognition, vision, and hearing; and disability, including mobility, complex activities of daily living (ADL), and self-care ADL.

RESULTS: Over time, the relationship of chronic diseases and impairments with disability was largely unchanged; however, the association between hypertension and complex ADL disability weakened from 1998 to 2004 and 2008 [odds ratio (OR) = 1.24; 99% confidence interval (CI), 1.06-1.46; OR = 1.07; 99% CI, 0.90-1.27; OR = 1.00; 99% CI, 0.83-1.19, respectively], as it did for hypertension and self-care disability (OR = 1.32; 99% CI, 1.13-1.54; OR=0.97; 99% CI, 0.82-1.14; OR = 0.99; 99% CI, 0.83-1.17). The association between diabetes and self-care disability strengthened from 1998 to 2004 and 2008 (OR = 1.21; 99% CI, 1.01-1.46; OR = 1.37; 99% CI, 1.15-1.64; OR = 1.52; 99% CI, 1.29-1.79), as it also did for lung disease and self-care disability (OR = 1.64; 99% CI, 1.33-2.03; OR = 1.63; 99% CI, 1.32-2.01; OR = 2.11; 99% CI, 1.73-2.57).

CONCLUSIONS: Although relationships between diseases, impairments, and disability were largely unchanged, disability became less associated with hypertension and more with diabetes and lung disease.

Notes

Hung, William W Ross, Joseph S Boockvar, Kenneth S Siu, Albert L K08 AG032886/AG/NIA NIH HHS/United States U01AG009740/AG/NIA NIH HHS/United States Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't United States Nihms348642 Med Care. 2012 Jun;50(6):501-7.

DOI10.1097/MLR.0b013e318245a0e0
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/22584885?dopt=Abstract

Endnote Keywords

Chronic Disease/DISABILITY/DISABILITY/impairment/impairment/Hypertension/Diabetes/lung disease

Endnote ID

69462

Alternate JournalMed Care
Citation Key7714
PubMed ID22584885
PubMed Central IDPMC3353149
Grant ListK08 AG032886 / AG / NIA NIH HHS / United States
K08 AG032886-03 / AG / NIA NIH HHS / United States
P30 AG028741 / AG / NIA NIH HHS / United States
U01AG009740 / AG / NIA NIH HHS / United States