Differences in the Progression of Disability: A U.S.-Mexico Comparison.

TitleDifferences in the Progression of Disability: A U.S.-Mexico Comparison.
Publication TypeJournal Article
Year of Publication2018
AuthorsDíaz-Venegas, C, Reistetter, TA, Wong, R
JournalJ Gerontol B Psychol Sci Soc Sci
Date Published2018 06 14
ISSN Number1758-5368
KeywordsActivities of Daily Living, Age Factors, Aged, Disabled Persons, disease progression, Female, Humans, Male, Mexico, MHAS

Objectives: This article seeks to document the progression of disability in a developing country by implementing a model to examine how this process compares to a developed country.

Methods: Data come from the Mexican Health and Aging Study (MHAS), including a baseline survey in 2001 and a follow-up in 2003, and from the U.S. Health and Retirement Study (HRS), using the 2000 and 2002 waves. An ordinal logistic regression approach is used to examine a progression of disability that considers (a) no disability, (b) mobility problems, (c) mobility plus limitations with instrumental activities of daily living, (d) mobility plus limitations with activities of daily living (ADLs), (e) limitations in all three areas and (f) death.

Results: In both data sets, approximately 44% of the sample remained in the same level of disability at the 2-year follow-up. However, the progression of limitations with two disabilities differs by gender in the MHAS but is consistent for both men and women in the HRS.

Discussion: Our model reflects the importance of ADLs in the disablement process in Mexico. We speculate that the difference in lifetime risk profiles and cultural context might be responsible for the divergence in the progression of disability by gender.

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Alternate JournalJ Gerontol B Psychol Sci Soc Sci
Citation Key8576
PubMed ID27436102
PubMed Central IDPMC6283319
Grant ListR01 AG018016 / AG / NIA NIH HHS / United States
R24 HS022134 / HS / AHRQ HHS / United States
K01 HD068513 / HD / NICHD NIH HHS / United States
UL1 RR029876 / RR / NCRR NIH HHS / United States
P30 AG024832 / AG / NIA NIH HHS / United States