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Comparative Study
. 2007 Dec;97(12):2209-15.
doi: 10.2105/AJPH.2006.106047. Epub 2007 Oct 30.

Racial/ethnic differences in the development of disability among older adults

Dorothy D Dunlop  1 , Jing Song, Larry M Manheim, Martha L Daviglus, Rowland W Chang
Affiliations
Comparative Study

Racial/ethnic differences in the development of disability among older adults

Dorothy D Dunlop et al. Am J Public Health. 2007 Dec.

Abstract

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.

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References

    1. Manton KG, Gu X. Changes in the prevalence of chronic disability in the United States black and non-Black population above age 65 from 1982 to 1999. Proc Natl Acad Sci U S A. 2001;98:6354–6359. - PMC - PubMed
    1. Fried LP, Guralnik JM. Disability in older adults: evidence regarding significance, etiology, and risk. J Am Geriatr Soc. 1997;45(1):92–100. - PubMed
    1. Guralnik JM, Fried LP, Salive ME. Disability as a public health outcome in the aging population. Annu Rev Public Health. 1996;17:25–46. - PubMed
    1. Cutler DM. Disability and the future of Medicare. N Engl J Med. 2003;349(11):1084–1085. - PubMed
    1. Lubitz J, Cai L, Kramarow E, Lentzner H. Health, life expectancy, and health care spending among the elderly. N Engl J Med. 2003;349(11):1048–1055. - PubMed

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