Differences in functional status of Hispanic versus non-Hispanic white elders: Data from the medical expenditure panel survey

被引:32
作者
Carrasquillo, O [1 ]
Lantigua, RA [1 ]
Shea, S [1 ]
机构
[1] Columbia Univ Coll Phys & Surg, Div Gen Med, Dept Med, New York, NY 10032 USA
关键词
D O I
10.1177/089826430001200304
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Objectives: Few national studies have focused specifically on the functional status of Hispanic elders. We examined the prevalence of functional limitations and disabilities among Hispanic and Black elders compared to non-Hispanic Whites. Methods: We analyzed seven measures of functional limitations, disabilities, and dependencies. Logistic regression was used to examine racial and ethnic group differences adjusting for age, gender, and education. Results: Compared to non-Hispanic Whites, Hispanics tended to report greater instrumental activities of daily living (IADL) dependencies and cognitive disabilities. Blacks were more likely to have activities of daily living (ADL) and IADL dependencies and require use of assistive devices compared to non-Hispanic Whites. Further adjustment for respondent status reduced differences between groups, but these models may overadjust for functional status differences. Discussion: Given the projected growth of minority elders, policymakers and planners will need to consider race and ethnic differentials in functional status in determining future medical and social service needs.
引用
收藏
页码:342 / 361
页数:20
相关论文
共 51 条
[11]  
COHEN J, 1997, AHCPR PUBLICATION
[12]  
COHEN S, 1997, AHCPR PUBLICATION
[13]  
Collins K.S., 1999, US MINORITY HLTH CHA
[14]  
*COMM FUND, 1989, SURV ELD HISP FIN RE
[15]  
DAY JC, 1996, CURRENT POP REPORTS, V1130
[16]   COMPARISON OF SUBJECTIVE RATINGS OF FUNCTION WITH OBSERVED FUNCTIONAL ABILITY OF FRAIL OLDER PERSONS [J].
ELAM, JT ;
GRANEY, MJ ;
BEAVER, T ;
ELDERWI, D ;
APPLEGATE, WB ;
MILLER, ST .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1991, 81 (09) :1127-1130
[17]   Understanding trends in functional limitations among older Americans [J].
Freedman, VA ;
Martin, LG .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1998, 88 (10) :1457-1462
[18]   EDUCATIONAL STATUS AND ACTIVE LIFE EXPECTANCY AMONG OLDER BLACKS AND WHITES [J].
GURALNIK, JM ;
LAND, KC ;
BLAZER, D ;
FILLENBAUM, GG ;
BRANCH, LG .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 329 (02) :110-116
[19]  
Gurland B, 1997, RACIAL AND ETHNIC DIFFERENCES IN THE HEALTH OF OLDER AMERICANS, P233
[20]  
HANN MN, 1996, ANN EPIDEMIOL, V6, P392