Understanding socio-environmental contributors to racial and ethnic disparities in disability among older Americans
| Autor: | Allison B. Brenner, Philippa Clarke |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Health (social science)
Activities of daily living Social Psychology Ethnic group Social Environment Article 03 medical and health sciences Race (biology) 0302 clinical medicine Sex Factors parasitic diseases Activities of Daily Living Ethnicity Humans Disabled Persons 030212 general & internal medicine Socioeconomic status Aged National health 030505 public health Home environment Racial Groups Health Status Disparities United States Socioeconomic Factors Regression Analysis Geriatrics and Gerontology 0305 other medical science Psychology Demography |
| Popis: | OBJECTIVES: Racial/ethnic disparities in disability in older adults are well documented. Yet, our understanding of the mechanisms through which they are developed and maintained is limited. Using a general disablement framework, we examined the role of physical impairment and socioeconomic factors for racial/ethnic disparities in difficulty with self-care activities of daily living (ADL), and the modifying role of the indoor home environment among older Americans. METHODS: Data come from a nationally representative sample of 5,640 Americans (age 65+) in the National Health and Aging Trends Study (2012). Due to known gender differences in disability disparities, negative binomial regression models were specified separately for men and women. RESULTS: Blacks and Hispanics reported more difficulty with ADL than Whites. Men and women who lived in homes with more clutter had a higher rate of ADL difficulty than those in homes without any clutter, but this did not account for the racial/ethnic disparities in disability. Racial/ethnic differences were fully explained by differences in physical impairment for men, but not for women. Socioeconomic factors and health conditions accounted for any remaining disparities for Black women, but differences in disability remained between Hispanic and White women at similar levels of impairment. CONCLUSIONS: Attention to both individual and environmental factors is necessary to fully understand and address persistent race/ethnic disparities in disability in older Americans. |
| Databáze: | OpenAIRE |
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