The Black/White disability gap: Persistent inequality in later life?
The Black/White disability gap: Persistent inequality in later life?
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DOI：
10.1093/geronb/59.1.s34
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发表时间：
2004-01-01
影响因子：
6.2
通讯作者：
Ferraro, KF
中科院分区：
文献类型：
--
作者：
Kelley-Moore, JA;Ferraro, KF
目标。之前关于黑人和白人老年人之间的差异的研究在残疾方面是否存在差距以及这种差距是否会随着时间的推移而持续的问题上得出了不一致的结果。本研究找出了迄今为止结果不一致的几个原因，并检查了6年来残疾轨迹中黑人和白人的差异。来自北卡罗来纳州老年流行病学研究(19861992)的既定人群的数据被用来估计黑人和白人老年人随时间的残疾差距和轨迹。结果表明，黑人和白人成年人之间存在残疾差距，但在调整了社会经济资源、社会融合和其他健康指标后，按种族划分的残疾轨迹没有显著差异。随着时间的推移控制事件发病率，这是两组之间残疾水平显著差异的原因。这项研究支持“持续不平等”的解释，表明与白人成年人相比，黑人成年人的早期发病率和残疾程度更高，而且这种差距既不会随着时间的推移而收敛，也不会随着时间的推移而分散。
Objectives. Previous research on differences between Black and White older adults has produced inconsistent results on whether a gap in disability exists and whether it persists over time. The present research identifies several reasons for the inconsistent results to date and examines Black/White differences in disability trajectories over 6 years.Methods. Data from the North Carolina Established Populations for the Epidemiologic Studies of the Elderly (19861992) are used to estimate the disability gap and trajectory over time for both Black and White older adults.Results. Results indicate that a disability gap between Black and White adults exists, but after socioeconomic resources, social integration, and other health indicators are adjusted for, the trajectories of disability by race are not significantly different. Controlling for incident morbidity over time accounts for the significant difference in level of disability between the two groups.Discussion. This research supports the "persistent inequality" interpretation, indicating that Black adults have higher morbidity and disability earlier in life compared with White adults, and that the gap neither converges nor diverges over time.