The racial crossover in comorbidity, disability, and mortality
The racial crossover in comorbidity, disability, and mortality
复制标题
DOI：
10.2307/2648041
复制
发表时间：
2000-08-01
期刊：
影响因子：
3.5
通讯作者：
Johnson, NE
中科院分区：
文献类型：
--
作者：
Johnson, NE
本研究分析了一个受访者每户谁是70岁或以上的家庭时，被列入第一波（1993-1994年），其生存状态是确定的第二波（1995-1996年）的资产和健康动态调查（AHEAD调查）。在76岁时，在第一波，有一个种族交叉的累积数量的六个潜在的致命的诊断（慢性肺病，癌症，心脏病，高血压，糖尿病和中风）从一个较高的累积平均数的黑人到一个较高的平均数白人。此外，在86岁时，高级日常生活活动（AADL）中的累积平均残疾人数存在种族交叉，从黑人的平均水平较高到白人的平均水平较高。在第1波和第2波之间，死亡率从黑人的高死亡率到白人的高死亡率有一个种族交叉;这发生在81岁左右。结果与共患病的种族交叉（而非AADL残疾的交叉）推动了死亡率的种族交叉的解释一致。
This study analyzed one respondent per household who was age 70 or more at the time of the household's inclusion in Wave 1 (1993-1994) and whose survival status was determinable at Wave 2 (1995-1996) of the Survey on Asset and Health Dynamics Among the Oldest Old (AHEAD Survey). At age 76 at Wave 1, there was a racial crossover in the cumulative number of six potentially fatal diagnoses (chronic lung disease, cancer, heart disease, hypertension, diabetes, and stroke) from a higher cumulative average number for blacks to a higher average number for whites. Also, there was a racial crossover at age 86 in the cumulative average number of disabilities in the Advanced Activities of Daily Living (AADLs), from a higher average for blacks to a higher average for whites. Between Waves 1 and 2, there was a racial crossover in the odds of mortality from higher odds for blacks to higher odds for whites; this occurred at about age 81. The results are consistent with the interpretation that the racial crossover in comorbidity (but not the crossover in AADL disability) propelled the racial crossover in mortality.