Higher instrumental activities of daily living disability in Hispanics compared with non-Hispanic whites in rural Colorado. The San Luis Valley Health and Aging Study.

Higher instrumental activities of daily living disability in Hispanics compared with non-Hispanic whites in rural Colorado. The San Luis Valley Health and Aging Study.
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在科罗拉多州农村地区,与非西班牙裔白人相比,西班牙裔美国人的日常生活工具性活动障碍更高。

DOI:
10.1093/oxfordjournals.aje.a009395
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发表时间:
1998
影响因子:
5
通讯作者:
Hamman,RF
Hamman,RF
中科院分区:
医学2区
文献类型:
--
作者:
Shetterly,SM;Baxter,J;Morgenstern,NE;Grigsby,J;Hamman,RF

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这项研究考察了西班牙裔和非西班牙裔白人在日常生活工具活动(IADL)中需要帮助的模式。作者采访了科罗拉多州农村的798名西班牙裔和614名非西班牙裔白人居民,他们在1993至1995年间年龄在60岁及以上。采访时,75名参与者是疗养院的居民。居住在社区的西班牙裔白人在至少一项IADL任务上需要帮助的可能性是非西班牙裔白人的1.6倍(95%可信区间1.25ndash;2.13)。更大比例的残疾非西班牙裔白人住在疗养院,但在包括疗养院居民后,拉美裔仍然明显更有可能在至少一项IADL任务上需要帮助(优势比=1.49,95%可信区间1.16-1.93)。西班牙裔也更有可能在观察到的操作任务中遇到困难。西班牙裔的过剩并不是通过调整慢性病、报告行走困难或收入来消除的。英语水平调整降低了西班牙裔的过剩程度,但根据多年教育或Mini-Mini-State考试成绩进行调整,更彻底地消除了种族差异。高等教育对西班牙裔和非西班牙裔白人老年人都有保护作用。进一步调查教育的哪些方面或相关因素正在运作,可能为在未来的队列中限制IADL困难提供有用的见解。AMJ Epidymol1998;147:1019-27。
This study examined Hispanic versus non-Hispanic white patterns of needing assistance with instrumental activities of daily living (IADL). The authors interviewed 798 Hispanic and 614 non-Hispanic white residents of rural Colorado, who were aged 60 years and older between 1993 and 1995. Seventy-five participants were nursing home residents at the time of the interview. Community-dwelling Hispanics were 1.6 times as likely as non-Hispanic whites to need assistance with at least one IADL task (95% confidence interval 1.25 ndash;2.13). A larger proportion of disabled non-Hispanic whites were in nursing homes but, after including nursing home residents, Hispanics remained significantly more likely to need assistance on at least one IADL task (odds ratio = 1.49, 95% confidence interval 1.16–1.93). Hispanics were also more likely to have difficulty on observed performance tasks. The Hispanic excess was not removed by adjusting for chronic disease, reported difficulty walking, or income. English language proficiency adjustment lowered the Hispanic excess, but adjusting for years of education or Mini-Mental State Examination scores more completely removed the ethnic differences. Higher education was protective for both Hispanic and non-Hispanic white elderly. Efforts to further investigate what facets or correlates of education are operating may offer useful insights into limiting IADL difficulties in future cohorts.Am J Epidemiol1998;147:1019–27.
DOI: 10.1093/oxfordjournals.aje.a115225
发表时间: 1989-05-01
影响因子: 5
作者:
FELDMAN, JJ;MAKUC, DM;CORNONIHUNTLEY, J
通讯作者: CORNONIHUNTLEY, J
DOI: 10.2307/2137234
发表时间: 1996-03-01
影响因子: 5
作者:
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通讯作者: Wu, CL
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DOI: 10.1093/geronj/46.5.s243
发表时间: 1991
期刊: Journal of gerontology
影响因子: --
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通讯作者: Lee,DJ
DOI: 10.1001/jama.1993.03500180078038
发表时间: 1993-05
期刊: JAMA
影响因子: --
作者:
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DOI: 10.1016/s0749-0690(18)30825-5
发表时间: 1987
影响因子: 3.3
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通讯作者: A. Meyers