Inner city, middle-aged African Americans have excess frank and subclinical disability
Inner city, middle-aged African Americans have excess frank and subclinical disability
复制标题
DOI：
10.1093/gerona/60.2.207
复制
发表时间：
2005-02-01
影响因子：
5.1
通讯作者：
Miller, JP
中科院分区：
文献类型：
--
作者：
Miller, DK;Wolinsky, FD;Miller, JP
背景。 Healthy People 2010 旨在减少或消除弱势少数群体所经历的健康差距。方法。非裔美国人健康 (AAH) 是一项以人口为基础的小组研究，研究对象是 1936 年至 1950 年间出生的社区非裔美国人，来自两个阶层。第一个包括贫困的内城区，第二个涉及社会经济地位较高的郊区人口。作者招募了 998 名参与者（招募了 76%）。 Frank 对 25 项任务进行了残疾评估，并将其定义为无法或难以执行该任务。亚临床残疾针对 12 项任务进行了评估，定义为没有难度，但任务执行方式或频率发生了变化。将弗兰克残疾患病率与同一年龄范围内社区居住的非西班牙裔白人 (NHW) 和非裔美国人的全国数据进行了比较。结果。与郊区样本相比，内城区组在所有 25 项任务中的明显残疾发生率较高（16 项任务中，p < .05），在 12 项任务中，有 11 项任务中，亚临床残疾发生率较高（5 项任务中，p < .05）。与全国 NHW 人口相比，这两个阶层都有更明显的残疾。内城区的坦率残疾比例高于全国非裔美国人样本，而郊区群体的残疾水平相似。结论。与其他非裔美国人和 NHW 群体相比，AAH 内城区群体经历了更明显的残疾。与郊区相比，内城区亚临床残疾患病率有所增加，这表明坦率残疾的差异将继续存在。这些发现表明，生活在贫困内城区的非裔美国人尤其需要密集且有针对性的临床和公共卫生工作。
Background. Healthy People 2010 seeks to decrease or eliminate the health disparities experienced by disadvantaged minority groups.Methods. African American Health (AAH) is a population-based panel study of community-dwelling African Americans born between 1936 and 1950 from two strata. The first encompasses a poor, inner city area, and the second involves a suburban population with higher socioeconomic status. The authors recruited 998 participants (76% recruitment). Frank disability was assessed for 25 tasks and defined as inability or difficulty performing that task. Subclinical disability was assessed for 12 tasks and defined as no difficulty but a change in either manner or frequency of task performance. Frank disability prevalences were compared with national data for community-dwelling non-Hispanic white persons (NHW) and African American persons in the same age range.Results. Compared with the suburban sample, the inner city group had a higher prevalence of frank disability for all 25 tasks (p < .05 for 16) and subclinical disability for 11 of the 12 tasks (p < .05 for 5). Both strata had more frank disability compared with the national NHW population. The inner city area had higher frank disability proportions than did the national African American sample, whereas the suburban group had similar disability levels.Conclusions. The AAH inner city group experiences more frank disability than other populations of African Americans and NHWs. The increased prevalence of subclinical disability in the inner city group compared with the suburban group suggests that the disparity in frank disability will continue. These findings indicate that African Americans living in poor inner city areas in particular need intensive and targeted clinical and public health efforts.