Relevance of race and ethnicity for self-reported functional limitation.
Relevance of race and ethnicity for self-reported functional limitation.
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种族和民族与自我报告的功能限制的相关性。
DOI：
10.1111/j.1532-5415.2007.01595.x
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发表时间：
2008
影响因子：
6.3
通讯作者：
Burkhardt,Ann
中科院分区：
文献类型：
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作者：
Spencer,SMelinda;Albert,StevenM;Bear-Lehman,Jane;Burkhardt,Ann
目前还不清楚不同种族或民族的老年人对功能限制的看法是否存在差异。这种自我报告的变化可能与临床相关，因为许多诊断（和后续护理）取决于自我报告的残疾。为了研究这个问题，在白色（n=102）、非洲裔美国人（n=67）和西班牙裔（n=196）老年人中，将自我报告的手功能与基于性能的力量（手部测力计）和灵巧度（Moberg Pick-Up Test）评估进行了比较。参与者是来自纽约市北方曼哈顿的医疗保险受益人，年龄在70岁及以上。在调整后的分析中，非裔美国人和西班牙裔参与者自我报告的手功能与较弱的握力相关，但在白色参与者中则无关。在所有三组中，自我报告的手功能困难与灵巧性较差相关。在关节炎参与者的子样本中观察到类似的结果。这些结果表明，文化或与文化相关的社会环境差异可能会影响功能限制的报告。
It is unclear whether older adults of different race or ethnicity vary in the ways they perceive functional limitations. Variation in such self‐reports may be relevant clinically, because many diagnoses (and subsequent care) depend on self‐reported disability. To examine this question, self‐reported hand function was compared with performance‐based assessment of strength (hand dynamometer) and dexterity (Moberg Pick‐Up Test) in white (n=102), African‐American (n=67), and Hispanic (n=196) elderly people. Participants were Medicare beneficiaries from northern Manhattan, New York City, aged 70 and older. In adjusted analyses, self‐reported hand function was associated with weaker grip strength in African‐American and Hispanic participants but not in white participants. Self‐reported difficulty with hand function was associated with poorer dexterity in all three groups. Similar results were observed in the subsample of participants with arthritis. These results suggest that culture or socioenvironmental differences associated with culture may influence reports of functional limitation.