Prevalence of health conditions and predictors of mortality in oldest old Mexican Americans and non-Hispanic whites.
Prevalence of health conditions and predictors of mortality in oldest old Mexican Americans and non-Hispanic whites.
复制标题
DOI：
10.1016/j.jamda.2010.07.010
复制
发表时间：
2012-03
影响因子：
7.6
通讯作者：
Al Snih, Soham
中科院分区：
文献类型：
--
作者：
Samper-Ternent, Rafael;Kuo, Yong Fang;Ray, Laura A.;Ottenbacher, Kenneth J.;Markides, Kyriakos S.;Al Snih, Soham
最年长的老人代表了一个独特的老年人群体。这一群体在世界范围内迅速增长，但在有关其健康状况的知识方面存在差距。必须了解疾病流行率和死亡率的种族差异，以便更好地照顾最年长的老人。比较墨西哥裔美国人和非西班牙裔白人的常见健康状况和死亡率预测因素的患病率。这项研究包括568名来自2004-2005年老年人流行病学研究（H-EPESE）的85岁及以上的社区居住墨西哥裔美国人（MA）和933名来自2004年健康和退休研究（HRS）的同龄非西班牙裔白人（NHW）。措施包括社会人口统计学变量，自我报告的医疗条件，日常生活活动（ADL）和工具性日常生活活动（IADL）。Logistic回归分析用于检查两个人群的两年死亡率。无论性别如何，与MA相比，最年长的NHW中心脏病发作的患病率明显更高。相反，糖尿病是显着更流行的MA男性和女性相比，他们的NHW同行。与NHW男性相比，MA男性的认知障碍和高血压患病率显着较高。此外，与NHW女性相比，MA女性的髋部骨折患病率显著较高。仅在两组女性之间观察到ADL残疾的显着差异，而仅在男性之间观察到IADL残疾的显着差异。MA男性和女性的肥胖患病率高于NHW。两个种族两年死亡率的预测因素包括年龄较大、男性和ADL残疾。认知障碍仅是NHW的死亡预测因子。同样，肺部疾病只是MA的预测因素。影响高龄老人的健康相关疾病因性别和种族而异，需要在临床环境中进行仔细评估和监测。更好的护理需要将这些差异纳入对最年长老年人的全面评估。
The oldest old represent a unique group of older adults. This group is rapidly growing worldwide and yet there are gaps in the knowledge related to their health condition. Ethnic differences in disease prevalence and mortality must be understood to better care for the oldest old. To compare prevalence of common health conditions and predictors of mortality in oldest old Mexican Americans and non-Hispanic Whites. This study included 568 community dwelling Mexican Americans (MA) aged 85 years and older from the Hispanic Established Population for the Epidemiological Study of the Elderly (H-EPESE) 2004-2005 and 933 non-Hispanic Whites (NHW) of the same age from the Health and Retirement Study (HRS) 2004. Measures included socio-demographic variables, self-reported medical conditions, activities of daily living (ADL), and instrumental activities of daily living (IADL). Logistic regression analysis was used to examine two-year mortality in both populations. Heart attack was significantly more prevalent in oldest old NHW compared to MA, regardless of gender. Conversely, diabetes was significantly more prevalent among MA men and women compared to their NHW counterparts. Compared to NHW men MA men had significantly higher prevalence of cognitive impairment and hypertension. Additionally, prevalence of hip fracture was significantly higher for MA women compared to NHW women. Significant differences in ADL disability were observed only between both groups of women while significant differences in IADL disability were only observed between men. MA men and women had higher prevalence of obesity compared to NHW. Predictors of two-year mortality for both ethnic groups included older age, male gender, and ADL disability. Cognitive impairment was only a mortalitypredictor for NHW. Similarly, lung disease was only a predictor for MA. Health related conditions that affect the oldest old vary by gender and ethnicity and entail careful evaluation and monitoring in the clinical setting. Better care requires inclusion of such differences as part of the comprehensive evaluation of oldest old adults.
登录
查看更多内容
影响因子：
5
作者：
Karlamangla, Arun S.;Miller-Martinez, Dana;Chodosh, Joshua
通讯作者：
Chodosh, Joshua
影响因子：
5.4
作者：
Freedman, Vicki A.;Martin, Linda G.;Cornman, Jennifer C.
通讯作者：
Cornman, Jennifer C.
影响因子：
120.7
作者：
Alley, Dawn E.;Chang, Virginia W.
通讯作者：
Chang, Virginia W.
影响因子：
3
作者：
Li, Yue;Cai, Xueya;Mukamel, Dana B.
通讯作者：
Mukamel, Dana B.
DOI：
10.1111/j.1532-5415.1994.tb06857.x
发表时间：
1994-06-01
影响因子：
6.3
作者：
ESPINO, DV;PARRA, EO;KRIEHBIEL, R
通讯作者：
KRIEHBIEL, R