Comparison of Disability Rates Among Older Adults in Aggregated and Separate Asian American/Pacific Islander Subpopulations
Comparison of Disability Rates Among Older Adults in Aggregated and Separate Asian American/Pacific Islander Subpopulations
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DOI：
10.2105/ajph.2009.176784
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发表时间：
2011-01-01
影响因子：
12.7
通讯作者：
Hurd, Marion
中科院分区：
文献类型：
--
作者：
Fuller-Thomson, Esme;Brennenstuhl, Sarah;Hurd, Marion
目标.我们评估了7组老年亚裔美国人/太平洋岛民（AAPI）亚群中4种残疾的患病率和调整后的几率，与非西班牙裔白人进行了比较。数据来自全国代表性的2006年美国社区调查，其中包括制度化和社区居住的夏威夷/太平洋岛民（n=524），越南人（n=2357），韩国人（n=2082），日本人（n=3230），菲律宾人（n=5109），亚洲印度人（n=2942），中国人（n=6034），和年龄在55岁及以上的非西班牙裔白色人（n=641177）。报告各组4种残疾类型（功能受限、日常生活活动受限、认知问题和盲或聋）的加权患病率、人群估计值和比值比。老年人的残疾率在AAPI亚群之间的差异大于非西班牙裔白人和亚裔群体之间的差异。平均而言，亚裔老年人比非西班牙裔白人有更好的残疾结果。这项研究提供了迄今为止最有力的证据，证明排除制度化的老年人最大限度地减少了亚洲人和白人之间的残疾差异。将亚洲人聚集在一个群体中掩盖了亚群体的实质性差异，也未能确定最脆弱的群体（例如，夏威夷/太平洋岛民和越南人）。(Am J公共卫生。2011;101：94-100. doi：10.2105/AJPH.2009.176784）
Objectives. We assessed the prevalence and adjusted odds of 4 types of disability among 7 groups of older Asian American/Pacific Islander (AAPI) subpopulations, both separately and aggregated, compared with non-Hispanic Whites.Methods. Data were from the nationally representative 2006 American Community Survey, which included institutionalized and community-dwelling Hawaiian/Pacific Islander (n=524), Vietnamese (n=2357), Korean (n=2082), Japanese (n=3230), Filipino (n=5109), Asian Indian (n=2942), Chinese (n=6034), and non-Hispanic White (n=641177) individuals aged 55 years and older. The weighted prevalence, population estimates, and odds ratios of 4 types of disability (functional limitations, limitations in activities of daily living, cognitive problems, and blindness or deafness) were reported for each group.Results. Disability rates in older adults varied more among AAPI subpopulations than between non-Hispanic Whites and the aggregated Asian group. Asian older adults had, on average, better disability outcomes than did non-Hispanic Whites.Conclusions. This study provides the strongest evidence to date that exclusion of institutionalized older adults minimizes disparities in disabilities between Asians and Whites. The aggregation of Asians into one group obscures substantial subgroup variability and fails to identify the most vulnerable groups (e.g., Hawaiian/Pacific Islanders and Vietnamese). (Am J Public Health. 2011;101: 94-100. doi:10.2105/AJPH.2009.176784)