Racial and ethnic disparities in indicators of physical health status: do they still exist throughout late life?
Racial and ethnic disparities in indicators of physical health status: do they still exist throughout late life?
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DOI：
10.1111/j.1532-5415.2010.03033.x
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发表时间：
2010-10
影响因子：
6.3
通讯作者：
Sorkin DH
中科院分区：
文献类型：
--
作者：
August KJ;Sorkin DH
随着人们年龄的增长，身体健康问题变得更加普遍，并与许多残疾有关。尽管在身体健康方面存在种族/民族差异的报道，但人们对这些差异是否在成年后期是否仍然存在知之甚少。因此，本研究试图利用 2005 年和 2007 年加州健康访谈调查来研究三个年龄组老年人身体健康状况的种族/民族差异。当前研究的样本包括 40,631 名 55 岁及以上的人，其中 33,488 名非西班牙裔白人、1,858 名非裔美国人/黑人、2,872 名亚洲/太平洋岛民和 2,412 名拉丁裔。对受访者的三项身体健康指标进行了比较，其中包括四种慢性健康状况、日常生活活动困难以及自我评价的健康状况。在对性别、婚姻状况、教育程度、英语语言能力、出生和保险状况进行调整和不调整的情况下进行了分析。结果显示，总体而言，成年后期的身体健康存在种族/民族差异，多变量调整后，亚裔/太平洋岛民和拉丁美洲人 75 岁以上的差异不太明显。然而，非裔美国人/黑人和非西班牙裔白人之间的差异，以及所有种族/少数族裔在自评健康方面的差异仍然存在。这些发现表明，为了减少种族/民族差异，临床医生需要在这些情况在成年晚期显现之前解决与种族/民族健康差异相关的特定社会人口统计学和生活方式因素。
Physical health problems become more common as people age and are associated with a great deal of disability. Although racial/ethnic disparities have been reported in physical health, little is known about whether these disparities remain in the latest part of older adulthood. Accordingly, the current study sought to examine racial/ethnic differences in the physical health status of three age groups of older adults, using the 2005 and 2007 California Health Interview Survey. The sample for the current study included 40,631 individuals aged 55 and older, with 33,488 non-Hispanic whites, 1,858 African American/blacks, 2,872 Asian/Pacific Islanders, and 2,412 Latinos. Respondents were compared with regard to three indicators of physical health, which included presence of four chronic health conditions, difficulties with activities of daily living, and self-rated health. Analyses were conducted with and without adjustment for gender, marital status, education, English language proficiency, nativity, and insurance status. Results revealed that, in general, racial/ethnic disparities existed for physical health in late adulthood, with differences less pronounced for Asian/Pacific Islanders and Latinos ≥ 75 years after multivariable adjustment. Disparities between African American/blacks and non-Hispanic whites, as well as disparities across all racial/ethnic minorities in self-rated health, still existed, however. These findings suggest that in order to reduce racial/ethnic disparities, clinicians need to address specific sociodemographic and lifestyle factors related to racial/ethnic differences in health before these conditions are manifested in late adulthood.
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影响因子：
120.7
作者：
Narayan, KMV;Boyle, JP;Williamson, DF
通讯作者：
Williamson, DF
影响因子：
3.5
作者：
Hayward, MD;Heron, M
通讯作者：
Heron, M
DOI：
10.1111/j.1532-5415.2007.01570.x
发表时间：
2008-03-01
影响因子：
6.3
作者：
Ciol, Marcia A.;Shumway-Cook, Anne;Chan, Leighton
通讯作者：
Chan, Leighton
影响因子：
9.7
作者：
Mensah, George A.;Brown, David W.
通讯作者：
Brown, David W.
影响因子：
5.7
作者：
MANTON, KG;POSS, SS;WING, S
通讯作者：
WING, S