Racial and ethnic differences in activities of daily living disability among the elderly: The case of Spanish speakers
Racial and ethnic differences in activities of daily living disability among the elderly: The case of Spanish speakers
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DOI：
10.1016/j.apmr.2007.11.042
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发表时间：
2008-07-01
影响因子：
4.3
通讯作者：
Chang, Huan J.
中科院分区：
文献类型：
--
作者：
Tirodkar, Manasi A.;Song, Jing;Chang, Huan J.
目的：设计：前瞻性队列研究，随访6年（1998-2004年），背景：国家概率抽样，参与者：1998年的健康与退休研究样本包括12,288名非西班牙裔白人，1952名非洲裔美国人，575名西班牙裔美国人。（西班牙语-西班牙语），518名西班牙裔人接受了英语采访（西班牙-英语），年龄大于51岁，基线时无残疾。干预措施：不适用。主要结果测量：日常生活活动（ADL）任务的残疾（行走、穿衣、转移、洗澡、洗澡、喂食）。西班牙裔报告的行走残疾率不成比例地低（标准化率，4.31% vs西班牙裔英语[8.57%]，黑人[7.54%]，白色[7.20%]），尽管报告的西班牙裔-西班牙裔下肢功能障碍频率高于其他种族和族裔群体。在6项ADL任务中，西班牙裔英国人受试者、非洲裔美国人和白人中行走障碍的发生率最高。与此相反，西班牙裔，西班牙主题报告的最常见的ADL任务disability穿衣，而步行排名第四。结论：聚集所有西班牙裔，无论采访语言，可能是不合适的。未来的研究语言群体的差异，自我报告的健康结果是必要的，以确保健康状况的措施将适用于不同的种族和民族群体。
Objective: To compare incident disability patterns across racial and ethnic groups.Design: Prospective cohort study with 6-year follow-up (1998-2004).Setting: National probability sample.Participants: A 1998 Health and Retirement Study sample of 12,288 non-Hispanic whites, 1952 African Americans, 575 Hispanics interviewed in Spanish (Hispanic-Spanish), and 518 Hispanics interviewed in English (Hispanic-English), older than 51 years, and free of disability at baseline.Interventions: Not applicable.Main Outcome Measure: Disability in activities of daily living (ADL) tasks (walking, dressing, transferring, bathing, toileting, feeding).Results: Hispanic-Spanish reported disproportionately lower rates of walking disability (standardized rates, 4.31% vs Hispanic-English [8.57%], black [7.54%], white [7.20%]) despite higher reported Hispanic-Spanish frequencies of lower-extremity dysfunction than other racial and ethnic groups. Across the 6 ADL tasks, the development of walking disability was most frequent among Hispanic-English subjects, African Americans, and whites. In contrast, Hispanic-Spanish subjects reported dressing as the most frequent ADL task disability, whereas walking ranked fourth.Conclusions: Aggregating all Hispanics, regardless of interview language, may be inappropriate. Future research on linguistic group differences in self-reported health outcomes is necessary to ensure that health status measures will be appropriate for use in diverse racial and ethnic groups.