Understanding Socioenvironmental Contributors to Racial and Ethnic Disparities in Disability Among Older Americans

被引:20
作者
Brenner, Allison B. [1 ]
Clarke, Philippa J. [1 ]
机构
[1] Univ Michigan, Inst Social Res, Survey Res Ctr, 426 Thompson St, Ann Arbor, MI 48106 USA
基金
美国国家卫生研究院;
关键词
disability; disablement process; home environment; racial; ethnic disparities; activities of daily living; older age; SOCIOECONOMIC-STATUS; SOCIAL DISPARITIES; GENDER-DIFFERENCES; HOME ENVIRONMENTS; HEALTH; RACE; RACE/ETHNICITY; PERFORMANCE; RISK; AGE;
D O I
10.1177/0164027516681165
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Our understanding of the mechanisms through which racial/ethnic disparities in disability in older adults develop and are maintained is limited. We examined the role of physical impairment, socioeconomic factors and health for racial/ethnic disparities in activities of daily living (ADL), and the modifying role of the indoor home environment. Data come from the National Health and Aging Trends Study (N = 5,640), and negative binomial regression models were specified separately for men and women. Blacks and Hispanics reported more ADL difficulty than Whites. Living in homes with clutter was associated with higher rates of ADL difficulty, but it was not related to racial/ethnic disparities. Racial/ethnic differences were explained by physical impairment for men, but not for women. Socioeconomic factors and health accounted for remaining disparities for Black, but not for Hispanic women. Attention to individual and environmental factors is necessary to fully understand and address race/ethnic disparities in disability in older Americans.
引用
收藏
页码:103 / 130
页数:28
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