Black-White Disparities in Disability Among Older Americans Further Untangling the Role of Race and Socioeconomic Status

被引:81
作者
Fuller-Thomson, Esme [1 ]
Nuru-Jeter, A. [2 ]
Minkler, Meredith [2 ]
Guralnik, Jack M. [3 ]
机构
[1] Univ Toronto, Fac Social Work, Toronto, ON M5S 1A1, Canada
[2] Univ Calif Berkeley, Berkeley, CA 94720 USA
[3] NIA, Bethesda, MD 20892 USA
关键词
African Americans; ethnicity; health inequalities; activities of daily living; functional limitations; LIFE EXPECTANCY; PHYSICAL PERFORMANCE; HEALTH INEQUALITIES; FUNCTIONAL DECLINE; EDUCATIONAL STATUS; ETHNIC-DIFFERENCES; UNITED-STATES; SELF-REPORT; AGE; GAP;
D O I
10.1177/0898264309338296
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
Objectives: To explore the impact of adjusting for income and education on disparities in functional limitations and limitations in activities of daily living (ADLs) between Black and White older Americans. Method: Data from the 2003 American Community Survey were used to examine the associations of education and income, stratified by race and gender, with functional limitations and ADLs, in a sample of 16,870 non-Hispanic Blacks and 186,086 non-Hispanic Whites aged 55 to 74. Sequential logistic regressions were used to examine the relative contribution of income and education to racial disparities. Results: Ninety percent of the Black-White difference in disability rates for men and 75% of the difference for women aged 55 to 64 were explained by income and education. Discussion: The greatly elevated risk of disability among Blacks aged 55 to 74 is largely explained by differences in socioeconomic status. Reductions in Black-White health disparities require a better understanding of the mechanisms whereby lower income and education are associated with functional outcomes in older persons.
引用
收藏
页码:677 / 698
页数:22
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