Sex, Nativity, and Disability in Older Mexican Americans

被引:12
作者
Nam, Sanggon [1 ]
Al Snih, Soham [2 ,3 ,4 ]
Markides, Kyriakos S. [4 ,5 ]
机构
[1] Pfeiffer Univ, Div Appl Hlth Sci, Dept Hlth Adm, Morrisville, NC USA
[2] Univ Texas Med Branch, Sch Hlth Profess, Div Rehabil Sci, Galveston, TX 77555 USA
[3] Univ Texas Med Branch, Dept Internal Med, Div Geriatr, Galveston, TX 77555 USA
[4] Univ Texas Med Branch, Sealy Ctr Aging, Galveston, TX 77555 USA
[5] Univ Texas Med Branch, Dept Prevent Med & Community Hlth, Galveston, TX 77555 USA
关键词
nativity; sex; Mexican born; US born; ADL; mobility limitation; older Mexican Americans; UNITED-STATES; PHYSICAL PERFORMANCE; MEDICAL CONDITIONS; SELF-REPORT; HEALTH; AGREEMENT; PREVALENCE;
D O I
10.1111/jgs.13827
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
OBJECTIVES: To examine the effect of nativity and sex on activities of daily living (ADLs) and mobility limitations in older Mexican Americans. DESIGN: Cross-sectional. SETTING: Hispanic Established Population for the Epidemiological Study of the Elderly (Hispanic EPESE) (2004-05). PARTICIPANTS: Noninstitutionalized Mexican Americans aged 75 and older (N = 2,069; 56.3% U.S. born, 43.7% Mexican born). MEASUREMENTS: Sociodemographic characteristics, self-reported medical conditions (arthritis, cancer, diabetes mellitus, stroke, heart attack, hip fracture), ADLs, and gross mobility function. RESULTS: The prevalence of ADL limitation was 32.9% in U.S.-born participants and 33.9% in Mexican-born participants of mobility limitation was 56.6% in U.S.-born participants and 55.6% in Mexican-born participants. Mexican-born participants tended to report less ADL limitation (odds ratio (OR) = 0.79, 95% confidence interval (CI) = 0.59-1.05)) after controlling for sociodemographic variables and medical conditions. They were also less likely to report mobility limitation (OR = 0.64, 95% CI = 0.48-0.86) after controlling for all covariates. There was a significant effect of the interaction between nativity and sex (OR = 0.42, 95% CI = 0.24-0.74) on ADL limitation, suggesting that Mexican-born men were less disabled than U.S.-born men, whereas the opposite was true for women. No significant interaction between nativity and sex was found for mobility limitation. CONCLUSION: Mexican-born men were less disabled than their U.S.-born counterparts, and Mexican-born women were more likely to report disability than Mexican-born men.
引用
收藏
页码:2596 / 2600
页数:5
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