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.
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.
Authors: Eric G James; Phillip Conatser; Murat Karabulut; Suzanne G Leveille; Jeffrey M Hausdorff; Sarah Cote; Katherine L Tucker; Bruce Barton; Jonathan F Bean; Soham Al Snih; Kyriakos S Markides Journal: Ethn Health Date: 2016-10-14 Impact factor: 2.772
Authors: Margaret G Stineman; John T Henry-Sánchez; Jibby E Kurichi; Qiang Pan; Dawei Xie; Debra Saliba; Zi Zhang; Joel E Streim Journal: Am J Phys Med Rehabil Date: 2012-02 Impact factor: 2.159