Marc B Schure1, Kathleen P Conte2, R Turner Goins3. 1. Health Services Research and Development, VA Puget Sound Health Care System, Seattle, Washington. Mark.Schure@va.gov. 2. School of Social and Behavioral Health Sciences, Oregon State University, Corvallis. 3. Department of Social Work, College of Health and Human Sciences, Western Carolina University, Cullowhee, North Carolina.
Abstract
PURPOSE: We examined the prevalence and correlates of unmet assistance need with respect to activities of daily living (ADLs) and instrumental activities of daily living (IADLs) among older American Indians. DESIGN AND METHODS: Data for our analyses were collected in 2006-2008 as part of the Native Elder Care Study, a cross-sectional study of community-dwelling American Indians aged ≥55 years. In-person interviewer-administered surveys were used to collect data on demographic characteristics, physical functioning, mental and physical health, personal assistance needs, and psychosocial resources. RESULTS: Among those with an assistance need, 47.8% reported an unmet need with one or more ADLs or IADLs. Significant adjusted correlates of unmet assistance need included greater number of ADL and IADL difficulties and lower levels of social support. IMPLICATIONS: Initiatives and programs aimed at increasing social support and augmenting informal care networks can support efforts to meet American Indian adults' personal assistance needs. Published by Oxford University Press on behalf of the Gerontological Society of America 2014.
PURPOSE: We examined the prevalence and correlates of unmet assistance need with respect to activities of daily living (ADLs) and instrumental activities of daily living (IADLs) among older American Indians. DESIGN AND METHODS: Data for our analyses were collected in 2006-2008 as part of the Native Elder Care Study, a cross-sectional study of community-dwelling American Indians aged ≥55 years. In-person interviewer-administered surveys were used to collect data on demographic characteristics, physical functioning, mental and physical health, personal assistance needs, and psychosocial resources. RESULTS: Among those with an assistance need, 47.8% reported an unmet need with one or more ADLs or IADLs. Significant adjusted correlates of unmet assistance need included greater number of ADL and IADL difficulties and lower levels of social support. IMPLICATIONS: Initiatives and programs aimed at increasing social support and augmenting informal care networks can support efforts to meet American Indian adults' personal assistance needs. Published by Oxford University Press on behalf of the Gerontological Society of America 2014.
Entities:
Keywords:
American Indians; Functional disability; Social support; Unmet assistance need
Authors: Laura P Sands; Yun Wang; George P McCabe; Kristofer Jennings; Catherine Eng; Kenneth E Covinsky Journal: J Am Geriatr Soc Date: 2006-02 Impact factor: 5.562
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