Abstract
Shih VC, Song J, Chang RW, Dunlop DD. Racial differences in activities of daily living
limitation onset in older adults with arthritis: a national cohort study.
Objective
To investigate factors that predict the onset of limitations in activities of daily
living (ADLs) in adults 65 years old or older who have arthritis, in order to develop
public health programs for minorities (African and Hispanic Americans) and white Americans.
Design
Longitudinal cohort study.
Setting
National probability sample.
Participants
Older adults with arthritis (N=3541) who participated in the 1998 and 2000 Health
and Retirement Study interviews and who had no baseline ADL limitations.
Interventions
Not applicable.
Main Outcome Measure
Onset of ADL limitations was identified from reports of 1 or more ADL task limitations
at 2-year follow-up.
Results
Onset is most frequent among African Americans (24.4%), followed by Hispanics (22.2%),
and whites (16.9%). Race specific multivariate analysis showed that the strongest
risk factor predicting onset of limitations across all racial and ethnic groups is
physical limitations. Low household income was significant for older minorities but
not for whites. Comorbid cardiovascular disease was a unique multivariate risk factor
among African Americans.
Conclusions
Physical limitation is a strong risk factor for ADL limitation onset that is shared
by all racial and ethnic groups. Early identification and treatment of physical limitations
may prevent the onset of ADL limitations and thus improve quality of life. Race specific
public health interventions should be considered to reduce the development of ADL
limitations among older adults with arthritis.
Key Words
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Article info
Footnotes
Supported in part by the National Institute for Arthritis and Musculoskeletal Diseases (grant no. P60-AR30692) and National Center for Medical Rehabilitation Research (grant no. P24 HD39627), National Institutes of Health.
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.
Identification
Copyright
© 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
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- The “Perfect Storm” for Minorities With ArthritisArchives of Physical Medicine and RehabilitationVol. 86Issue 11
- PreviewWe read with great interest the article by Shih et al.1 As we are physiatrists practicing within an inner-city community, we applaud Shih for demonstrating how African Americans and Hispanics are at increased risk of limitations in activities of daily living (ADLs) in association with their arthritis.
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