Disability and self-rated health: Exploring foreign- and U.S.-born differences across adulthood

Burns, Shane D.; Baker, Elizabeth; Sheehan, Connor M.

doi:10.1016/j.jmh.2022.100112

Cited by 3 publications

(10 citation statements)

References 47 publications

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“…The current study also revealed that the majority of older Israeli Arabs rated their subjective health as good, very good, or excellent, as compared to the Israeli Jews. This finding contradicts some previous studies among ethnic minority groups in the world who were more likely to report poor SRH [ 24 , 25 , 26 , 27 , 28 ]. However, this finding is also supported by other studies [ 29 , 31 , 41 ].…”

Section: Discussioncontrasting

confidence: 99%

“…Over the last two decades, the differences in SRH levels across ethnic groups have become an intense area of interest for the international scientific community [ 24 , 25 , 26 , 27 , 28 ]—including in Israel [ 29 , 30 , 31 , 32 ]. This interest is particularly salient for minorities who not only face unique social and economic challenges but are also more vulnerable to diseases than majority populations [ 25 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

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Ethnic Differences in Socioeconomic and Health Determinants Related to Self-Rated Health Status: A Study on Community-Dwelling Israeli Jews and Arabs in Old Age

Rozani

2022

IJERPH

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Self-rated health (SRH) is widely used as a proxy for general health status. In old age, SRH has been found to be a strong predictor of morbidity, physical functioning, recovery from illness, use of health services, and mortality. This study was designed to examine differences in socioeconomic and health determinants related to self-rated health status among community-dwelling Jews and Arabs aged 65+ years. Cross-sectional data from 2011 on such Jews and Arabs were extracted from reprehensive National Surveys. The association between socioeconomic and health factors with poor SRH was estimated using three hierarchical logistic regression models. The majority of the respondents were Jews (86%), with a mean age of 73.1 (±6.3) years. The study revealed that older Arabs are disadvantaged according to almost every socioeconomic and health indicator compared to Jews. Poor SRH was significantly associated with age (OR = 1.03, p = 0.002), ethnicity (Jews OR = 2.62, p < 0.001), unemployment/retirement (OR = 2.03, p < 0.001), low income (OR = 3.03, p < 0.001), low education (OR = 1.37, p = 0.013), absence of physical activity (OR = 2.17, p < 0.001), dentures (OR = 1.40, p = 0.002), and prevalence of one or more chronic diseases (OR = 4.06, p < 0.001). The findings therefore indicated that these factors need to be detected and focused on by health professionals in order to improve the population’s general health status.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ethnic Differences in Socioeconomic and Health Determinants Related to Self-Rated Health Status: A Study on Community-Dwelling Israeli Jews and Arabs in Old Age

Rozani

2022

IJERPH

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“…The "epidemiological paradox" has suggested that immigrants, particularly those of Latin American origin, report health outcomes that are similar to U.S.-born non-Hispanic (NH) Whites despite experiencing socioeconomic conditions similar to U.S.-born NH Blacks (Markides & Rote, 2019). Though immigrants generally do not report greater rates of disability than their U.S.-born counterparts until old age (Burns et al, 2022;Levchenko, 2021;Melvin et al, 2014;Wakabayashi, 2010). This "disability crossover" (Sheftel & Heiland, 2018) among the foreign-born can be understood as an indicator of older immigrant health disparities, when, at older ages immigrants have considerably higher levels of disability than their U.S.-born counterparts.…”

Section: Us Immigrant Agingmentioning

confidence: 99%

“…Overall, the older immigrant population is incredibly diverse and, accordingly, the health profiles of older immigrants are potentially more diverse than currently understood. Indeed, considerable past research regarding immigrant health patterns has focused on specific regions (e.g., Latin America or Asia; (Garcia et al, 2020; Li & Hummer, 2015) or combines immigrants into an pan-immigrant groups based on race/ethnicity (Burns et al, 2022). While this work is foundational to understanding immigrant health patterns, it obscures important heterogeneity in immigrant health experiences in the U.S. that may vary considerably based on region of origin.…”

Section: Introductionmentioning

confidence: 99%

Disability Among Older Immigrants in the United States: Exploring Differences by Region of Origin and Gender

Burns,

Baker,

Sheehan

et al. 2023

Int J Aging Hum Dev

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Rapid aging in American society will be disproportionately concentrated among the foreign-born. Immigrants in the United States (U.S.) are a heterogeneous population, yet little is known regarding their differences in disability later in life by region of origin. We use data from the National Health Interview Survey on respondents ages 60+ ( n = 313,072) and employ gender-specific logistic models to predict reports of any activity of daily living (ADL) disability. After accounting for socioeconomic factors, compared to their U.S.-born non-Hispanic (NH) White counterparts, the odds of reporting ADL disability were higher among U.S.-born respondents that are Hispanic, NH Black, and NH Multiracial as well as respondents with Mexican, Puerto Rican, Cuban, Russian/former Soviet, Middle Eastern, East Asian, and South Asian origins. Also, Dominican, African, and Southeast Asian women—and European men—reported high odds of ADL disability. Our results highlight heterogeneity in the disability profiles of foreign-born older adults in the U.S..

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“…SRH is a low-cost, easy-toapply tool that considers the contextual frameworks of an individual's health status, such as cultural and psychosocial aspects, social participation, health behaviors, and lifestyle [5]. Despite its non-specific nature, studies have shown that SRH and objective health measures are associated, suggesting that SRH is a significant predictor of mortality as well as chronic diseases, impairment, and functional decline [1,[6][7][8][9][10][11], thus highlighting its significance as a construct to measure health status.…”

Section: Introductionmentioning

confidence: 99%

Association between impairment and self-rated health: a brazilian population study considering type, origin, and degree of limitation

2023

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Background Perceived health is a well-known, low-cost measure in public health, and has been used in several studies on individuals with impairment. Although many studies have related impairment to self-rated health (SRH), few have considered the origin and degree of limitation of the impairment. This study examined whether physical, hearing, or visual impairments—when analyzed according to origin (congenital or acquired) and degree of limitation (with or without)—are associated with the SRH status. Methods This cross-sectional study used data of 43,681 adult individuals from the Brazilian National Health Survey (NHS, 2013). The outcome SRH was dichotomized into poor (including the regular, poor, and very poor responses) or good (including the good and very good responses). Crude and adjusted (for socio-demographic characteristics and chronic diseases history) prevalence ratios (PR) estimates were evaluated using Poisson regression models with the robust variance estimator. Results Poor SRH prevalence was estimated at 31.8% (95%CI:31.0–33.0) among the non-impaired population, 65.6% (95%CI:60.6–70.0) among individuals with physical impairment, 50.3% (95%CI:45.0–56.0) for people with hearing impairment, and 55.3% (95%CI:51.8–59.0) for the visually impaired. Individuals with congenital physical impairment—with or without limitations—presented the strongest association with the poorest SRH status. Participants with non-limiting, congenital hearing impairment showed a protective factor to poor SRH (PR = 0.40 95%CI: 0.38–0.52). Individuals with acquired visual impairment with limitations demonstrated the strongest association with poor SRH (PR = 1.48 95%CI:1.47–1.49). Among the impaired population, middle-aged participants showed a stronger association with poor SRH than older adult participants. Conclusions Impairment is associated with poor SRH status, especially among people with physical impairment. The origin and degree of limitation of each type of impairment differently impacts SRH among the impaired population.

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Disability and self-rated health: Exploring foreign- and U.S.-born differences across adulthood

Cited by 3 publications

References 47 publications

Ethnic Differences in Socioeconomic and Health Determinants Related to Self-Rated Health Status: A Study on Community-Dwelling Israeli Jews and Arabs in Old Age

Ethnic Differences in Socioeconomic and Health Determinants Related to Self-Rated Health Status: A Study on Community-Dwelling Israeli Jews and Arabs in Old Age

Disability Among Older Immigrants in the United States: Exploring Differences by Region of Origin and Gender

Association between impairment and self-rated health: a brazilian population study considering type, origin, and degree of limitation

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