Factors That Contribute to Levels of Independent Activity Functioning Among a Group of Navajo Elders

Fitzpatrick, Tanya R.; Alemán, Sara; Tran, Thanh V.

doi:10.1177/0164027507312999

Cited by 4 publications

(3 citation statements)

References 16 publications

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“…The studies with older American Indians have identified correlates of self-reported activities of daily living limitations, including older age, not being married, physical inactivity, and comorbidity. 3,[21][22][23] Significant correlates of poor lower body functioning identified here are consistent with previous research with other racial and ethnic groups that also used the SPPB, including older age, [24][25][26] chronic disease, 15,24,26 physical inactivity, 25 bone trauma, 24 high BMI, 24 and pain. 27,28 Strengths of this study include the population-based design, large and representative study sample, and high participation rates.…”

Section: Discussionsupporting

confidence: 87%

Lower Body Functioning Prevalence and Correlates in Older American Indians in a Southeastern Tribe: The Native Elder Care Study

Goins

Innes²,

Dong

2012

J American Geriatrics Society

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The objective of this study was to use performance-based measurements to identify, in a population of community-dwelling American Indians aged ≥55 years, the prevalence and correlates of lower body functioning. Data were collected as part of a cross-sectional study of disability with members of a tribe in the southeast. Lower body functioning was measured with the Short Physical Performance Battery (SPPB) where higher scores reflect better functioning. Independent variables included age, sex, marital status, educational attainment, current cigarette smoking, physical activity, body mass index, hearing loss, vision loss, bone or joint trauma, chronic pain syndrome, osteoporosis, medical comorbidity, and depressive symptomatology. The total composite SPPB score was 8.80± 3.4 and declined significantly with increasing age and was negatively associated with unmarried status, physical inactivity, vision loss, bone or joint trauma, and medical comorbidity after adjustment for all other factors in the model. Likewise, all individual SPPB component scores declined significantly with increasing age, and were negatively associated with physical inactivity and comorbidity. In addition, the balance test score was significantly and negatively associated with unmarried status and vision loss; gait speed was negatively related to unmarried status; and the chair stand test scores were negatively related to body mass index, vision loss, bone or joint trauma, and chronic pain syndrome. In the clinical setting, the SPPB can be an important screening tool for adverse health-related events. Further studies are needed to investigate the determinants and sequelae of physical dysfunction in this population.

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Section: Discussionsupporting

confidence: 87%

Lower Body Functioning Prevalence and Correlates in Older American Indians in a Southeastern Tribe: The Native Elder Care Study

Goins

Innes²,

Dong

2012

J American Geriatrics Society

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“…They are cared for by younger members of the family and the tribe, particularly by adult women. However, their long term care needs may strain the resources of families who try to care for them at home but who also have very limited economic capacity (Fitzpatrick et al 2008; Manson 1989). …”

Section: American Indiansmentioning

confidence: 99%

Chronic Illness Self-care and the Family Lives of Older Adults: A Synthetic Review Across Four Ethnic Groups

Gallant

Spitze

Grove

2010

J Cross Cult Gerontol

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The purpose of this paper is to integrate the literature on family and social ties among older ethnic minority men and women with the literature on chronic illness self-care among elders in these groups, in order to increase understanding of social influences on self-care behavior, raise questions for future research, and inform culturally appropriate interventions to maximize the health-promoting potential of social relationships. The paper presents demographic and chronic illness prevalence information, and then summarizes literature about patterns of chronic illness self-care behaviors for older AfricanAmericans, Latinos, Asian-Americans, and American Indians in the U.S. For each group, the sociological literature about residential, cultural, and socioeconomic patterns, family lives, and other social ties is then reviewed, and the self-care literature that has accounted for these patterns is discussed. Finally, six themes are outlined and related questions are identified to further illuminate the social context of older adults' chronic illness self-care. KeywordsChronic illness; Ethnic minorities; Family; Older adults; Self-care; Social ties Although living with chronic illness is a reality for the majority of older adults in the United States, there are significant disparities in chronic illness prevalence across racial and ethnic groups (NCHS 2006). Furthermore, racial and ethnic minorities experience greater complications and higher death rates from most chronic illnesses (NCHS 2006;Harris 2001). To reduce these disparities in chronic illness outcomes, we need to better understand how members of these groups live with and manage chronic illnesses, in order to design effective intervention strategies that will enhance chronic illness outcomes (Becker and Newsom 2005).Self-care behaviors, defined as "the range of health and illness behaviors undertaken by individuals on behalf of their own health" (Dean 1992), play a crucial role in enhancing quality of life and active life expectancy among older adults (Ory and DeFriese 1998). This is particularly true for chronic illness self-care behaviors, which often involve regimens of

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“…Several reviews have included Navajo individuals with disabilities in larger American Indian population studies to understand disability and assess health care needs ( Waldman, Perlman, & Kucine, 2006 ; Wall & Walz, 2003 ), with a focus on education, vocational rehabilitation, and independent living ( Kauffman et al, 2003 ; Wall & Walz); strategies to promote more culturally appropriate rehabilitation and health care for American Indians with disabilities ( Chino & DeBruyn, 2006 ; Lomay & Hinkelbein, 2006 ); or policy for individuals with disabilities ( Dwyer, Fowler, Seekins, Locust, & Clay, 2000 ; Manson & Buchwald, 2007 ; Native American Disability Law Center [NCLC], 2007 ). Other studies have focused on factors contributing to vocational rehabilitation outcomes ( Guy, 2009 ) and independent activity functioning in Navajo elderly ( Fitzpatrick, Alemán, & Van Tran, 2008 ).…”

Section: Navajo Nationmentioning

confidence: 99%

Assistive Technology Provision Within the Navajo Nation

Reisinger

Ripat

2014

Qual Health Res

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In this study we explored the factors that affect assistive technology (AT) provision within the Navajo Nation using a qualitative approach to inquiry. Focus groups were held in which AT users discussed their awareness of AT and their need for, use of, and satisfaction with AT devices and services. Twenty-eight individuals who used wheelchairs, orthotics or prosthetics, hearing aids, communication aids, vision aids, and other AT participated in one of seven focus groups. Seven AT providers discussed the facilitators and barriers that affect AT provision. The findings revealed six themes common to both stakeholder groups and two additional themes for AT users. The central theme for AT users centered on (not) feeling understood; the central theme for AT providers revolved around the processes, activities, and roles the providers engaged in at times for different clients. Activities to increase awareness and to promote successful AT provision and satisfaction with AT devices were proposed.

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Factors That Contribute to Levels of Independent Activity Functioning Among a Group of Navajo Elders

Cited by 4 publications

References 16 publications

Lower Body Functioning Prevalence and Correlates in Older American Indians in a Southeastern Tribe: The Native Elder Care Study

Lower Body Functioning Prevalence and Correlates in Older American Indians in a Southeastern Tribe: The Native Elder Care Study

Chronic Illness Self-care and the Family Lives of Older Adults: A Synthetic Review Across Four Ethnic Groups

Assistive Technology Provision Within the Navajo Nation

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