Racial Differences in Activities of Daily Living Limitation Onset in Older Adults With Arthritis: A National Cohort Study

Shih, Vivian C.; Song, Jing; Chang, Rowland W.; Dunlop, Dorothy D.

doi:10.1016/j.apmr.2005.02.009

Cited by 30 publications

(26 citation statements)

References 16 publications

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“…Our study supports previous research showing that low educational attainment is associated with worse symptoms and health outcomes for Latinos with arthritis (3–5). Although baseline health status differed according to level of education, we found no differences in the extent to which health outcomes changed after the CCG intervention.…”

Section: Discussionsupporting

confidence: 92%

“…Fewer years of formal education is associated with greater pain, disability, and activity limitations due to arthritis (3–5). Because 30.0% of Latinos living in the United States lack a high school diploma, compared with 7.1% of non-Hispanic whites, interventions for Latinos who have arthritis and low levels of education must be specially designed to be appropriate and efficacious (6).…”

Section: Introductionmentioning

confidence: 99%

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Educational Attainment, Health Status, and Program Outcomes in Latino Adults With Arthritis Participating in a Walking Program

2018

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IntroductionLatinos are disproportionately likely to lack a high school diploma, compared with non-Hispanic whites, a trend associated with worse outcomes in arthritis and indicating a need for health interventions. Camine Con Gusto (CCG) is the Spanish version of the evidence-based Walk With Ease program for arthritis. This study compared baseline health status and examined differences in program efficacy and adherence among Latino adults with and without a high school diploma enrolled in a pre−post evaluation of CCG.MethodsCCG participants (n = 233) were classified into 2 groups: high school diploma or more (n = 129) and less than high school diploma (n = 104). We used logistic regression to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for associations of education with measures of baseline health and program adherence. We computed effect sizes for the difference between education groups by using mean change scores for arthritis symptoms, physical function, and psychosocial variables.ResultsThe group without a high school diploma was more likely to report worse general health (OR = 2.40; 95% CI, 1.28–4.53) and lower levels of arthritis self-efficacy (OR = 1.95; 95% CI, 1.05–3.63) than the group with a high school diploma. CCG improved outcomes for both groups, with no significant between-group differences. The group without a high school diploma was less likely to read most of the program workbook (OR = 0.51; 95% CI, 0.27–0.97), but we found no significant differences in the amount of walking between the 2 groups.ConclusionCCG was equally effective among Latinos with and without a high school diploma; however, education did affect participants’ engagement with the program workbook. Adaptation of interventions for Latinos should consider how information can best be conveyed to those with lower levels of formal education.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Educational Attainment, Health Status, and Program Outcomes in Latino Adults With Arthritis Participating in a Walking Program

2018

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“…Despite the limitations noted above regarding self-reported diagnoses, these studies provide some of the only data available in this area regarding racial minorities other than African-Americans. Among participants in the Health and Retirement Study who had self-reported arthritis but no baseline disability, both Hispanics and Africans had greater onset of limitations in activities of daily living at 2-year follow-up compared with Caucasians (22, 24, and 17%, respectively) [36]. Other analyses of this cohort showed that 6-year cumulative onset of disability rates were about twice as high for both African-Americans and Spanish-speaking Hispanics compared with Caucasians, but this difference was not statistically significant when adjusting for demographic, health-related, and medical access factors [37].…”

Section: Racial Differences In Pain and Function In Osteoarthritismentioning

confidence: 97%

“…There have also been some studies reporting racial differences in function or disability among individuals with selfreported arthritis [21,[36][37][38]. Despite the limitations noted above regarding self-reported diagnoses, these studies provide some of the only data available in this area regarding racial minorities other than African-Americans.…”

Section: Racial Differences In Pain and Function In Osteoarthritismentioning

confidence: 99%

Racial and ethnic disparities in osteoarthritis phenotypes

Allen

2010

Current Opinion in Rheumatology

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While some racial differences in osteoarthritis prevalence and severity have been identified, more research is needed on under-studied racial and ethnic groups and joint groups (e.g. foot, spine). Future studies should emphasize potential explanatory factors, such as genetic, environmental, anatomical, and biomechanical features. Current findings emphasize the importance of targeting weight management and psychosocial interventions among African-Americans with knee osteoarthritis.

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“…Elders with limitations performing ADLs are more likely to be older (Rivlin, Wiener, Hanley, Hanley, & Spence, 1988), experience limitations in the more complex instrumental activities of daily living (IADL) (e.g., laundry, shopping, preparing meals) (Stoller & Cutler, 1992), and have limited economic resources (Clark, Stump, Hui, & Wolinsky, 1998). Additionally, Black and Hispanic elders are more likely than their White counterparts to experience ADL limitations (Shih, Song, Chang, & Dunlop, 2005). …”

Section: Literature Reviewmentioning

confidence: 99%

The Prevalence of Older Couples With ADL Limitations and Factors Associated With ADL Help Receipt

Shen

Feld

Dunkle

et al. 2014

Journal of Gerontological Social Work

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Using the Andersen-Newman model, we investigated the prevalence of Activities of Daily Living (ADLs) limitations in married couples, and couple characteristics associated with ADL help receipt. In this sample of 3,235 couples age 65+ in the 2004 Health and Retirement Study, 74.3%, 22.1% and 3.6% were couples in which neither, one or two partners had limitations, respectively. Logistic regression results indicate help receipt was associated with certain health needs in the couple, but not with their predisposing characteristics or enabling resources. Social workers could target couples most in need of assistance by assessing both partners’ health problems.

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Racial Differences in Activities of Daily Living Limitation Onset in Older Adults With Arthritis: A National Cohort Study

Cited by 30 publications

References 16 publications

Educational Attainment, Health Status, and Program Outcomes in Latino Adults With Arthritis Participating in a Walking Program

Educational Attainment, Health Status, and Program Outcomes in Latino Adults With Arthritis Participating in a Walking Program

Racial and ethnic disparities in osteoarthritis phenotypes

The Prevalence of Older Couples With ADL Limitations and Factors Associated With ADL Help Receipt

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