Black-White Racial Disparities in Disabilities Among Older Americans Between 2008 and 2017: Improvements in Cognitive Disabilities but no Progress in Activities of Daily Living or Functional Limitations.

IF 1.2 4区 医学 Q3 GERONTOLOGY International Journal of Aging & Human Development Pub Date : 2024-01-01 Epub Date: 2023-08-29 DOI:10.1177/00914150231196092
Bolade Ajarat Shipeolu, Katherine Marie Ahlin, Esme Fuller-Thomson
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Abstract

The objectives of this study were to examine the prevalence of race-based disparities in cognitive problems, functional limitations (FLs), and activity of daily living (ADL) limitations between US Black and White older adults in 2008 and 2017, to explore how age, sex, income, and education attenuate these racial disparities, and to determine if Black-White health disparities are narrowing. Secondary analysis of the nationally representative American Community Surveys including 423,066 respondents aged ≥65 (388,602 White, 34,464 Black) in 2008 and 536,984 (488,483 White, 48,501 Black) in 2017. Findings indicate that Black-White racial disparities were apparent for all three outcomes in 2008 and 2017. Approximately half of the racial disparities was attenuated when adjustments were made for education and income. Racial disparities in cognition declined between 2008 and 2017 (p < .001) but persisted unabated in FLs and ADL limitations. Further exploration on the mechanisms of racial disparities is warranted.

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2008年至2017年美国老年人残疾中的黑人-白人种族差异:认知障碍有所改善,但日常生活活动或功能限制没有进展。
本研究的目的是研究2008年和2017年美国黑人和白人老年人在认知问题、功能限制(FLs)和日常生活活动(ADL)限制方面基于种族的差异的普遍程度,探讨年龄、性别、收入和教育如何减弱这些种族差异,并确定黑人和白人的健康差异是否正在缩小。对具有全国代表性的美国社区调查的二次分析,包括2008年423,066名年龄≥65岁的受访者(388,602名白人,34,464名黑人)和2017年536,984名(488,483名白人,48,501名黑人)。研究结果表明,在2008年和2017年的所有三个结果中,黑人和白人的种族差异都很明显。在对教育和收入进行调整后,大约一半的种族差异得到了缓解。2008年至2017年,认知方面的种族差异有所下降
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来源期刊
CiteScore
4.10
自引率
5.00%
发文量
48
期刊介绍: These are some of the broad questions with which the International Journal of Aging and Human Development is concerned. Emphasis is upon psychological and social studies of aging and the aged. However, the Journal also publishes research that introduces observations from other fields that illuminate the "human" side of gerontology, or utilizes gerontological observations to illuminate in other fields.
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