Journal
JOURNAL OF APPLIED GERONTOLOGY
Volume 39, Issue 5, Pages 502-508Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0733464818780631
Keywords
older adults; race; ethnicity; physical function; mobility
Categories
Funding
- NCATS NIH HHS [UL1 TR001086] Funding Source: Medline
- NIA NIH HHS [K23 AG051681] Funding Source: Medline
- NIMH NIH HHS [T32 MH073553] Funding Source: Medline
- NCCDPHP CDC HHS [U48 DP005018] Funding Source: Medline
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Objective: To compare estimates of the prevalence of mobility and physical function limitations by race and ethnicity using data from the Medical Expenditure Panel Survey (MEPS). Method: The sample comprised of 28,854 adults aged >= 60 from the MEPS (2004-2013). Physical function (limitations in basic and instrumental activities of daily living [ADL/IADL]) and mobility limitations were assessed by self-report. Results: Non-Hispanic Whites (NHWs) represented the majority of the sample followed by non-Hispanic Blacks (NHBs), Hispanic and non-Hispanic Other (Other). For mobility limitation, NHBs had the highest prevalence followed by NHWs and Hispanics (33.3%, 28.6%, and 26.2%, respectively). Multivariable logistic regression analyses were performed for the primary outcome of mobility limitation. In the adjusted model, Hispanics had lower odds of mobility limitations (prevalence odds ratio [POR]: 0.78; 95% confidence interval [CI] = [0.67,0.91]) compared with NHWs. For ADL limitations, NHBs had higher odds of having ADLs (POR: 1.87; 95% CI = [1.44, 2.44]) when compared with NHWs. Conclusion: This article evaluated the influence of race and ethnicity, on the prevalence of mobility and functional limitations that are not always consistent with expected racial and ethnic differences.
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