A National Profile of Functional Limitations Among Asian Indians, Chinese, and Filipinos.
Activities of Daily Living
Age Factors
Aged
Aged, 80 and over
Asian
/ statistics & numerical data
China
/ ethnology
Cross-Sectional Studies
Disabled Persons
/ statistics & numerical data
Female
Humans
India
/ ethnology
Logistic Models
Male
Middle Aged
Mobility Limitation
Philippines
/ ethnology
Sex Factors
Socioeconomic Factors
United States
/ epidemiology
Asian American disability
Functional health status
Minority aging
Older Asian Americans
Population aging
Journal
The journals of gerontology. Series B, Psychological sciences and social sciences
ISSN: 1758-5368
Titre abrégé: J Gerontol B Psychol Sci Soc Sci
Pays: United States
ID NLM: 9508483
Informations de publication
Date de publication:
16 04 2020
16 04 2020
Historique:
received:
16
01
2018
pubmed:
21
8
2018
medline:
14
1
2021
entrez:
21
8
2018
Statut:
ppublish
Résumé
Asian Americans are the fastest-growing minority group in the United States, yet little is known about their functional mobility. To overcome such a gap, this study examined the association between demographic/economic characteristics and functional limitations for middle-aged and older Asian Indians, Chinese, and Filipinos. This study utilized microdata from the National Health Interview Survey pooled sample (2010-2016 IPUMS NHIS with a sample size of 6,767 Asians). Logit regressions were used to examine factors associated with functional limitations. Measures include age, gender, currently married, education (categorized as less than high school, high school, some college, college, advanced degree), birth and citizenship status, household income, home ownership, types of health insurance (e.g., Medicaid, Medicare, private), and geographic region (i.e., Northeast, Midwest, South, and West). Chinese (odds ratio [OR] 0.57, p < .01) and Filipinos (OR 0.74, p < .05) had lower odds for any functional limitations relative to Asian Indians. Currently married and individuals with a higher income were also associated with reduced odds for limitations in the overall analysis. As for the subgroup analysis, there was a positive association between age and the presence of any functional limitations for Asian Indians (OR 1.05, p < .01), Chinese (OR 1.08, p < .01), and Filipinos (OR 1.03, p < .01). In terms of gender, Asian Indian men were less likely (OR 0.51, p < .01), whereas Filipino men were more likely to have limitations (OR 1.09, p < .05). Asian Indians appeared to have a poorer health profile for limitations in dressing, eating, walking, or working when compared with Chinese and Filipinos. A pronounced difference at older ages was also apparent for Asian Indians by gender and the likelihood of having any limitations increased much faster for Asian Indian women. For Chinese, there was a dramatic increase in functional limitations after age 75 (particularly for women) and the predicted probability for this subgroup approximated 20%. For Filipinos, men were more likely to have limitations. These findings raise interesting questions about the on-set of disability by age and gender for Asian subgroups.
Identifiants
pubmed: 30124937
pii: 5075546
doi: 10.1093/geronb/gby092
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1021-1029Informations de copyright
© The Author(s) 2018. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.