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Centre for Policy on Ageing | |
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The White-Black disability gap revisited
— does an incident heart attack change this gap? | | Author(s) | Mihaela A Popa, Laurence G Branch, Ross Andel |
| Journal title | Journals of Gerontology: Series A, Biological Sciences and Medical Sciences, vol 63A, no 4, April 2008 |
| Pages | pp 420-425 |
| Source | http://www.geron.org |
| Keywords | White people ; Black people ; Economic status [elderly] ; Physical disabilities ; Heart disease ; Comparison ; United States of America. |
| Annotation | A myocardial infarction (MI) results typically in abrupt functional deterioration immediately post-event, followed by recovery. The post-MI health disparities experienced by black older people may be attributable to the social and health correlates of race. The authors explored patterns of change in functional status in a community-based sample of 342 older whites and blacks admitted to hospital for an incident MI, drawn from the Established Populations for Epidemiologic Studies of the Elderly (EPESE). All those who had been hospitalised between the first two wave of data collection were followed up yearly for two additional years. Although there were no non-linear differences in activities of daily living (ADL) trajectories, there was a faster non-linear rate of change in functional limitation (FL) in older blacks compared to white, independent of other social and health factors. The baseline white-black gap in FL widened after the MI by the first follow-up, continued to widen at a less accelerated pace until the second follow-up, and narrowed by the third follow-up. Disparities in relevant social and health factors did not account for the more abrupt deterioration in FL post-event or for the more substantial recovery in older blacks compared to whites. Disparities in therapeutic strategies and the "survival of the fittest" may underlie the pattern of this white-black gap in FL after an incident MI. (RH). |
| Accession Number | CPA-080729209 A |
| Classmark | TKA: TKE: F:W: BN: CQH: 48: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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