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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >Transitions among disability levels or death in African American and white older women.
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Transitions among disability levels or death in African American and white older women.

机译：非洲裔美国人和白人老年妇女的残疾水平或死亡之间的转变。

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BACKGROUND: This study examined the racial differences in probabilities of transitioning across three disability levels of walking (1/2) mile in a community-dwelling population of older women. METHODS: The sample comprised 436 community-dwelling older women who were among the two-third least disabled women in Baltimore, Maryland. The levels of disability status of walking (1/2) mile included high functioning defined as reporting no difficulty, preclinical disability defined as reports of task modification but no reported difficulty, and disability defined as reported difficulty. First-order Markov transition models were specified to determine whether race influences the types of individual-level transitions between difficulty levels of walking (1/2) mile. RESULTS: Among high-functioning women, African Americans were more likely to be disabled at the next round than their White counterparts. African American women who began with preclinical disability were more likely to die before the next round. After adjusting for age, education, and perceived income inadequacy, African American women tended to have an increased risk of becoming disabled if preclinically disabled than White women. CONCLUSIONS: Prevention through identification of individuals at an early phase of decline appears to be key to addressing racial disparities in physical disability even in later life.
机译：背景：这项研究调查了在社区居住的老年妇女人群中，在步行（1/2）英里的三个残疾级别之间过渡的可能性的种族差异。方法：样本包括436名居住在社区中的老年妇女，他们是马里兰州巴尔的摩市残障率最低的妇女中的三分之二。步行（1/2）英里的残疾状态级别包括：高功能被定义为未报告困难;临床前残疾被定义为报告任务修改但未报告困难;残疾被定义为已报告困难。指定了一阶马尔科夫过渡模型，以确定种族是否影响行走（1/2）英里难度级别之间的个人水平过渡类型。结果：在高功能女性中，与白人相比，非洲裔美国人在下一轮中更容易残疾。患有临床前残疾的非洲裔美国妇女更有可能在下一轮死亡之前死亡。在调整了年龄，教育程度和收入不足后，非裔美国妇女的临床前残疾风险往往比白人女性高。结论：在下降的早期阶段通过识别个体进行预防似乎是解决身体残疾方面种族差异的关键，即使在以后的生活中也是如此。

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