Self-reported prevalence and health correlates of functional limitation among Massachusetts elderly Puerto Ricans, Dominicans, and non-Hispanic white neighborhood comparison group.
BACKGROUND
Limited data suggest that Puerto Ricans experience greater disability than other ethnic groups, but few studies have examined the factors associated with this apparent difference.


METHODS
We describe the prevalence of functional limitation and disability in a representative sample of Puerto Rican and Dominican elders in Massachusetts, and in a neighborhood comparison group of non-Hispanic whites (NHWs). We then relate disability scores, based on both prevalence and severity of ADL or IADL limitation, with self-reported history of diagnosed health conditions--adjusting for age, sex, body mass index (BMI; weight kg/height m(2)), income, education, living alone, smoking, and alcohol use.


RESULTS
Seventy-five percent of Dominican women and 73% of Puerto Rican women reported difficulty with at least one ADL, compared with 64% of NHW women. Puerto Rican men reported significantly more limitation than did NHW or Dominican men. Conditions significantly associated with at least two disability measures among the NHW included smoking, former heavy alcohol use, arthritis, cataract, respiratory disease, and high BMI, but not stroke, diabetes, history of heart attack, or depression. The patterns for Puerto Ricans differed, with the strongest associations between disability and stroke, arthritis, diabetes, and depression, followed by history of heart attack, high BMI, cataract, poverty status, and respiratory disease. Only arthritis and depression were consistently significantly associated with disability among this smaller sample of Dominican elders.


CONCLUSIONS
Functional limitation and disability are more prevalent among Puerto Ricans and among Dominican women than among neighborhood NHWs in Massachusetts. Greater disability is associated with the presence of chronic health conditions, which differ by ethnic group. Additional research is needed to further define the social and health factors that contribute to these ethnic differences.
Tucker
K L
KL
Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, MA 02111, USA. Tucker@hnrc.tufts.edu
Falcon
L M
LM
Bianchi
L A
LA
Cacho
E
E
Bermudez
O I
OI
D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged; D000428:Alcohol Drinking / Q000208:ethnology; D015992:Body Mass Index; D002908:Chronic Disease; D006233:Persons with Disabilities; D004194:Disease / Q000145:classification / Q000208:ethnology; D004293:Dominican Republic / Q000208:ethnology; D004522:Educational Status; D005190:Family; D005260:Female; D006304:Health Status; D006630:Hispanic or Latino; D006801:Humans; D007182:Income; D008297:Male; D008404:Massachusetts; D015995:Prevalence; D011647:Puerto Rico / Q000208:ethnology; D012737:Sex Factors; D012907:Smoking / Q000208:ethnology; D044465:White People