Document Detail

Life course determinants of racial and ethnic disparities in functional health trajectories.
MedLine Citation:
PMID:  19857917     Owner:  NLM     Status:  MEDLINE    
Previous research has documented racial/ethnic disparities in functional health trajectories in old age, though little work has investigated the relative contribution of early and later life insults in their genesis. This paper uses two-part latent curve models to investigate the life course determinants of racial/ethnic disparities in functional health trajectories in the USA. We find that blacks and Hispanics have both a greater probability of having any limitation at baseline and more limitations on average among those who have any. Over time, there is convergence in trajectories between Hispanics and non-Hispanic whites, though the black-white gap remains constant. In addition, we find that disparities result from differential exposure to poor childhood health, early life socioeconomic deprivation, as well as adult health and socioeconomic attainment. However, the impact of childhood insults is largely mediated by more contemporaneous factors. We also find little evidence that the impact of life course factors varies across groups.
Steven Haas; Leah Rohlfsen
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Publication Detail:
Type:  Journal Article     Date:  2009-10-24
Journal Detail:
Title:  Social science & medicine (1982)     Volume:  70     ISSN:  1873-5347     ISO Abbreviation:  Soc Sci Med     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-19     Completed Date:  2010-02-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8303205     Medline TA:  Soc Sci Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  240-50     Citation Subset:  IM    
Copyright Information:
Copyright 2009 Elsevier Ltd. All rights reserved.
School of Social and Family Dynamics, Arizona State University, Tempe, AZ 85287-3701, USA.
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MeSH Terms
Activities of Daily Living*
African Continental Ancestry Group / statistics & numerical data*
Cohort Studies
European Continental Ancestry Group / statistics & numerical data*
Health Status Disparities*
Hispanic Americans / statistics & numerical data*
Models, Statistical
Risk Factors
Socioeconomic Factors
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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