Document Detail


Socioeconomic status and racial and ethnic differences in functional status associated with chronic diseases.
MedLine Citation:
PMID:  9184510     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: This study examined the relationships between wealth and income and selected racial and ethnic differences in health. METHODS: Cross-sectional data on a national sample of 9744 men and women aged 51 through 61 from the 1992 Health and Retirement Survey were analyzed to examine the association between socioeconomic status and racial and ethnic differences in functional status among those with hypertension, diabetes, a heart condition, and arthritis. RESULTS: Compared with Whites, African Americans report higher rates of hypertension, diabetes, and arthritis, while Hispanics report higher rates of hypertension and diabetes and a lower rate of heart conditions. Accounting for differences in education, income, and wealth had little effect on these prevalence differences. In general, among those with chronic diseases, African Americans and Hispanics reported worse function than Whites. This disadvantage was eliminated in every case by controlling for socioeconomic status. CONCLUSIONS: While socioeconomic status, including wealth, accounts for much of the difference in functional status associated with these chronic diseases. It plays a relatively small role in explaining differences in the prevalence of chronic disease, possibly reflecting different causal pathways.
Authors:
R S Kington; J P Smith
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of public health     Volume:  87     ISSN:  0090-0036     ISO Abbreviation:  Am J Public Health     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-06-26     Completed Date:  1997-06-26     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  805-10     Citation Subset:  AIM; IM    
Affiliation:
RAND, Santa Monica, CA 90407, USA.
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MeSH Terms
Descriptor/Qualifier:
African Americans / statistics & numerical data*
Arthritis / ethnology,  etiology,  physiopathology
Chronic Disease*
Cross-Sectional Studies
Diabetes Mellitus / ethnology,  etiology,  physiopathology
European Continental Ancestry Group / statistics & numerical data*
Female
Health Surveys
Heart Diseases / ethnology,  etiology,  physiopathology
Hispanic Americans / statistics & numerical data*
Humans
Hypertension / ethnology,  etiology,  physiopathology
Income
Male
Middle Aged
Prevalence
Research Design
Retirement
Socioeconomic Factors*
Grant Support
ID/Acronym/Agency:
5PO-AG08291/AG/NIA NIH HHS; 5PO-HD12639/HD/NICHD NIH HHS; P20-AG12059/AG/NIA NIH HHS
Comments/Corrections
Comment In:
Am J Public Health. 1997 May;87(5):728-30   [PMID:  9184495 ]

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


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