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Socioeconomic status and race/ethnicity independently predict health decline among older diabetics

BACKGROUND: There are pervasive racial and socioeconomic differences in health status among older adults with type 2 diabetes. The extent to which racial/ethnic and socioeconomic disparities unfold to differential health outcomes has yet to be investigated among older adults with diabetes. This stud...

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Autor principal: Nicklett, Emily J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3175469/
https://www.ncbi.nlm.nih.gov/pubmed/21888645
http://dx.doi.org/10.1186/1471-2458-11-684
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author Nicklett, Emily J
author_facet Nicklett, Emily J
author_sort Nicklett, Emily J
collection PubMed
description BACKGROUND: There are pervasive racial and socioeconomic differences in health status among older adults with type 2 diabetes. The extent to which racial/ethnic and socioeconomic disparities unfold to differential health outcomes has yet to be investigated among older adults with diabetes. This study examines whether or not race/ethnicity and SES are independent predictors of steeper rates of decline in self-rated health among older adults in the U.S. with type 2 diabetes. METHODS: The study population was a subset of diabetic adults aged 65 and older from the Health and Retirement Study. Respondents were followed up to 16 years. Multilevel cumulative logit regression models were used to examine the contributions of socioeconomic indicators, race/ethnicity, and covariates over time. Health decline was measured as a change in self-reported health status over the follow-up period. RESULTS: Relative to whites, blacks had a significantly lower cumulative odds of better health status over time (OR: 0.61, p < .0001). Hispanics reported significantly lower cumulative odds better health over time relative to whites (OR: 0.59, p < .05). Although these disparities narrowed when socioeconomic characteristics were added to the model, significant differences remained. Including socioeconomic status did not remove the health effects of race/ethnicity among blacks and Hispanics. CONCLUSIONS: The author found that race/ethnicity and some socioeconomic indicators were independent predictors of health decline among older adults with diabetes.
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spelling pubmed-31754692011-09-19 Socioeconomic status and race/ethnicity independently predict health decline among older diabetics Nicklett, Emily J BMC Public Health Research Article BACKGROUND: There are pervasive racial and socioeconomic differences in health status among older adults with type 2 diabetes. The extent to which racial/ethnic and socioeconomic disparities unfold to differential health outcomes has yet to be investigated among older adults with diabetes. This study examines whether or not race/ethnicity and SES are independent predictors of steeper rates of decline in self-rated health among older adults in the U.S. with type 2 diabetes. METHODS: The study population was a subset of diabetic adults aged 65 and older from the Health and Retirement Study. Respondents were followed up to 16 years. Multilevel cumulative logit regression models were used to examine the contributions of socioeconomic indicators, race/ethnicity, and covariates over time. Health decline was measured as a change in self-reported health status over the follow-up period. RESULTS: Relative to whites, blacks had a significantly lower cumulative odds of better health status over time (OR: 0.61, p < .0001). Hispanics reported significantly lower cumulative odds better health over time relative to whites (OR: 0.59, p < .05). Although these disparities narrowed when socioeconomic characteristics were added to the model, significant differences remained. Including socioeconomic status did not remove the health effects of race/ethnicity among blacks and Hispanics. CONCLUSIONS: The author found that race/ethnicity and some socioeconomic indicators were independent predictors of health decline among older adults with diabetes. BioMed Central 2011-09-02 /pmc/articles/PMC3175469/ /pubmed/21888645 http://dx.doi.org/10.1186/1471-2458-11-684 Text en Copyright ©2011 Nicklett; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Nicklett, Emily J
Socioeconomic status and race/ethnicity independently predict health decline among older diabetics
title Socioeconomic status and race/ethnicity independently predict health decline among older diabetics
title_full Socioeconomic status and race/ethnicity independently predict health decline among older diabetics
title_fullStr Socioeconomic status and race/ethnicity independently predict health decline among older diabetics
title_full_unstemmed Socioeconomic status and race/ethnicity independently predict health decline among older diabetics
title_short Socioeconomic status and race/ethnicity independently predict health decline among older diabetics
title_sort socioeconomic status and race/ethnicity independently predict health decline among older diabetics
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3175469/
https://www.ncbi.nlm.nih.gov/pubmed/21888645
http://dx.doi.org/10.1186/1471-2458-11-684
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