Prevalence of Functional Limitations among Foreign and U.S. born Black older adults: 2010-2016 National Health Interview Surveys.
Publication details: 2022-01.Subject(s): Genre/Form: Online resources: Summary: OBJECTIVE: To determine whether the prevalence of functional limitations in United States (U.S.) born differs from that of foreign-born Black older adults. DESIGN: We performed a cross-sectional analysis of data from 14,438 U.S. born and 1,583 foreign-born Black older adults (≥50 years) in the 2010-2016 National Health Interview Surveys (NHIS). Functional limitations were defined by upper and lower extremity limitations, and global functional limitations. Generalized linear modeling using a Poisson distribution and logarithmic link function was used to compare the predicted probabilities of functional limitations in both groups. RESULTS: The mean age (S.E) of U.S. born Blacks was 63.56 (0 .12) years and foreign-born Blacks was 62.06 (0.32). The majority (92%) of foreign-born Blacks had resided in the U.S. for ≥ 10 years. U.S. born older adults were more likely to have upper (46% vs. 29%, p<0.001) and lower (61% vs 40%, p<0.001) extremity limitations than foreign-born Blacks. The prevalence of lower extremity limitations was 22% less in foreign-born Blacks compared to U.S. born Blacks after adjusting for sociodemographic and health profiles (Prevalence Ratio [PR]: 0.78, 95% CI:0.728-0.835). The adjusted prevalence of upper extremity limitations in foreign-born Blacks was 27% (PR: 0.73, 95% CI: [0.680-0.791], compared to U.S. born Black older adults. And that of global functional limitations was 22% less (PR 0.78 95% CI [0.73- 0.83]) in foreign-born compared to U.S born Blacks. CONCLUSION: Compared to their U.S. born counterparts, foreign-born Black older adults had a markedly lower prevalence of upper and lower functional limitations. Future comparative studies should examine reasons for this apparent health advantage among foreign-born adults to inform social and medical interventions to prevent functional decline in Black older adults in the U.S./pmc/articles/PMC7058511/
/pubmed/31489830
OBJECTIVE: To determine whether the prevalence of functional limitations in United States (U.S.) born differs from that of foreign-born Black older adults. DESIGN: We performed a cross-sectional analysis of data from 14,438 U.S. born and 1,583 foreign-born Black older adults (≥50 years) in the 2010-2016 National Health Interview Surveys (NHIS). Functional limitations were defined by upper and lower extremity limitations, and global functional limitations. Generalized linear modeling using a Poisson distribution and logarithmic link function was used to compare the predicted probabilities of functional limitations in both groups. RESULTS: The mean age (S.E) of U.S. born Blacks was 63.56 (0 .12) years and foreign-born Blacks was 62.06 (0.32). The majority (92%) of foreign-born Blacks had resided in the U.S. for ≥ 10 years. U.S. born older adults were more likely to have upper (46% vs. 29%, p<0.001) and lower (61% vs 40%, p<0.001) extremity limitations than foreign-born Blacks. The prevalence of lower extremity limitations was 22% less in foreign-born Blacks compared to U.S. born Blacks after adjusting for sociodemographic and health profiles (Prevalence Ratio [PR]: 0.78, 95% CI:0.728-0.835). The adjusted prevalence of upper extremity limitations in foreign-born Blacks was 27% (PR: 0.73, 95% CI: [0.680-0.791], compared to U.S. born Black older adults. And that of global functional limitations was 22% less (PR 0.78 95% CI [0.73- 0.83]) in foreign-born compared to U.S born Blacks. CONCLUSION: Compared to their U.S. born counterparts, foreign-born Black older adults had a markedly lower prevalence of upper and lower functional limitations. Future comparative studies should examine reasons for this apparent health advantage among foreign-born adults to inform social and medical interventions to prevent functional decline in Black older adults in the U.S.
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