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Factors associated with disability among middle-aged and older African American women with osteoarthritis.
Walker, Janiece L; Harrison, Tracie C; Brown, Adama; Thorpe, Roland J; Szanton, Sarah L.
Afiliación
  • Walker JL; School of Nursing, Johns Hopkins University, USA. Electronic address: jwalke90@jhu.edu.
  • Harrison TC; School of Nursing, The University of Texas at Austin, USA.
  • Brown A; School of Nursing, The University of Texas at Austin, USA.
  • Thorpe RJ; Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, USA; Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, USA; Center for Biobehavioral Health Disparities Research, Duke University, USA.
  • Szanton SL; School of Nursing, Johns Hopkins University, USA; Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, USA.
Disabil Health J ; 9(3): 510-7, 2016 07.
Article en En | MEDLINE | ID: mdl-27052590
BACKGROUND: Middle-aged and older African American women experience disproportionate rates of functional limitations and disability from osteoarthritis (OA) compared to other racial ethnic groups; however, little is known about what factors contribute to this disparity within African American women. OBJECTIVE: To examine factors associated with physical function and disability among African American women ages 50-80 with OA using the disablement process model. METHODS: This descriptive study included 120 African American women with OA from the Southwestern region of the United States. Regression techniques were used to model the correlates of physical function and disability and to test a mediation model. RESULTS: BMI and pain severity were significantly related to functional limitations. Depressive symptoms mediated the relationship between racial discrimination and disability. CONCLUSION: Biological, intra-individual, and extra-individual factors are related to disablement outcomes in this sample of African American women, which is consistent with theory suggesting the need for treatment coupled with environmental modifications. This study can inform the development of future bio-behavioral interventions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteoartritis / Dolor / Negro o Afroamericano / Personas con Discapacidad / Depresión / Disparidades en el Estado de Salud / Racismo Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Aged / Aged80 / Female / Humans / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Disabil Health J Asunto de la revista: REABILITACAO / SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteoartritis / Dolor / Negro o Afroamericano / Personas con Discapacidad / Depresión / Disparidades en el Estado de Salud / Racismo Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Aged / Aged80 / Female / Humans / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Disabil Health J Asunto de la revista: REABILITACAO / SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos