10: Ethnic Differences and Urinary Incontinence in Older, Community-Dwelling Mexican Americans and European Americans

2005 ◽  
Vol 173 (4S) ◽  
pp. 3-3
Author(s):  
Alayne D. Markland ◽  
Meghan B. Gerety ◽  
Stephen R. Kraus ◽  
John Cornell ◽  
Helen P. Hazuda
Keyword(s):  
Urinary Incontinence ◽  
Ethnic Differences ◽  
Mexican Americans ◽  
Community Dwelling ◽  
European Americans

scholarly journals Factors Contributing to 50-ft Walking Speed and Observed Ethnic Differences in Older Community-Dwelling Mexican Americans and European Americans

2015 ◽  
Vol 95 (6) ◽  
pp. 871-883 ◽  
Author(s):  
Myla U. Quiben ◽  
Helen P. Hazuda
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Body Mass ◽  
Ethnic Differences ◽  
Mexican Americans ◽  
Mexican American ◽  
Walking Speed ◽  
Community Dwelling ◽  
Functional Health ◽  
European Americans

Background Mexican Americans comprise the most rapidly growing segment of the older US population and are reported to have poorer functional health than European Americans, but few studies have examined factors contributing to ethnic differences in walking speed between Mexican Americans and European Americans. Objective The purpose of this study was to examine factors that contribute to walking speed and observed ethnic differences in walking speed in older Mexican Americans and European Americans using the disablement process model (DPM) as a guide. Design This was an observational, cross-sectional study. Methods Participants were 703 Mexican American and European American older adults (aged 65 years and older) who completed the baseline examination of the San Antonio Longitudinal Study of Aging (SALSA). Hierarchical regression models were performed to identify the contribution of contextual, lifestyle/anthropometric, disease, and impairment variables to walking speed and to ethnic differences in walking speed. Results The ethic difference in unadjusted mean walking speed (Mexican Americans=1.17 m/s, European Americans=1.29 m/s) was fully explained by adjustment for contextual (ie, age, sex, education, income) and lifestyle/anthropometric (ie, body mass index, height, physical activity) variables; adjusted mean walking speed in both ethnic groups was 1.23 m/s. Contextual variables explained 20.3% of the variance in walking speed, and lifestyle/anthropometric variables explained an additional 8.4%. Diseases (ie, diabetes, stroke, chronic obstructive pulmonary disease) explained an additional 1.9% of the variance in walking speed; impairments (ie, FEV1, upper leg pain, and lower extremity strength and range of motion) contributed an additional 5.5%. Thus, both nonmodifiable (ie, contextual, height) and modifiable (ie, impairments, body mass index, physical activity) factors contributed to walking speed in older Mexican Americans and European Americans. Limitations The study was conducted in a single geographic area and included only Mexican American Hispanic individuals. Conclusions Walking speed in older Mexican Americans and European Americans is influenced by modifiable and nonmodifiable factors, underscoring the importance of the DPM framework, which incorporates both factors into the physical therapist patient/client management process.

Ethnic Differences in Self-Reported Sleep Problems in Older Adults

SLEEP ◽  
2001 ◽  
Vol 24 (8) ◽  
pp. 926-933 ◽  
Author(s):  
G Jean-Louis ◽  
C M Magai ◽  
C I Cohen ◽  
F Zizi ◽  
H von Gizycki ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
African Americans ◽  
Health Risk ◽  
Sleep Disturbance ◽  
Ethnic Differences ◽  
Community Dwelling ◽  
Health Risk Factors ◽  
Sleep Complaints ◽  
European Americans

Abstract Study Objectives: To date, conflicting observations have been made regarding ethnic differences in sleep patterns. Plausibly, differing sampling strategies and disparity in the cohorts investigated might help explain discrepant findings. To our knowledge population-based studies investigating ethnic differences in sleep complaints have not addressed within-group ethnic heterogeneity, although within-group health disparities have been documented. Design Volunteers (n =1118) in this study were community-residing older European Americans and African Americans residing in Brooklyn, New York, which were recruited by a stratified, cluster sampling technique. Trained interviewers of the same race as the respondents gathered data during face-to-face interviews conducted either in the respondent's home or another location of their choice. Data included demographic and health risk factors, physical health, social support, and emotional experience. Relationships of demographic and health risk factors to sleep disturbances were examined in multiple linear regression analyses. Withingroup differences in sleep complaints were also explored. Setting N/A Participants N/A Interventions N/A Measurements and Results Of the factors showing significant associations with sleep disturbance, European American ethnicity was the most significant predictor (r2 = 0.20). Worse sleep and greater reliance on sleep medicine were observed among European Americans. Caribbean Americans reported less sleep complaints than did U.S.-born African Americans, and immigrant European Americans reported greater complaints than did US-born European Americans. Conclusions As expected several health risk factors were predictive of sleep disturbance among urban community-dwelling older adults, but ethnicity was the most significant predictor. The present data suggest both between-group and within-group ethnic differences in sleep complaints. Understanding of demographic and cultural differences between African Americans and European Americans may be critical in interpreting subjective health-related data.

Diuretics and urinary incontinence in community-dwelling women

1990 ◽  
Vol 9 (1) ◽  
pp. 25-34 ◽  
Author(s):  
J. A. Fantl ◽  
J. F. Wyman ◽  
M. Wilson ◽  
R. K. Elswick ◽  
R. C. Bump ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Community Dwelling

scholarly journals Risk Factors for Hospital Admission After a Fall: A Prospective Cohort Study of Community-Dwelling Older People

2020 ◽  
Author(s):  
Jessica G Abell ◽  
Camille Lassale ◽  
G David Batty ◽  
Paola Zaninotto
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Cohort Study ◽  
Hospital Admission ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Hazard Ratio ◽  
Community Dwelling ◽  
Subdistribution Hazard ◽  
Risk Of Death

Abstract Background Falls in later life that require admission to hospital have well-established consequences for future disability and health. The likelihood and severity of a fall will result from the presence of one or more risk factors. The aim of this study is to examine risk factors identified for their ability to prevent falls and to assess whether they are associated with hospital admission after a fall. Methods Analyses of data from the English Longitudinal Study of Aging (ELSA), a prospective cohort study. In a sample of 3783 men and women older than 60 years old, a range of potential risk factors measured at Wave 4 (demographic, social environment, physical, and mental functioning) were examined as predictors of fall-related hospitalizations, identified using International Classification of Diseases, 10th Revision (ICD-10) code from linked hospital records in the United Kingdom. Subdistribution hazard models were used to account for competing risk of death. Results Several risk factors identified by previous work were confirmed. Suffering from urinary incontinence (subdistribution hazard ratio = 1.49; 95% CI: 1.14, 1.95) and osteoporosis (subdistribution hazard ratio = 1.48; 95% CI: 1.05, 2.07), which are not commonly considered at an early stage of screening, were found to be associated with hospital admission after a fall. Both low and moderate levels of physical activity were also found to somewhat increase the risk of hospital admission after a fall. Conclusions Several predictors of having a fall, severe enough to require hospital admission, have been confirmed. In particular, urinary incontinence should be considered at an earlier point in the assessment of risk.

scholarly journals Gender Differences in Neuropsychiatric Symptoms Among Community-Dwelling Mexican Americans Aged 80 and Older

2021 ◽  
Vol 36 ◽  
pp. 153331752110429
Author(s):  
Sadaf Arefi Milani ◽  
Phillip A Cantu ◽  
Abbey B. Berenson ◽  
Yong-Fang Kuo ◽  
Kyriakos S. Markides ◽  
...  
Keyword(s):  
Gender Differences ◽  
Mexican Americans ◽  
Neuropsychiatric Symptoms ◽  
The Elderly ◽  
Community Dwelling ◽  
Treatment Programs ◽  
Depression And Anxiety ◽  
Logistic Regression Models ◽  
Using Data ◽  
Design And Methods

Background and Objectives To assess gender differences in prevalence of neuropsychiatric symptoms (NPS) among community-dwelling Mexican Americans ≥80 years. Research Design and Methods: Using data from Wave 7 (2010–2011) of the Hispanic Established Population for the Epidemiological Study of the Elderly, we analyzed the NPS of 914 participants as determined by the Neuropsychiatric Inventory (NPI) with assessments conducted by their caregivers. Multivariate logistic regression models were used to test the association of individual NPS with gender, adjusting for relevant characteristics. Results: The average age of our sample was 86.1 years, and 65.3% were women. Over 60% of participants had at least one informant/caregiver reported NPS. After adjustment, women had lower odds than men of agitation/aggression but higher odds of dysphoria/depression and anxiety. Discussion: Recognizing gender differences in NPS phenotype could help guide development of culturally appropriate NPS screening and treatment programs.

scholarly journals Prevalence of urinary incontinence and related risk factors in community-dwelling elderly

2018 ◽  
Vol 5 (2) ◽  
pp. 105-110
Author(s):  
Sali̇me Mucuk ◽  
Si̇bel Çoban Arguvanli ◽  
Mustafa Mümtaz Mazicioğlu ◽  
Elif Deni̇z Şafak ◽  
Şemsi̇nnur Göççer ◽  
...  
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Community Dwelling ◽  
Related Risk
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