Longer Lives, Sicker Lives? Increased Longevity and Extended Disability Among Mexican-Origin Elders

Angel, Ronald J.; Angel, Jacqueline L.; Hill, Terrence D.

doi:10.1093/geronb/gbu158

Cited by 86 publications

(89 citation statements)

References 33 publications

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“…Older Mexican‐American women experience more‐severe obesity and disability than older foreign‐born Mexican‐American men, resulting in severe disability overtime . Thus, they need long‐term care, weight maintenance and diabetes mellitus education programs, and community care support to have better quality of life not only for themselves, but also for their caregivers and family members …”

Section: Discussionmentioning

confidence: 99%

Sex, Nativity, and Disability in Older Mexican Americans

Nam

snih

Markides

2015

J American Geriatrics Society

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Background/Objectives Although older Mexican Americans are a rapidly growing segment of the U.S population, with high rates of disability, there is presently little research examining nativity and sex differences in activities of daily living (ADL) and mobility limitations in older Mexican Americans compared to general studies of the older population. This study examined the effect of nativity and sex on ADL and mobility limitations in older Mexican Americans. Design, Setting, Participants, Measurements 2,069 non-institutionalized Mexican American aged 75 years and older from the Hispanic Established Population for the Epidemiological Study of the Elderly (Hispanic EPESE) (2004-2005). Socio-demographics, self-reported medical conditions (arthritis, cancer, diabetes, stroke, heart attack, and hip fracture), ADLs, and gross mobility function were obtained. Results Out of 2069, 56.3% were US-born and 43.7% were Mexico-born. The prevalence of ADL and mobility limitation in both US-born and Mexico-born was 32.9% vs. 33.9% and 56.6% vs. 55.6%, respectively. Compared to US-born subjects, Mexico-born tend to report less ADL limitation (OR=0.79; CI: 0.59- 1.05) after controlling for socio-demographic variables and medical conditions. Similarly, they were less likely to report mobility limitation (OR=0.64; CI: 0.48- 0.86) after controlling for all covariates. There was a significant interaction effect between nativity and sex (OR=0.42; CI=0.24-0.74) on ADL limitation suggesting that Mexico-born men were less disabled than US-born while the opposite was true for women. No significant interaction between nativity and sex was found for mobility limitation. Conclusion We found that Mexico-born men were less disabled than US-born counterparts. However, Mexico-born women were more likely to report disability than Mexico-born men.

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Section: Discussionmentioning

confidence: 99%

Sex, Nativity, and Disability in Older Mexican Americans

Nam

snih

Markides

2015

J American Geriatrics Society

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“…J. Angel, Angel, & Hill, 2014). Foreign-born Mexican-origin women spend 64% of their remaining years with serious limitations in physical functioning based on the POMA, compared with 61% for native-born women, 52% for foreign-born men, and 53% for native-born men (Angel et al, 2014). Of course, because Mexicanorigin women in the United States live longer than men or native-born women, they have a greater opportunity to experience health problems (J.…”

Section: Introductionmentioning

confidence: 99%

Acculturation, Gender, and Active Life Expectancy in the Mexican-Origin Population

García

Angel

et al. 2015

J Aging Health

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Objective This study examines the potential effects of nativity and acculturation on active life expectancy (ALE) among Mexican-origin elders. Method We employ 17 years of data from the Hispanic Established Population for the Epidemiologic Study of the Elderly to calculate ALE at age 65 with and without disabilities. Results Native-born males and foreign-born females spend a larger fraction of their elderly years with activities of daily living (ADL) disability. Conversely, both foreign-born males and females spend a larger fraction of their remaining years with instrumental activities of daily life (IADL) disability than the native-born. In descriptive analysis, women with low acculturation report higher ADL and IADL disability. Men manifest similar patterns for IADLs. Discussion Although foreign-born elders live slightly longer lives, they do so with more years spent in a disabled state. Given the rapid aging of the Mexican-origin population, the prevention and treatment of disabilities, particularly among the foreign born, should be a major public health priority.

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“…Recent research shows that nativity status has a robust relationship with health among Hispanics (Angel, Angel, & Hill, 2014; Hummer & Hayward, 2015; Markides & Gerst, 2011). There is an emerging consensus that upon arrival to the United States, the physical health of most Hispanic immigrants is superior to the health of the native-born (Markides & Rote, 2015a).…”

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confidence: 99%

Prevalence and Trends in Morbidity and Disability Among Older Mexican Americans in the Southwestern United States, 1993–2013

García

Reyes

2017

Res Aging

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This study examines the prevalence of morbidity and disability among older Mexican Americans using 5-year age groups. Twenty-year panel data from the Hispanic Established Populations for the Epidemiological Study of the Elderly are used to make detailed comparisons by nativity and gender. Results show that prevalence rates for most chronic conditions for both males and females do not vary by nativity. For disabilities, nativity is a significant predictor of increased instrumental activity of daily living disability for foreign-born females and reduced activity of daily living disability for U.S.-born males. Additionally, results show significant interactions between nativity and age cohorts, with the gap increasing with age for males and decreasing with age for females. These results have important implications for health services and health policy. Given the rapid aging of the Mexican American population, the prevention and treatment of medical conditions, particularly among the foreign-born, should be a major public health priority to reduce dependence from disabilities.

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Longer Lives, Sicker Lives? Increased Longevity and Extended Disability Among Mexican-Origin Elders

Abstract: Protracted morbidity that accompanies increases in life expectancy has serious implications for the physical, social, and economic well-being of older individuals and their families, as well as for health and long-term care policy.

Cited by 86 publications

References 33 publications

Sex, Nativity, and Disability in Older Mexican Americans

Sex, Nativity, and Disability in Older Mexican Americans

Acculturation, Gender, and Active Life Expectancy in the Mexican-Origin Population

Prevalence and Trends in Morbidity and Disability Among Older Mexican Americans in the Southwestern United States, 1993–2013

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