Relationship Between Chronic Conditions and Disability in African American Men and Women

Thorpe, Roland J.; Wynn, Anastasia J.; Walker, Jennifer; Smolen, Jenny Rose; Cary, Michael P.; Szanton, Sarah L.; Whitfield, Keith E.

doi:10.1016/j.jnma.2015.12.012

Cited by 20 publications

(19 citation statements)

References 70 publications

(69 reference statements)

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“…Among women, having multiple comorbid conditions was also significantly associated with ADL disability. These results are consistent with other studies in which researchers reported that comorbid conditions were significantly related to ADL limitations in older African American women (Dunlop et al, 2005; Thorpe et al, 2016). …”

Section: Discussionsupporting

confidence: 93%

The Relationship between Pain, Disability, and Sex in African Americans

Walker

Thorpe

Harrison

et al. 2016

Pain Management Nursing

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Older African Americans consistently report diminished capacities to perform activities of daily living (ADL) compared to other race groups. It remains unclear the extent to which bodily pain is related to declining abilities to perform ADL/ADL disability in African Americans and if this relationship exists in both African American men and women to the same degree. In order for nurses to provide optimal care for older African Americans, a better understanding of the relationship between bodily pain and ADL disability and how it may differ by gender is needed. The aim of this study was to examine if pain, age, education, income, marital status and/or comorbid conditions were associated with ADL disabilities in older African American women and men. This was a cross-sectional descriptive study. The sample included 598 participants (446 women, 152 men) from the first wave of the Baltimore Study on Black Aging. African American women (Odds Ratio (OR) = 4.06; 95% confidence interval [CI] 2.63–6.26) and African American men (OR= 6.44; 95% CI =2.84–14.57) who reported bodily pain had greater ADL disability than those who did not report bodily pain. Having two or more comorbid conditions was also significantly associated with ADL disability in African American women (OR=3.95; 95% CI: 2.09–7.47). Further work is needed to understand pain differences between older African American women and men in order to develop interventions that can be tailored to meet the individual pain needs of both groups.

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Section: Discussionsupporting

confidence: 93%

The Relationship between Pain, Disability, and Sex in African Americans

Walker

Thorpe

Harrison

et al. 2016

Pain Management Nursing

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“…diabetes) was thought to potentially be driving these results or at least interacted with race [40]. In Black Americans, some cancers tend to be diagnosed at a later stage, with increased levels of disability [41]. Multiple levels of systematic and system- level factors not measured in our sample may be contributing to this finding, such as decreased access to care, increased disability burden, or decreased quality of care and cancer care differences [39,42,43].…”

Section: Discussion/conclusionmentioning

confidence: 99%

Activities, function, and health-related quality of life (HRQOL) of older adults with cancer

Pergolotti

Deal

Williams

et al. 2017

Journal of Geriatric Oncology

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Purpose This study aims to (1) describe the activities, function, and health-related quality of life (HRQOL) of a large sample of older adults (age ≥ 65) with cancer, (2) identify the associations with demographics, cancer type, comorbid conditions, and ability to participate in activities and functional status. Methods The Health Registry/Cancer Survivorship Cohort is an institutional database designed to aid cancer survivorship research. The registry includes three measures of patient-reported HRQOL: FACT-G and PROMIS® Global measures for physical and mental health. Other measures included in the registry are cancer type, date from diagnosis, number of comorbid conditions and specific conditions and their limitations in daily activity, and self-reported daily activity/function. Results Our sample consists of 768 older adults with cancer, mean age 72 years, 60% female, and 90% White. Mean scores for HRQOL: FACT-G (85, range: 25–108), PROMIS-physical (48, range: 16–67) and, PROMIS-mental (51, range: 21–67). In multivariable models, Black race, one or more comorbid conditions, and Gastrointestinal cancer (p < .05), and patient- reported decreased levels of activities/function were all independently associated with poor HRQOL (p < .0001). Conclusions Older Black adults with cancer, those that have high comorbidity burden, with gastrointestinal cancers and those that report decreased ability to participate in daily activities/function reported poorer HRQOL. As geriatric oncology moves towards trying to identify who may need supportive services, this study demonstrated that a one question patient-reported level of activities and functional ability were independently associated with physical, mental, and cancer-specific HRQOL.

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“…African Americans have higher rates of chronic conditions and suffer a disproportionate burden of disability compared with other racial/ethnic groups. 1,2 Research suggests that race and socioeconomic status account for much of this variation in disability. 3 Furthermore, psychosocial factors—such as social support—have been found to slow the disablement process among older adults.…”

Section: Introductionmentioning

confidence: 99%