The influence of diabetes, hypertension, and stroke on ethnic differences in physical and cognitive functioning in an ethnically diverse older population.

Abstract:

:Prevention of decline in cognitive and physical functioning in the elderly has become an important focus in geriatric medicine. Hispanics are among the fastest-growing group of elderly in the United States, yet few data are available on functional impairments in this group. We examined the association between ethnicity (non-Hispanic whites [NHW], English-speaking Hispanics [EH], and Spanish-speaking Hispanics [SH]) and cognitive status, self-assessed functional status, and physical performance in a community-dwelling sample of 589 people aged > or = 60 years. The purpose of this study was to examine the association between ethnicity and these measures of functional status and to evaluate the influence of comorbid stroke, diabetes, and hypertension on this association. We found that EH and SH had significantly lower scores on the MiniMental State Exam than NHW, but that this difference was almost entirely due to educational level. When SH whose educational attainment was grade 8 or higher were compared to NHWs, there were no differences in cognitive functioning. Those with diabetes and stroke had poorer cognitive functioning. Among those with stroke, EH and SH women had more self-assessed functional limitations (IADLs and ADLs) than NHW. Male SH and EH with diabetes also had more self-assessed functional limitations than NHW. SH with two or three of these conditions had more IADL limitations. Our results suggest that elderly community-dwelling Hispanics experience greater levels of disability and that this is due, in part, to lower socioeconomic status and higher prevalence of disabling conditions.

journal_name

Ann Epidemiol

journal_title

Annals of epidemiology

authors

Haan MN,Weldon M

doi

10.1016/s1047-2797(96)00062-2

subject

Has Abstract

pub_date

1996-09-01 00:00:00

pages

392-8

issue

5

eissn

1047-2797

issn

1873-2585

pii

S1047279796000622

journal_volume

6

pub_type

杂志文章
  • Associations between duration of illicit drug use and health conditions: results from the 2005-2007 national surveys on drug use and health.

    abstract:PURPOSE:To estimate and compare prevalence rates of lifetime health conditions by inferred duration of illicit drug use among the general U.S. adult population and to investigate associations between duration of use of each specific illicit drug (marijuana, cocaine, heroin, hallucinogens, or inhalant) and each lifetime...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2010.01.003

    authors: Han B,Gfroerer JC,Colliver JD

    更新日期:2010-04-01 00:00:00

  • Intentional and unintentional injuries in women. An overview.

    abstract::Injuries are the leading cause of death for females 1 to 34 years old, and a major source of preventable morbidity and mortality in middle-aged and elderly women. In the United States, 43,000 women die from injuries and approximately 1 million women are hospitalized for injuries annually. The leading causes of injury ...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章,评审

    doi:10.1016/1047-2797(94)90059-0

    authors: Dannenberg AL,Baker SP,Li G

    更新日期:1994-03-01 00:00:00

  • Bladder cancer in perfluorooctanesulfonyl fluoride manufacturing workers.

    abstract:PURPOSE:To determine whether bladder cancer is associated with exposure to perfluorooctane sulfonate (PFOS) in an occupational cohort. METHODS:Incidence of bladder cancer was ascertained by postal questionnaire to all living current and former employees of the facility (N = 1895) and death certificates for deceased wo...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2007.01.036

    authors: Alexander BH,Olsen GW

    更新日期:2007-06-01 00:00:00

  • Correlates of serum alpha- and gamma-tocopherol in the Women's Health Initiative.

    abstract:PURPOSE:There is increasing evidence that vitamin E (primarily alpha- and gamma-tocopherol) may reduce the risk of cardiovascular disease and some cancers, therefore it is important to understand factors that influence blood levels. METHODS:The correlates of serum alpha- and gamma-tocopherol were investigated among pa...

    journal_title:Annals of epidemiology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1016/s1047-2797(00)00189-7

    authors: White E,Kristal AR,Shikany JM,Wilson AC,Chen C,Mares-Perlman JA,Masaki KH,Caan BJ

    更新日期:2001-02-01 00:00:00

  • The emerging importance of genetics in epidemiologic research II. Issues in study design and gene mapping.

    abstract:PURPOSE:To provide a synthesis of current approaches to the discovery of genes associated with complex human diseases by examining the joint potential of traditional epidemiologic methods and current molecular techniques for gene discovery. METHODS:A discussion of optimal approaches for defining complex disease phenot...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章,评审

    doi:10.1016/s1047-2797(98)00064-7

    authors: Ellsworth DL,Manolio TA

    更新日期:1999-02-01 00:00:00

  • Population-wide sodium reduction: the bumpy road from evidence to policy.

    abstract::Elevated blood pressure is a highly prevalent condition that is etiologically related to coronary heart disease and stroke, two of the leading causes of morbidity and mortality throughout the world. Excess salt (sodium chloride) intake is a major determinant of elevated blood pressure. In this article, we discuss the ...

    journal_title:Annals of epidemiology

    pub_type: 历史文章,杂志文章

    doi:10.1016/j.annepidem.2012.04.003

    authors: Appel LJ,Angell SY,Cobb LK,Limper HM,Nelson DE,Samet JM,Brownson RC

    更新日期:2012-06-01 00:00:00

  • Breast density, body mass index, and risk of tumor marker-defined subtypes of breast cancer.

    abstract:PURPOSE:Breast density and body mass index (BMI) are correlated attributes and are both potentially modifiable risk factors for breast cancer. However, relationships between these factors and risk of molecularly-defined subtypes of breast cancer have not been established. METHODS:We used breast density and BMI data co...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2012.02.002

    authors: Phipps AI,Buist DS,Malone KE,Barlow WE,Porter PL,Kerlikowske K,O'Meara ES,Li CI

    更新日期:2012-05-01 00:00:00

  • Black tea consumption and risk of stroke in women and men.

    abstract:PURPOSE:Our aim was examine the association between black tea consumption and risk of total stroke and stroke types in a prospective study. METHODS:A total of 74,961 Swedish women and men who were free of cardiovascular disease and cancer at baseline in 1997 were followed up through December 2008. Tea consumption was ...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2012.12.006

    authors: Larsson SC,Virtamo J,Wolk A

    更新日期:2013-03-01 00:00:00

  • Severe maternal morbidity among U.S.- and foreign-born Asian and Pacific Islander women in California.

    abstract:PURPOSE:The purpose of the study was to examine the risk of severe maternal morbidity (SMM)-a composite of serious, potentially life-threatening conditions related to childbirth-among subgroups of nulliparous women with Asian and Pacific Islander race/ethnicity. METHODS:This study used linked hospital discharge and vi...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2020.07.016

    authors: Wall-Wieler E,Bane S,Lee HC,Carmichael SL

    更新日期:2020-12-01 00:00:00

  • Plasma lactate and diabetes risk in 8045 participants of the atherosclerosis risk in communities study.

    abstract:PURPOSE:Determinants of oxidative capacity, such as fitness and level of adiposity, are strongly associated with type 2 diabetes. Whether decreased oxidative capacity itself is a cause or consequence of insulin resistance and diabetes is unknown. METHODS:We examined the association of plasma lactate, a marker of oxida...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2013.09.005

    authors: Juraschek SP,Selvin E,Miller ER,Brancati FL,Young JH

    更新日期:2013-12-01 00:00:00

  • Sex hormone-binding globulin and serum testosterone are inversely associated with C-reactive protein levels in postmenopausal women at high risk for cardiovascular disease.

    abstract:PURPOSE:C-reactive protein (CRP), androgens, and menopausal loss of endogenous estrogens are associated with cardiovascular disease (CVD). We hypothesized that high androgens, low estradiol, and low sex hormone-binding globulin (SHBG) would be associated with high CRP in postmenopausal women. METHODS:CRP, SHBG, estrad...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.annepidem.2005.07.055

    authors: Joffe HV,Ridker PM,Manson JE,Cook NR,Buring JE,Rexrode KM

    更新日期:2006-02-01 00:00:00

  • Cancer occurrence in the elderly: agreement between three major data sources.

    abstract:PURPOSE:To explore agreement on cancer occurrence and site among Medicare Part A, Massachusetts Cancer Registry, and death certificates. METHODS:We linked these data sources with the cohort of the population-based East Boston Senior Health Project, a component of the National Institute on Aging's Established Populatio...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/s1047-2797(98)00031-3

    authors: Stang A,Glynn RJ,Gann PH,Taylor JO,Hennekens CH

    更新日期:1999-01-01 00:00:00

  • Trends in the skewness of the body mass index distribution among urban Australian adults, 1980 to 2007.

    abstract:PURPOSE:We analyzed the changes in the body mass index (BMI) distribution for urban Australian adults between 1980 and 2007. METHODS:We used data from participants of six consecutive Australian nation-wide surveys with measured weight and height between 1980 and 2007. We used quantile regression to estimate mean BMI (...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2014.10.008

    authors: Peeters A,Gearon E,Backholer K,Carstensen B

    更新日期:2015-01-01 00:00:00

  • Risk factor effects and total mortality in older Japanese men in Japan and Hawaii.

    abstract:PURPOSE:We sought to identify factors related to total mortality in older Japanese men in Japan and Hawaii. METHODS:Baseline data were collected from 1980 to 1982 in 1379 men in Hawaii and 954 men in Japan. Ages ranged from 61 to 81 years, with mortality follow-up during a 19-year period. RESULTS:Compared with Japan,...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2008.09.004

    authors: Abbott RD,Ueshima H,Hozawa A,Okamura T,Kadowaki T,Miura K,Okuda N,Nakamura Y,Okayama A,Kita Y,Rodriguez BL,Yano K,Curb JD

    更新日期:2008-12-01 00:00:00

  • Concentrations of Lp(a) in black and white young adults: relations to risk factors for cardiovascular disease.

    abstract::The purpose of this report is to compare the distribution of total lipoprotein(a) [Lp(a)] mass in a population-based sample of blacks and whites, and to investigate the association of Lp(a) with other cardiovascular risk factors. A cross-sectional study design was used. Black and white men and women (n = 4125), aged 2...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/1047-2797(94)90067-1

    authors: Howard BV,Le NA,Belcher JD,Flack JM,Jacobs DR Jr,Lewis CE,Marcovina SM,Perkins LL

    更新日期:1994-09-01 00:00:00

  • Association of the lipoprotein lipase gene T+495G polymorphism with central obesity and serum lipids in a twin study.

    abstract:PURPOSE:The lipoprotein lipase (LPL) gene polymorphism is possibly involved in the pathophysiology of central obesity and dyslipidemia. The aim of this study was to investigate the association of LPL gene T+495G polymorphism with central obesity and serum lipids. METHODS:A total of 961 adult twin pairs were enrolled f...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2008.05.005

    authors: Li J,Huang A,Hu Y,Chen D

    更新日期:2008-10-01 00:00:00

  • Describing patterns of weight changes using principal components analysis: results from the Action for Health in Diabetes (Look AHEAD) research group.

    abstract:PURPOSE:To demonstrate how principal components analysis can be used to describe patterns of weight changes in response to an intensive lifestyle intervention. METHODS:Principal components analysis was applied to monthly percent weight changes measured on 2,485 individuals enrolled in the lifestyle arm of the Action f...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.annepidem.2009.06.001

    authors: Espeland MA,Bray GA,Neiberg R,Rejeski WJ,Knowler WC,Lang W,Cheskin LJ,Williamson D,Lewis CB,Wing R,Look Ahead Study Group.

    更新日期:2009-10-01 00:00:00

  • Smoking cessation and renal cell carcinoma.

    abstract:PURPOSE:The magnitude and timing of the reported decrease in risk of renal cell carcinoma (RCC) attributed to smoking cessation is not well characterized. Furthermore, conclusions from previous investigations have been hampered by unstable risk estimates, broad exposure categories and/or insufficient adjustment for the...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/s1047-2797(02)00271-5

    authors: Parker AS,Cerhan JR,Janney CA,Lynch CF,Cantor KP

    更新日期:2003-04-01 00:00:00

  • Associations between child maltreatment, cigarette smoking, and nicotine dependence in young adults with a history of regular smoking.

    abstract:PURPOSE:The purpose of this study was to evaluate whether childhood maltreatment is associated with smoking behaviors and lifetime nicotine dependence and if associations are moderated by sex. We examined these associations among individuals who ever reported being regular smokers. METHODS:Using data from the National...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2019.10.003

    authors: Cammack AL,Haardörfer R,Suglia SF

    更新日期:2019-12-01 00:00:00

  • Serum cholesterol--risk factor for coronary disease mortality in younger and older blacks and whites. The Charleston Heart Study, 1960-1988.

    abstract::Serum total cholesterol (> or = 6.7 mmol/L) measured in 1960 in the Charleston Heart Study cohort was found to be a risk for mortality from coronary heart disease during the period of 1960 to 1988 in white men (relative risk [RR] 1.5; 95% confidence interval [CI]: 1.1, 2.2), white women (RR 1.7; 95% CI: 1.1, 2.7), and...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:

    authors: Keil JE,Sutherland SE,Knapp RG,Gazes PC

    更新日期:1992-01-01 00:00:00

  • Antiretroviral prescribing patterns in the texas prison system.

    abstract::PURPOSE: Although prison inmates are reported to exhibit substantially elevated rates of HIV infection, little is known about HIV treatment patterns, particularly pharmacotherapy, in correctional institutions. The purpose of the present study, therefore, was to describe antiretroviral prescribing patterns in one of th...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/s1047-2797(00)00128-9

    authors: Baillargeon J,Borucki M,Zepeda S,Jenson H,Leach C

    更新日期:2000-10-01 00:00:00

  • Disease determinants of sporadic salmonellosis in four northern California counties. A case-control study of older children and adults.

    abstract::A population-based, case-control study of sporadic salmonellosis was conducted in 1988 and 1989 in four northern California counties. The study included 120 patients and 265 control subjects. Conditional logistic regression analysis (adjusted for age) revealed that patients were more likely to consume undercooked chic...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/1047-2797(92)90013-g

    authors: Kass PH,Farver TB,Beaumont JJ,Genigeorgis C,Stevens F

    更新日期:1992-09-01 00:00:00

  • The role of obesity in the risk of gestational diabetes among immigrant and U.S.-born women in New York City.

    abstract:PURPOSE:To examine if the role of obesity in the risk of gestational diabetes differs between immigrant and U.S.-born women. METHODS:We used New York City-linked 2010-2014 birth certificate and hospital data. We created four racial/ethnic groups (non-Hispanic black, Hispanic, non-Hispanic white, and Asian) and three s...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2018.02.006

    authors: Janevic T,Zeitlin J,Egorova N,Balbierz A,Howell EA

    更新日期:2018-04-01 00:00:00

  • Socioeconomic pattern of smoking in Japan: income inequality and gender and age differences.

    abstract:PURPOSE:To elucidate the influence of individual socioeconomic status on smoking in Japanese adults. METHODS:Using a nationally representative sample (20,206 men and 21,093 women aged 18 to 54 years), the relation between smoking and socioeconomic characteristics was analyzed by sex and age group (18 to 24, 25 to 39, ...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2004.09.003

    authors: Fukuda Y,Nakamura K,Takano T

    更新日期:2005-05-01 00:00:00

  • Association of early social environment with the onset of pediatric Kawasaki disease.

    abstract:PURPOSE:The purpose of this study was to investigate the association of early social environment with Kawasaki disease (KD). METHODS:We analyzed the data of children aged up to 10 years derived from the 21st Century Longitudinal Survey in Newborns (n = 41,872) in Japan. Parental education, total household income, and ...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2018.10.010

    authors: Fujiwara T,Shobugawa Y,Matsumoto K,Kawachi I

    更新日期:2019-01-01 00:00:00

  • Changes in health status among participants of the Framingham Heart Study from the 1960s to the 1990s: application of an index of cumulative deficits.

    abstract:PURPOSE:Health of the general population is improving along a number of major health dimensions. Using a cumulative deficits approach, we investigated whether such improvements were evident at the level of minor health traits. METHODS:We selected 37 small-effect traits consistently measured in the 9th (performed in 19...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2008.06.005

    authors: Kulminski AM,Arbeev KG,Ukraintseva SV,Culminskaya IV,Land K,Yashin AI

    更新日期:2008-09-01 00:00:00

  • A prospective study of alcohol consumption and cataract extraction among U.S. women.

    abstract:PURPOSE:Alcohol consumption has been implicated in the pathogenesis of cataract in some, but not all analytic studies. To date, no prospective analysis of the relationship between alcohol consumption and cataract has been conducted in women. METHODS:We examined the association between alcohol consumption and cataract ...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/s1047-2797(00)00054-5

    authors: Chasan-Taber L,Willett WC,Seddon JM,Stampfer MJ,Rosner B,Colditz GA,Speizer FE,Hankinson SE

    更新日期:2000-08-01 00:00:00

  • Differing manifestations of hepatitis C and tacrolimus on hospitalized diabetes mellitus occurring after kidney transplantation.

    abstract:PURPOSE:Previous studies suggest the association of recipient hepatitis C seropositivity (HCV+) and use of tacrolimus (TAC) with post-transplant diabetes mellitus (PTDM) may differ by manifestations of type I or type II diabetes, but this has not been assessed in the era of current immunosuppression. METHODS:We perfor...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2004.10.003

    authors: Abbott KC,Bernet VJ,Agodoa LY,Yuan CM

    更新日期:2005-09-01 00:00:00

  • Rapid report on estimating incidence from cross-sectional data.

    abstract:PURPOSE:In prospective cohort studies, incidence is typically estimated by the ratio of the observed number of events to person-time at risk. This crude estimator is consistent for the true population incidence rate (IR) under mild assumptions. Here we consider a different setting where only cross-sectional data are av...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2020.06.005

    authors: DeMonte JB,Neilan AM,Loop MS,Ciaranello AL,Hudgens MG

    更新日期:2021-01-01 00:00:00

  • Adverse childhood experiences and later life adult obesity and smoking in the United States.

    abstract:PURPOSE:Prior work demonstrates associations between physical abuse, household alcohol abuse, and household mental illness early in life with obesity and smoking. Studies, however, have not generally been in nationally representative samples and have not conducted analyses to account for bias in the exposure. METHODS:...

    journal_title:Annals of epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.annepidem.2016.06.003

    authors: Rehkopf DH,Headen I,Hubbard A,Deardorff J,Kesavan Y,Cohen AK,Patil D,Ritchie LD,Abrams B

    更新日期:2016-07-01 00:00:00