PMID- 29909728 OWN - NLM STAT- MEDLINE DCOM- 20210707 LR - 20211204 IS - 1552-4523 (Electronic) IS - 0733-4648 (Linking) VI - 39 IP - 5 DP - 2020 May TI - The Role of Ethnic and Racial Disparities in Mobility and Physical Function in Older Adults. PG - 502-508 LID - 10.1177/0733464818780631 [doi] AB - Objective: To compare estimates of the prevalence of mobility and physical function limitations by race and ethnicity using data from the Medical Expenditure Panel Survey (MEPS). Method: The sample comprised of 28,854 adults aged >/=60 from the MEPS (2004-2013). Physical function (limitations in basic and instrumental activities of daily living [ADL/IADL]) and mobility limitations were assessed by self-report. Results: Non-Hispanic Whites (NHWs) represented the majority of the sample followed by non-Hispanic Blacks (NHBs), Hispanic and non-Hispanic Other (Other). For mobility limitation, NHBs had the highest prevalence followed by NHWs and Hispanics (33.3%, 28.6%, and 26.2%, respectively). Multivariable logistic regression analyses were performed for the primary outcome of mobility limitation. In the adjusted model, Hispanics had lower odds of mobility limitations (prevalence odds ratio [POR]: 0.78; 95% confidence interval [CI] = [0.67,0.91]) compared with NHWs. For ADL limitations, NHBs had higher odds of having ADLs (POR: 1.87; 95% CI = [1.44, 2.44]) when compared with NHWs. Conclusion: This article evaluated the influence of race and ethnicity, on the prevalence of mobility and functional limitations that are not always consistent with expected racial and ethnic differences. FAU - Vasquez, Elizabeth AU - Vasquez E AUID- ORCID: 0000-0003-1402-9712 AD - University at Albany, Rensselaer, NY, USA. FAU - Germain, Cassandra M AU - Germain CM AUID- ORCID: 0000-0003-4712-0969 AD - School of Nursing Family University of North Carolina, Greensboro, USA. FAU - Tang, Fei AU - Tang F AD - University at Albany, Rensselaer, NY, USA. FAU - Lohman, Matthew C AU - Lohman MC AD - Geisel School of 004Dedicine at Dartmouth, Hanover, NH, USA. AD - Dartmouth Centers for Health and Aging, Dartmouth College, Hanover, New Hampshire. FAU - Fortuna, Karen L AU - Fortuna KL AD - Geisel School of 004Dedicine at Dartmouth, Hanover, NH, USA. AD - Dartmouth Centers for Health and Aging, Dartmouth College, Hanover, New Hampshire. FAU - Batsis, John A AU - Batsis JA AD - Geisel School of 004Dedicine at Dartmouth, Hanover, NH, USA. AD - Dartmouth Centers for Health and Aging, Dartmouth College, Hanover, New Hampshire. AD - The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, NH, USA. LA - eng GR - K23 AG051681/AG/NIA NIH HHS/United States GR - UL1 TR001086/TR/NCATS NIH HHS/United States GR - T32 MH073553/MH/NIMH NIH HHS/United States GR - U48 DP005018/DP/NCCDPHP CDC HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. DEP - 20180618 PL - United States TA - J Appl Gerontol JT - Journal of applied gerontology : the official journal of the Southern Gerontological Society JID - 8606502 SB - IM MH - *Activities of Daily Living MH - Aged MH - Cross-Sectional Studies MH - Ethnicity/*statistics & numerical data MH - Female MH - Humans MH - Male MH - *Mobility Limitation MH - Prevalence MH - Racial Groups/*statistics & numerical data MH - Surveys and Questionnaires MH - United States OTO - NOTNLM OT - ethnicity OT - mobility OT - older adults OT - physical function OT - race EDAT- 2018/06/19 06:00 MHDA- 2021/07/08 06:00 CRDT- 2018/06/19 06:00 PHST- 2018/06/19 06:00 [pubmed] PHST- 2021/07/08 06:00 [medline] PHST- 2018/06/19 06:00 [entrez] AID - 10.1177/0733464818780631 [doi] PST - ppublish SO - J Appl Gerontol. 2020 May;39(5):502-508. doi: 10.1177/0733464818780631. Epub 2018 Jun 18.