Ethnic differences in disability prevalence and their determinants studied over a 20-year period: a cohort study.
<h4>Background</h4>To compare disability prevalence rates in the major ethnic groups in the UK and understand the risk factors contributing to differences identified. It was hypothesised that Indian Asian and African Caribbean people would experience higher rates of disability compared w...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2012-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0045602&type=printable |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849470574416363520 |
|---|---|
| author | Emily D Williams Therese Tillin Peter Whincup Nita G Forouhi Nishi Chaturvedi |
| author_facet | Emily D Williams Therese Tillin Peter Whincup Nita G Forouhi Nishi Chaturvedi |
| author_sort | Emily D Williams |
| collection | DOAJ |
| description | <h4>Background</h4>To compare disability prevalence rates in the major ethnic groups in the UK and understand the risk factors contributing to differences identified. It was hypothesised that Indian Asian and African Caribbean people would experience higher rates of disability compared with Europeans.<h4>Methods</h4>Data was collected from 888 European, 636 Indian Asian and 265 African Caribbean men and women, aged 58-88 years at 20-year follow-up of community-based cohort study, based in West London. Disability was measured using a performance-based locomotor function test and self-reported questionnaires on functional limitation, and instrumental (IADL) and basic activities of daily living (ADL).<h4>Results</h4>The mean (SD) age of participants at follow-up was 69.6 (6.2) years. Compared with Europeans, Indian Asian people were significantly more likely to experience all of the disability outcomes than Europeans; this persisted after adjustment for socioeconomic, behavioural, adiposity and chronic disease risk factors measured at baseline (locomotor dysfunction: adjusted odds ratio (OR) 2.20, 95% CI 1.56-3.11; functional limitation: OR 2.77, 2.01-3.81; IADL impairment: OR 3.12, 2.20-4.41; ADL impairment: OR 1.58, 1.11-2.24). In contrast, a modest excess risk of disability was observed in African Caribbeans, which was abolished after adjustment (e.g. locomotor dysfunction: OR 1.37, 0.90-1.91); indeed a reduced risk of ADL impairment appeared after multivariable adjustment (OR from 0.99, 0.68-1.45 to 0.59, 0.38-0.93), compared with Europeans.<h4>Conclusions</h4>Substantially elevated risk of disability was observed among Indian Asian participants, unexplained by known factors. A greater understanding of determinants of disability and normative functional beliefs of healthy aging is required in this population to inform intervention efforts to prevent disability. |
| format | Article |
| id | doaj-art-cebef557ab3d48839bbd5df1cb24e74c |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-cebef557ab3d48839bbd5df1cb24e74c2025-08-20T03:25:07ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0179e4560210.1371/journal.pone.0045602Ethnic differences in disability prevalence and their determinants studied over a 20-year period: a cohort study.Emily D WilliamsTherese TillinPeter WhincupNita G ForouhiNishi Chaturvedi<h4>Background</h4>To compare disability prevalence rates in the major ethnic groups in the UK and understand the risk factors contributing to differences identified. It was hypothesised that Indian Asian and African Caribbean people would experience higher rates of disability compared with Europeans.<h4>Methods</h4>Data was collected from 888 European, 636 Indian Asian and 265 African Caribbean men and women, aged 58-88 years at 20-year follow-up of community-based cohort study, based in West London. Disability was measured using a performance-based locomotor function test and self-reported questionnaires on functional limitation, and instrumental (IADL) and basic activities of daily living (ADL).<h4>Results</h4>The mean (SD) age of participants at follow-up was 69.6 (6.2) years. Compared with Europeans, Indian Asian people were significantly more likely to experience all of the disability outcomes than Europeans; this persisted after adjustment for socioeconomic, behavioural, adiposity and chronic disease risk factors measured at baseline (locomotor dysfunction: adjusted odds ratio (OR) 2.20, 95% CI 1.56-3.11; functional limitation: OR 2.77, 2.01-3.81; IADL impairment: OR 3.12, 2.20-4.41; ADL impairment: OR 1.58, 1.11-2.24). In contrast, a modest excess risk of disability was observed in African Caribbeans, which was abolished after adjustment (e.g. locomotor dysfunction: OR 1.37, 0.90-1.91); indeed a reduced risk of ADL impairment appeared after multivariable adjustment (OR from 0.99, 0.68-1.45 to 0.59, 0.38-0.93), compared with Europeans.<h4>Conclusions</h4>Substantially elevated risk of disability was observed among Indian Asian participants, unexplained by known factors. A greater understanding of determinants of disability and normative functional beliefs of healthy aging is required in this population to inform intervention efforts to prevent disability.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0045602&type=printable |
| spellingShingle | Emily D Williams Therese Tillin Peter Whincup Nita G Forouhi Nishi Chaturvedi Ethnic differences in disability prevalence and their determinants studied over a 20-year period: a cohort study. PLoS ONE |
| title | Ethnic differences in disability prevalence and their determinants studied over a 20-year period: a cohort study. |
| title_full | Ethnic differences in disability prevalence and their determinants studied over a 20-year period: a cohort study. |
| title_fullStr | Ethnic differences in disability prevalence and their determinants studied over a 20-year period: a cohort study. |
| title_full_unstemmed | Ethnic differences in disability prevalence and their determinants studied over a 20-year period: a cohort study. |
| title_short | Ethnic differences in disability prevalence and their determinants studied over a 20-year period: a cohort study. |
| title_sort | ethnic differences in disability prevalence and their determinants studied over a 20 year period a cohort study |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0045602&type=printable |
| work_keys_str_mv | AT emilydwilliams ethnicdifferencesindisabilityprevalenceandtheirdeterminantsstudiedovera20yearperiodacohortstudy AT theresetillin ethnicdifferencesindisabilityprevalenceandtheirdeterminantsstudiedovera20yearperiodacohortstudy AT peterwhincup ethnicdifferencesindisabilityprevalenceandtheirdeterminantsstudiedovera20yearperiodacohortstudy AT nitagforouhi ethnicdifferencesindisabilityprevalenceandtheirdeterminantsstudiedovera20yearperiodacohortstudy AT nishichaturvedi ethnicdifferencesindisabilityprevalenceandtheirdeterminantsstudiedovera20yearperiodacohortstudy |