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Is Black-White Disparities In Disability Among African Americans

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Ada Delpino
African Americans

Black–White Disparities in Disability among Older Americans: Further Untangling the Role of Race and Socioeconomic Status
INTRODUCTION:
Fuller-Thomson, E., Nuru-Jeter, A., Minkler, M., & Guralnik, J. M. (2009). Black--White Disparities in Disability among Older Americans: Further Untangling the Role of Race and Socioeconomic Status. Journal of Aging and Health, 21(5), 677-698. The purpose of this article is to provide insight on how the socioeconomic differences for Whites and Blacks increase the risk of disability for Black men and women aged 55 to 74. Showing that income and education play a definitive role in disability for Blacks of both genders, regarding functional limitations and activities of daily living. …show more content…

Which allowed for them to get more data that was associated with Black–White differences in the rates for functional limitations and ADL limitations. They were also able to make many subcategories that allowed for data on other levels that might also contribute to the disability rates. The sample size for the survey was able to explain that the disability rates were so varied based more on education and poverty level rather than sex and race, even though both were factors. The weaknesses and the limitations of this article out way the strengths in my opinion. The article states many limitations that they have for their own survey: “Our study had several important limitations. First, the data were cross-sectional, preventing us from assessing causality and from using a life-course perspective which has proven useful for elucidating the onset of disability. Second, our measures of disability did not distinguish between onset and progression of functional and ADL limitations. Third, only self-reports of functional and ADL limitations were available, which could have resulted in some under-or overreporting, underscoring the need to supplement this study with others that include objective assessments. Fourth, we were unable to control for such behavioral risk factors as smoking and drinking behavior which were not available in this data set. However, earlier researchers have demonstrated a strong association between functional limitations and SES even when these behavioral factors were controlled. We also were unable to control for comorbidities such as obesity or health insurance status, which, as stated above, may play a role in explaining the SES/disability relationship. Fifth, our study’s reliance solely on income rather than household wealth constitutes another limitation, particularly in studies of older people, for whom wealth measures (e.g., equity in a house) often hold particular

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