ArticlePloS one2012
Ethnic differences in disability prevalence and their determinants studied over a 20-year period: a cohort study.
Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
12 citing papers in PubMed, 19 citations in OpenAlex.
- Prevalence, pattern, and factors associated with self-reported disability among the tribal population in Jawadhi Hills, Tamil Nadu: a census.BMC public health · 2025Article
- Ethnic Differences in Functional Limitations by Age Across the Adult Life Course.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020Article
- The association between nutrient intake, nutritional status and physical function of community-dwelling ethnically diverse older adults.BMC nutrition · 2020Article
- Challenges in Accessing Health Care for People with Disability in the South Asian Context: A Review.International journal of environmental research and public health · 2018Review
- Prevalence and determinants of disability among adults in Malaysia: results from the National Health and Morbidity Survey (NHMS) 2015.BMC public health · 2017Article
- Article
- Physical Activity Predicts Higher Physical Function in Older Adults: The Osteoarthritis Initiative.Journal of physical activity & health · 2016Article
- Depressive symptoms are doubled in older British South Asian and Black Caribbean people compared with Europeans: associations with excess co-morbidity and socioeconomic disadvantage.Psychological medicine · 2015Article
- A novel ecological methodology for constructing ethnic-majority life tables in the absence of individual ethnicity information.Journal of epidemiology and community health · 2015Article
- Inequalities in healthy life expectancy between ethnic groups in England and Wales in 2001.Ethnicity & health · 2015Article
- A life-course approach to healthy ageing: maintaining physical capability.The Proceedings of the Nutrition Society · 2014Review
- Prevalence and Social Risk Factors of Functional Limitations Among Slum-Dwelling Older Adults: Findings From the Nairobi Urban Health and Demographic Surveillance System.Gerontology & geriatric medicineArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundTo 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.
methodsData 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).
resultsThe 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.
conclusionsSubstantially 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.
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