Evidence map›Paper›PMID 29562316›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2019

Racial and Ethnic Differences in Disability Transitions Among Older Adults in the United States.

Liming Dong, Vicki A Freedman, Brisa N Sánchez, Carlos F Mendes de Leon

Open access · bronzeAbstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
7.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 19 citations in OpenAlex.

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  4. Racial-Ethnic Differences in Care Networks of Older Adults: Empirical Exploration of Possible Explanations.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
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  11. Racial inequities and biopsychosocial indicators in older adults.Revista latino-americana de enfermagem · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Liming DongDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan.
Vicki A FreedmanInstitute for Social Research, University of Michigan, Ann Arbor, Michigan.
Brisa N SánchezDepartment of Biostatistics, University of Michigan School of Public Health, Ann Arbor, Michigan.
Carlos F Mendes de LeonDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan.
University of Michigan–Ann Arbor · US

Funding

The National Health and Trends StudyU01AG032947 · NIA · JOHNS HOPKINS UNIVERSITY · PI VICKI A. FREEDMAN, JENNIFER ANN SCHRACK · 2008 to 2026
$169.4M
Social-biological predictors of heterogeneity in CVD risk in African AmericansP60MD002249 · NIMHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DIEZ ROUX, ANA VICTORIA · 2007 to 2016
$15.0M
NIA NIH HHS U01 AG032947NIMHD NIH HHS P60 MD002249
6 · The paper itself

Abstract

backgroundRacial and ethnic differences in disability persist and are possibly widening in recent years, but evidence is limited for racial and ethnic differences in disability progression through the entire disablement process and potential influential factors. The objective of this study is to examine racial and ethnic differences in patterns of late-life disability transitions, using a new disability spectrum that incorporates successful accommodation with assistive devices in response to capacity limitations to prolong independence.

methodsThe study cohort consisted of a nationally representative sample of Medicare beneficiaries aged 65 and older in the United States who were enrolled in the 2011 National Health and Aging Trends Study and followed up annually until 2015 (n = 6,198). First-order Markov transition models were used to determine racial/ethnic differences in transitions among three stages of self-care and mobility limitations (fully able, successful accommodation, difficulty/assistance) and death.

resultsAfter adjustment for age and sex, non-Hispanic Black and Hispanic respondents had higher probabilities of unfavorable transitions and lower probabilities of remaining in the successful accommodation stage than non-Hispanic White respondents. The racial and ethnic differences in probabilities of maintaining successful accommodation remained statistically significant after adjustment for socioeconomic and health factors (Black: 0.56, 95% CI = 0.52-0.60; Hispanic: 0.53, 95% CI = 0.44-0.61; White: 0.63, 95% CI = 0.61-0.65).

conclusionsSuccessful accommodation with assistive devices may provide possibilities for implementing interventions to enhance older adults' capacities and reducing racial/ethnic differences in late-life disability.

Indexed as

Health Status DisparitiesMobility LimitationAgedAged, 80 and overCohort StudiesEthnicityFemaleHumansMalePersons with DisabilitiesSelf-Help DevicesSocioeconomic FactorsUnited StatesWhite PeopleDisablement processEpidemiologyHealth disparitiesPsychosocialSuccessful accommodation

Identifiers

PMID29562316
PMCPMC6376147
OpenAlexW2792749638

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.