ArticlePreventing chronic disease2018
Impact of Multiple Chronic Conditions on Activity Limitations Among Older Mexican-American Care Recipients.
Article in Preventing chronic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The prevalence of disability in older adults with multimorbidity: a meta-analysis.Aging clinical and experimental research · 2024Pooled it
- Breaking Barriers: The Design and Development of an Assistive Technology Web App for Older Latinos with Disabilities in Daily Activities.Technologies · 2024Article
- Multiple Chronic Conditions and Disability among Vietnamese Older Adults: Results from the Vietnamese Aging and Care Survey (VACS).Journal of racial and ethnic health disparities · 2024Article
- Empowering Potential of the My Assistive Technology Guide: Exploring Experiences and User Perspectives.Disabilities (Basel, Switzerland) · 2024Article
- Care manager role for older multimorbid heart failure patients' needs in relation to psychological distress and quality of life: a cross-sectional study.Frontiers in cardiovascular medicine · 2024Article
- Physical and Psychological Burden among Caregivers of Latinx Older Adults with Stroke and Multimorbidity.Ethnicity & disease · 2023Article
- The Severity of Pain and Comorbidities Significantly Impact the Dependency on Activities of Daily Living among Musculoskeletal Patients in Jizan, Saudi Arabia.Healthcare (Basel, Switzerland) · 2023Article
- Experience of living with multimorbidity and health workers perspectives on the organization of health services for people living with multiple chronic conditions in Bahir Dar, northwest Ethiopia: a qualitative study.BMC health services research · 2023Article
- Arthritis, physical function, and disability among older Mexican Americans over 23 years of follow-up.Ethnicity & health · 2022Article
- Health-related factors leading to disabilities in Korea: Survival analysis.Frontiers in public health · 2022Article
- Healthcare utilization and costs among high-need and frail Mexican American Medicare beneficiaries.PloS one · 2022Article
- Co-occurrence of decrements in physical and cognitive function is common in older oncology patients receiving chemotherapy.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2020Article
- Social and Health-Related Factors Associated with Enrollment in Medicare Advantage Plans in Older Adults.Journal of the American Geriatrics Society · 2020Article
- A Scoping Review of Nonpharmacological Interventions to Reduce Disability in Older Adults.The Gerontologist · 2020Article
- Neighborhood socioeconomic characteristics, healthcare spatial access, and emergency department visits for ambulatory care sensitive conditions for elderly.Preventive medicine reports · 2018Article
- Multidimensional trajectories of multimorbidity, functional status, cognitive performance, and depressive symptoms among diverse groups of older adults.Journal of multimorbidity and comorbidityArticle
- Treatment of Hypertension in Complex Older Adults: How Many Medications Are Needed?Gerontology & geriatric medicineArticle
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7 authors.
Funding
Abstract
introductionOlder Mexican Americans are living longer with multiple chronic conditions (MCCs). This has placed greater demands on caregivers to assist with basic activities of daily living (ADL) or instrumental activities of daily living (IADL). To understand the needs of older Mexican-American care recipients, we examined the impact of MCC on ADL and IADL limitations.
methodsWe analyzed data from 485 Mexican American care-receiving/caregiving dyads. Selected MCCs in the analysis were diabetes, hypertension, stroke, heart disease, arthritis, emphysema/chronic obstructive pulmonary disease, cognitive impairment, depression, and cancer. Care recipients were dichotomized as having 3 or more conditions or as having 2 or fewer conditions. Three comorbidity clusters were established on the basis of the most prevalent health conditions among participants with comorbid arthritis and hypertension. These clusters included arthritis and hypertension plus: diabetes (cluster 1), cognitive impairment (cluster 2), and heart disease (cluster 3).
resultsCare recipients with 3 or more chronic conditions (n = 314) had higher odds of having mobility limitations (OR = 1.98; 95% CI, 1.34-2.94), self-care limitations (OR = 2.53; 95% CI, 1.70-3.81), >3 ADL limitations (OR = 2.00; 95% CI, 1.28-3.17), and >3 IADL limitations (OR = 1.88; 95% CI, 1.26-2.81). All clusters had increased odds of ADL and severe ADL limitations. Of care recipients in cluster 2, those with arthritis, hypertension, and cognitive impairment had significantly higher odds of mobility limitations (OR = 2.33; 95% CI, 1.05-5.24) than those with just arthritis and hypertension.
conclusionMCCs were associated with more ADL and IADL limitations among care recipients, especially for those with hypertension and arthritis plus diabetes, cognitive impairment, or heart disease. These findings can assist in developing programs to meet the needs of older Mexican-American care recipients.
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