Keddie Arlene M, Peek M Kristen, Markides Kyriakos S
Sealy Center on Aging and Department of Preventive Medicine and Community Health, University of Texas Medical Branch at Galveston, Galveston, TX 77555-0460, USA.
Ann Epidemiol. 2005 Sep;15(8):579-89. doi: 10.1016/j.annepidem.2004.08.012.
The primary aim was to examine the particular components of socioeconomic status that may be associated with functional limitation among older Mexican American men and women.
Using baseline data from the Hispanic Established Population for the Epidemiologic Study of the Elderly, the education, past occupation, household income, and assets of those with and without limitations in activities of daily living (ADL), instrumental activities of daily living (IADL), and those scoring 9 versus < 9 on the performance oriented mobility assessment (POMA) were compared.
Not completing at least 12 years of education was associated with a two-fold higher likelihood of having an IADL limitation, but not significantly associated with other indicators of functional limitation. Men who had been skilled manual, farm workers, or laborers were 1.82 to 2.59 times as likely as those who had been white-collar workers to have a POMA score below 9. Homemakers had significantly higher odds of all three measures of functional/mobility impairment than women white-collar workers.
Different dimensions of socioeconomic status may be associated with separate aspects of functional limitation in distinct ways, which vary by sex.
主要目的是研究社会经济地位的特定组成部分，这些部分可能与墨西哥裔美国老年男性和女性的功能受限相关。
利用老年人流行病学研究的西班牙裔既定人群的基线数据，比较了日常生活活动（ADL）、工具性日常生活活动（IADL）受限者与未受限者，以及在以表现为导向的移动性评估（POMA）中得分9分及以上与低于9分者的教育程度、过去的职业、家庭收入和资产。
未完成至少12年教育与IADL受限的可能性高出两倍相关，但与功能受限的其他指标无显著关联。曾是熟练体力劳动者、农场工人或劳工的男性，其POMA得分低于9分的可能性是白领男性的1.82至2.59倍。家庭主妇在所有三项功能/移动性受损指标上的几率显著高于女性白领。
社会经济地位的不同维度可能以不同方式与功能受限的不同方面相关，且因性别而异。
