Patel Kushang V, Peek M Kristen, Wong Rebeca, Markides Kyriakos S
Laboratory of Epidemiology, Demography, and Biometry, National Institute on Aging, 7201 Wisconsin Avenue, Suite 3C309, Bethesda, MD 20892-9205, USA.
J Aging Health. 2006 Apr;18(2):315-29. doi: 10.1177/0898264305285653.
This article aims to compare the effects of morbid and comorbid medical conditions on disability in elderly Mexican and Mexican American adults. Data from the 2001 Mexican Health and Aging Study (N = 4,872) and 1993 to 1994 Hispanic Established Population for Epidemiologic Studies of the Elderly (N = 3,050) were analyzed. Prevalence of medical conditions and disability in activities of daily living were calculated and logistic models were used to test associations. Prevalence of disability in older Mexicans was 16.3% while it was slightly lower in Mexican Americans (13.1%). Prevalence of arthritis, cancer, diabetes, heart attack, and stroke were substantially higher in Mexican Americans than in older adults living in Mexico. Diabetes, stroke, and heart attack were comorbid conditions that raised the likelihood of disability in both populations among subjects with other medical conditions. Despite differences in prevalence, the associations of morbidity and comorbidity with disability had similar magnitudes in both populations.
本文旨在比较病态和共病的医疗状况对墨西哥老年成年人及墨西哥裔美国成年人残疾情况的影响。分析了来自2001年墨西哥健康与老龄化研究（N = 4872）以及1993年至1994年西班牙裔老年人流行病学研究既定人群（N = 3050）的数据。计算了医疗状况的患病率以及日常生活活动中的残疾情况，并使用逻辑模型来检验相关性。墨西哥老年人群的残疾患病率为16.3%，而墨西哥裔美国人的这一患病率略低（13.1%）。墨西哥裔美国人中关节炎、癌症、糖尿病、心脏病发作和中风的患病率显著高于生活在墨西哥的老年人。糖尿病、中风和心脏病发作是共病状况，在患有其他医疗状况的受试者中，这几种疾病会增加两个群体出现残疾的可能性。尽管患病率存在差异，但在两个群体中，发病率和共病与残疾之间的关联程度相似。
