Chronic medical conditions and the sex-based disparity in disability

The cardiovascular health study

Heather E. Whitson, Lawrence R. Landerman, Anne B. Newman, Linda P Fried, Carl F. Pieper, Harvey Jay Cohen

Research output: Contribution to journalArticle

Abstract

Background. Older women experience disability more commonly than their male peers. This disparity may be due, in part, to sex-based differences in the prevalence or the disabling effects of common medical conditions. The objectives of this analysis were to (a) quantify the extent to which excess disability in women is explained by higher prevalence of selected medical conditions and (b) evaluate whether the same conditions have differing effects on disability in men and women. Methods. We analyzed cross-sectional data from 5,888 community-dwelling older men and women. Disability was defined as difficulty with greater than or equal to one activity of daily living. Thirteen medical conditions were assessed by self-report, testing, or record review. Results. Controlling for age, race, education, and marital status, women were more likely to experience disability (odds ratio = 1.70, 95% confidence interval = 1.36-2.11). Higher prevalence of arthritis and obesity in women explained 30.2% and 12.9%, respectively, of the sex-based difference in disability rates, whereas male prevalent diseases like vascular conditions and emphysema narrowed the disability gap. Women with arthritis, hearing problems, coronary artery disease, congestive heart failure, stroke, and claudication were more likely to exhibit disability compared with men with the same conditions (p

Original languageEnglish (US)
Pages (from-to)1325-1331
Number of pages7
JournalJournals of Gerontology - Series A Biological Sciences and Medical Sciences
Volume65 A
Issue number12
DOIs
StatePublished - Dec 2010

Fingerprint

Health
Sex Characteristics
Arthritis
Independent Living
Emphysema
Marital Status
Activities of Daily Living
Vascular Diseases
Self Report
Hearing
Coronary Artery Disease
Heart Failure
Obesity
Stroke
Odds Ratio
Confidence Intervals
Education

Keywords

  • Comorbidity
  • Disability
  • Disparity
  • Function
  • Gender

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology
  • Medicine(all)

Cite this

Chronic medical conditions and the sex-based disparity in disability : The cardiovascular health study. / Whitson, Heather E.; Landerman, Lawrence R.; Newman, Anne B.; Fried, Linda P; Pieper, Carl F.; Cohen, Harvey Jay.

In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences, Vol. 65 A, No. 12, 12.2010, p. 1325-1331.

Research output: Contribution to journalArticle

Whitson, Heather E. ; Landerman, Lawrence R. ; Newman, Anne B. ; Fried, Linda P ; Pieper, Carl F. ; Cohen, Harvey Jay. / Chronic medical conditions and the sex-based disparity in disability : The cardiovascular health study. In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences. 2010 ; Vol. 65 A, No. 12. pp. 1325-1331.
@article{8f387111f2a547089187fd01e4856471,
title = "Chronic medical conditions and the sex-based disparity in disability: The cardiovascular health study",
abstract = "Background. Older women experience disability more commonly than their male peers. This disparity may be due, in part, to sex-based differences in the prevalence or the disabling effects of common medical conditions. The objectives of this analysis were to (a) quantify the extent to which excess disability in women is explained by higher prevalence of selected medical conditions and (b) evaluate whether the same conditions have differing effects on disability in men and women. Methods. We analyzed cross-sectional data from 5,888 community-dwelling older men and women. Disability was defined as difficulty with greater than or equal to one activity of daily living. Thirteen medical conditions were assessed by self-report, testing, or record review. Results. Controlling for age, race, education, and marital status, women were more likely to experience disability (odds ratio = 1.70, 95{\%} confidence interval = 1.36-2.11). Higher prevalence of arthritis and obesity in women explained 30.2{\%} and 12.9{\%}, respectively, of the sex-based difference in disability rates, whereas male prevalent diseases like vascular conditions and emphysema narrowed the disability gap. Women with arthritis, hearing problems, coronary artery disease, congestive heart failure, stroke, and claudication were more likely to exhibit disability compared with men with the same conditions (p",
keywords = "Comorbidity, Disability, Disparity, Function, Gender",
author = "Whitson, {Heather E.} and Landerman, {Lawrence R.} and Newman, {Anne B.} and Fried, {Linda P} and Pieper, {Carl F.} and Cohen, {Harvey Jay}",
year = "2010",
month = "12",
doi = "10.1093/gerona/glq139",
language = "English (US)",
volume = "65 A",
pages = "1325--1331",
journal = "Journals of Gerontology - Series A Biological Sciences and Medical Sciences",
issn = "1079-5006",
publisher = "Oxford University Press",
number = "12",

}

TY - JOUR

T1 - Chronic medical conditions and the sex-based disparity in disability

T2 - The cardiovascular health study

AU - Whitson, Heather E.

AU - Landerman, Lawrence R.

AU - Newman, Anne B.

AU - Fried, Linda P

AU - Pieper, Carl F.

AU - Cohen, Harvey Jay

PY - 2010/12

Y1 - 2010/12

N2 - Background. Older women experience disability more commonly than their male peers. This disparity may be due, in part, to sex-based differences in the prevalence or the disabling effects of common medical conditions. The objectives of this analysis were to (a) quantify the extent to which excess disability in women is explained by higher prevalence of selected medical conditions and (b) evaluate whether the same conditions have differing effects on disability in men and women. Methods. We analyzed cross-sectional data from 5,888 community-dwelling older men and women. Disability was defined as difficulty with greater than or equal to one activity of daily living. Thirteen medical conditions were assessed by self-report, testing, or record review. Results. Controlling for age, race, education, and marital status, women were more likely to experience disability (odds ratio = 1.70, 95% confidence interval = 1.36-2.11). Higher prevalence of arthritis and obesity in women explained 30.2% and 12.9%, respectively, of the sex-based difference in disability rates, whereas male prevalent diseases like vascular conditions and emphysema narrowed the disability gap. Women with arthritis, hearing problems, coronary artery disease, congestive heart failure, stroke, and claudication were more likely to exhibit disability compared with men with the same conditions (p

AB - Background. Older women experience disability more commonly than their male peers. This disparity may be due, in part, to sex-based differences in the prevalence or the disabling effects of common medical conditions. The objectives of this analysis were to (a) quantify the extent to which excess disability in women is explained by higher prevalence of selected medical conditions and (b) evaluate whether the same conditions have differing effects on disability in men and women. Methods. We analyzed cross-sectional data from 5,888 community-dwelling older men and women. Disability was defined as difficulty with greater than or equal to one activity of daily living. Thirteen medical conditions were assessed by self-report, testing, or record review. Results. Controlling for age, race, education, and marital status, women were more likely to experience disability (odds ratio = 1.70, 95% confidence interval = 1.36-2.11). Higher prevalence of arthritis and obesity in women explained 30.2% and 12.9%, respectively, of the sex-based difference in disability rates, whereas male prevalent diseases like vascular conditions and emphysema narrowed the disability gap. Women with arthritis, hearing problems, coronary artery disease, congestive heart failure, stroke, and claudication were more likely to exhibit disability compared with men with the same conditions (p

KW - Comorbidity

KW - Disability

KW - Disparity

KW - Function

KW - Gender

UR - http://www.scopus.com/inward/record.url?scp=78649556145&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78649556145&partnerID=8YFLogxK

U2 - 10.1093/gerona/glq139

DO - 10.1093/gerona/glq139

M3 - Article

VL - 65 A

SP - 1325

EP - 1331

JO - Journals of Gerontology - Series A Biological Sciences and Medical Sciences

JF - Journals of Gerontology - Series A Biological Sciences and Medical Sciences

SN - 1079-5006

IS - 12

ER -