Education, income and disability in African Americans

Roland J Thorpe, Sarah L Szanton, Caryn N. Bell, Keith E. Whitfield

Research output: Contribution to journalArticle

Abstract

Objective: To determine whether the association between SES and disability vary by age in African Americans. Methods. Logistic regression models were conducted to estimate the association between SES and disability by age group in 395 African Americans participating in the Carolina African American Twin Study of Aging. Disability was defined as difficulty in performing at least one of seven basic activities of daily living. Education and family income were used as measures of SES. Age was categorized as individuals aged, 49 years and aged $50 years. Results. After adjusting for demographic and health-related characteristics among older adults, a higher odds of disability was associated with no post-secondary education (OR53.09, 95% CI: 1.24-7.71), and with low-income (OR52.74, 95% CI: 1.17-6.43) compared to more educated or affluent people, respectively. No association between SES and disability was observed in young adults. When considering the combined effect of no post-secondary education and lowincome on disability, older adults with no post-secondary education had a greater odds of being disabled (OR52.63, 95% CI: 1.03-6.73) relative to those with a post-secondary education controlling for covariates. Conclusions. The findings demonstrate the advantage of disentangling the confounding of race and SES as an initial step to understanding the relationship among age, SES and disability in African Americans.

Original languageEnglish (US)
Pages (from-to)12-17
Number of pages6
JournalEthnicity and Disease
Volume23
Issue number1
StatePublished - Dec 2013

Fingerprint

African Americans
Education
Logistic Models
Twin Studies
Activities of Daily Living
Young Adult
Age Groups
Demography
Health

Keywords

  • African Americans
  • Disability
  • Education
  • Health disparities
  • Income
  • SES

ASJC Scopus subject areas

  • Epidemiology
  • Medicine(all)

Cite this

Education, income and disability in African Americans. / Thorpe, Roland J; Szanton, Sarah L; Bell, Caryn N.; Whitfield, Keith E.

In: Ethnicity and Disease, Vol. 23, No. 1, 12.2013, p. 12-17.

Research output: Contribution to journalArticle

Thorpe, RJ, Szanton, SL, Bell, CN & Whitfield, KE 2013, 'Education, income and disability in African Americans', Ethnicity and Disease, vol. 23, no. 1, pp. 12-17.
Thorpe, Roland J ; Szanton, Sarah L ; Bell, Caryn N. ; Whitfield, Keith E. / Education, income and disability in African Americans. In: Ethnicity and Disease. 2013 ; Vol. 23, No. 1. pp. 12-17.
@article{ba84cc93a77f4a07ad45bc58cdc42a1e,
title = "Education, income and disability in African Americans",
abstract = "Objective: To determine whether the association between SES and disability vary by age in African Americans. Methods. Logistic regression models were conducted to estimate the association between SES and disability by age group in 395 African Americans participating in the Carolina African American Twin Study of Aging. Disability was defined as difficulty in performing at least one of seven basic activities of daily living. Education and family income were used as measures of SES. Age was categorized as individuals aged, 49 years and aged $50 years. Results. After adjusting for demographic and health-related characteristics among older adults, a higher odds of disability was associated with no post-secondary education (OR53.09, 95{\%} CI: 1.24-7.71), and with low-income (OR52.74, 95{\%} CI: 1.17-6.43) compared to more educated or affluent people, respectively. No association between SES and disability was observed in young adults. When considering the combined effect of no post-secondary education and lowincome on disability, older adults with no post-secondary education had a greater odds of being disabled (OR52.63, 95{\%} CI: 1.03-6.73) relative to those with a post-secondary education controlling for covariates. Conclusions. The findings demonstrate the advantage of disentangling the confounding of race and SES as an initial step to understanding the relationship among age, SES and disability in African Americans.",
keywords = "African Americans, Disability, Education, Health disparities, Income, SES",
author = "Thorpe, {Roland J} and Szanton, {Sarah L} and Bell, {Caryn N.} and Whitfield, {Keith E.}",
year = "2013",
month = "12",
language = "English (US)",
volume = "23",
pages = "12--17",
journal = "Ethnicity and Disease",
issn = "1049-510X",
publisher = "ISHIB",
number = "1",

}

TY - JOUR

T1 - Education, income and disability in African Americans

AU - Thorpe, Roland J

AU - Szanton, Sarah L

AU - Bell, Caryn N.

AU - Whitfield, Keith E.

PY - 2013/12

Y1 - 2013/12

N2 - Objective: To determine whether the association between SES and disability vary by age in African Americans. Methods. Logistic regression models were conducted to estimate the association between SES and disability by age group in 395 African Americans participating in the Carolina African American Twin Study of Aging. Disability was defined as difficulty in performing at least one of seven basic activities of daily living. Education and family income were used as measures of SES. Age was categorized as individuals aged, 49 years and aged $50 years. Results. After adjusting for demographic and health-related characteristics among older adults, a higher odds of disability was associated with no post-secondary education (OR53.09, 95% CI: 1.24-7.71), and with low-income (OR52.74, 95% CI: 1.17-6.43) compared to more educated or affluent people, respectively. No association between SES and disability was observed in young adults. When considering the combined effect of no post-secondary education and lowincome on disability, older adults with no post-secondary education had a greater odds of being disabled (OR52.63, 95% CI: 1.03-6.73) relative to those with a post-secondary education controlling for covariates. Conclusions. The findings demonstrate the advantage of disentangling the confounding of race and SES as an initial step to understanding the relationship among age, SES and disability in African Americans.

AB - Objective: To determine whether the association between SES and disability vary by age in African Americans. Methods. Logistic regression models were conducted to estimate the association between SES and disability by age group in 395 African Americans participating in the Carolina African American Twin Study of Aging. Disability was defined as difficulty in performing at least one of seven basic activities of daily living. Education and family income were used as measures of SES. Age was categorized as individuals aged, 49 years and aged $50 years. Results. After adjusting for demographic and health-related characteristics among older adults, a higher odds of disability was associated with no post-secondary education (OR53.09, 95% CI: 1.24-7.71), and with low-income (OR52.74, 95% CI: 1.17-6.43) compared to more educated or affluent people, respectively. No association between SES and disability was observed in young adults. When considering the combined effect of no post-secondary education and lowincome on disability, older adults with no post-secondary education had a greater odds of being disabled (OR52.63, 95% CI: 1.03-6.73) relative to those with a post-secondary education controlling for covariates. Conclusions. The findings demonstrate the advantage of disentangling the confounding of race and SES as an initial step to understanding the relationship among age, SES and disability in African Americans.

KW - African Americans

KW - Disability

KW - Education

KW - Health disparities

KW - Income

KW - SES

UR - http://www.scopus.com/inward/record.url?scp=84873363738&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84873363738&partnerID=8YFLogxK

M3 - Article

VL - 23

SP - 12

EP - 17

JO - Ethnicity and Disease

JF - Ethnicity and Disease

SN - 1049-510X

IS - 1

ER -