Factors associated with disability among middle-aged and older African American women with osteoarthritis

Janiece L. Walker; Tracie C. Harrison; Adama Brown; Roland J. Thorpe; Sarah L. Szanton

doi:10.1016/j.dhjo.2016.02.004

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Factors associated with disability among middle-aged and older African American women with osteoarthritis

Journal article

Peer reviewed

Factors associated with disability among middle-aged and older African American women with osteoarthritis

Janiece L. Walker, Tracie C. Harrison, Adama Brown, Roland J. Thorpe and Sarah L. Szanton

Disability and health journal, Vol.9(3), pp.510-517

07/01/2016

DOI: 10.1016/j.dhjo.2016.02.004

PMCID: PMC4903915

PMID: 27052590

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Abstract

Middle-aged and older African American women experience disproportionate rates of functional limitations and disability from osteoarthritis (OA) compared to other racial ethnic groups; however, little is known about what factors contribute to this disparity within African American women. To examine factors associated with physical function and disability among African American women ages 50–80 with OA using the disablement process model. This descriptive study included 120 African American women with OA from the Southwestern region of the United States. Regression techniques were used to model the correlates of physical function and disability and to test a mediation model. BMI and pain severity were significantly related to functional limitations. Depressive symptoms mediated the relationship between racial discrimination and disability. Biological, intra-individual, and extra-individual factors are related to disablement outcomes in this sample of African American women, which is consistent with theory suggesting the need for treatment coupled with environmental modifications. This study can inform the development of future bio-behavioral interventions.

Disability

Functional limitations

Older African Americans

Osteoarthritis

Details

Title: Subtitle: Factors associated with disability among middle-aged and older African American women with osteoarthritis
Creators: Janiece L. Walker - Johns Hopkins University
Tracie C. Harrison - The University of Texas at Austin
Adama Brown - The University of Texas at Austin
Roland J. Thorpe - Johns Hopkins University
Sarah L. Szanton - Johns Hopkins University
Resource Type: Journal article
Publication Details: Disability and health journal, Vol.9(3), pp.510-517
DOI: 10.1016/j.dhjo.2016.02.004
PMID: 27052590
PMCID: PMC4903915
NLM abbreviation: Disabil Health J
ISSN: 1936-6574
eISSN: 1876-7583
Publisher: Elsevier Inc
Grant note: National Hartford Center of Gerontological Nursing Excellence 1F131NR014399-01 / NIH/NINR NS070201 / Johns Hopkins University (http://dx.doi.org/10.13039/100007880)
Language: English
Date published: 07/01/2016
Academic Unit: Nursing
Record Identifier: 9984696569002771

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