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Comorbidity among older American Indians: The Native Elder Care Study

TitleComorbidity among older American Indians: The Native Elder Care Study
Publication TypeJournal Article
Year of Publication2010
AuthorsGoins, R, Pilkerton, CS
JournalJournal of Cross Cultural GerontologyJournal of Cross Cultural Gerontology
Date PublishedDec
ISBN Number0169-3816<br/>1573-0719
Accession NumberPeer Reviewed Journal: 2010-24469-004
Keywords*Ability Level, *Comorbidity, *Demographic Characteristics, *Geriatrics, *Psychosocial Factors, American Indians, comorbidity, older American Indians, disease prevalence, sociodemographics, psychosocial correlates, functional limitations, Native Elder Care Study, Human Male Female Adulthood (18 yrs & older) Middle Age (40-64 yrs) Aged (65 yrs & older) Very Old (85 yrs & older), Psychological & Physical Disorders [3200], us
AbstractComorbidity is a growing challenge and the older adult population is most at risk of developing comorbid conditions. Comorbidity is associated with increased risk of mortality, increased hospitalizations, increased doctor visits, increased prescription medications, nursing home placement, poorer mental health, and physical disability. American Indians experience some of the highest rates of chronic conditions, but to date there have been only two published studies on the subject of comorbidity in this population. With a community-based sample of 505 American Indians aged 55 years or older, this study identified the most prevalent chronic conditions, described comorbidity, and identified socio-demographic, functional limitations, and psychosocial correlates of comorbidity. Results indicated that older American Indians experience higher rates of hypertension, diabetes, back pain, and vision loss compared to national statistics of older adults. Two-thirds of the sample experienced some degree of comorbidity according to the scale used. Older age, poorer physical functioning, more depressive symptomatology, and lower personal mastery were all correlates of higher comorbidity scores. Despite medical advances increasing life expectancy, morbidity and mortality statistics suggest that the health of older American Indians lags behind the majority population. These findings highlight the importance of supporting chronic care and management services for the older American Indian population. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (journal abstract).
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