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Pain and disability in older Mexican-American adults

TitlePain and disability in older Mexican-American adults
Publication TypeJournal Article
Year of Publication2009
AuthorsWeaver, GD, Kuo, YF, Raji, MA, S. Snih, A, Ray, L, Torres, E, Ottenbacher, KJ
JournalJ Am Geriatr SocJ Am Geriatr Soc
Date PublishedJun
ISBN Number1532-5415 (Electronic)<br/>0002-8614 (Linking)
Accession Number19453304
KeywordsActivities of Daily Living, Comorbidity, Depression/complications, Disabled Persons/ statistics & numerical data, Educational Status, Female, Humans, Locomotion, Male, Mexican Americans, Pain/ epidemiology, Questionnaires, Sex Factors, United States/epidemiology
AbstractOBJECTIVES: To examine an association between pain severity and functional disability in older Mexican Americans. DESIGN: Cross-sectional study (2005/06), a subsample of the Hispanic Established Population for Epidemiologic Study of the Elderly. SETTING: Community. PARTICIPANTS: One thousand thirteen Mexican American aged 74 to 100. MEASUREMENTS: Bilingual interviewers administered structured questionnaires and assessed physical measures of mobility and frailty (exhaustion, weight loss, walking speed, grip strength, and self-reported physical activity). Two items from the SF-36 questionnaire assessed pain experiences in the previous 4 weeks. RESULTS: Chi-square one-way analysis of variance and least square and negative binomial regressions were computed for 744 participants with complete data to investigate experience of pain and other dimensions of health and functioning. Close to two-thirds (64.7%) reported pain within 4 weeks of the interview, and 49.7% reported that pain interfered with performance of daily activities. Female sex; low education; frailty; reduced mobility; disability; and high comorbidity, body mass index, and depressive symptomatology were significantly associated with pain severity and interference. Regression coefficients revealed that pain severity was significantly related to disability in activities of daily living (0.22, P<.001 and="" instrumental="" activities="" of="" daily="" living="" p="" after="" controlling="" for="" sociodemographic="" health="" status="" characteristics.="" conclusion:="" the="" findings="" expand="" pain="" literature="" on="" older="" mexican="" americans.="" high="" rates="" were="" most="" prevalent="" in="" women="" subjects="" with="" comorbidity="" depressive="" symptomatology="" poor="" mobility="" frailty.="" also="" plays="" a="" significant="" role="" disability="" status.="" in-depth="" research="" is="" needed="" to="" understand="" experiences="" americans="" their="" effect="" well-being.="">