Everyday Discrimination, Neighborhood Perceptions, and Incidence of Activity Limitations Among Middle-Aged and Older African Americans
Abstract Objectives This study aims to examine the relationship between everyday discrimination, neighborhood perceptions, and the incidence of daily activity limitations (i.e., activities of daily living [ADL] and instrumental activities of daily living [IADL]) among middle-aged and older African A...
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| Veröffentlicht in: | The journals of gerontology. Series B, Psychological sciences and social sciences Psychological sciences and social sciences, 2023-05, Vol.78 (5), p.866-879 |
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| container_title | The journals of gerontology. Series B, Psychological sciences and social sciences |
| container_volume | 78 |
| creator | Qin, Weidi Nguyen, Ann W Wang, Yi Hamler, Tyrone C Wang, Fei |
| description | Abstract
Objectives
This study aims to examine the relationship between everyday discrimination, neighborhood perceptions, and the incidence of daily activity limitations (i.e., activities of daily living [ADL] and instrumental activities of daily living [IADL]) among middle-aged and older African Americans. This study also examines whether neighborhood perceptions moderate the association between discrimination and the incidence of daily activity limitations.
Methods
Data were from the 2006 to 2016 waves of the Health and Retirement Study. African Americans aged 50 or older free of ADL limitations (N = 1,934) and IADL limitations (N = 2,007) at baseline were selected. Cox proportional hazards regression models were performed to test the study aims. Multiple imputations were applied to handle missing data.
Results
One-unit increase in everyday discrimination was associated with a 25% (p < .05) higher risk of ADL limitation onset. Perceived neighborhood social cohesion and physical disadvantage moderated the association between discrimination and IADL limitation onset.
Discussion
Everyday discrimination represents a significant stressor that negatively affects older African Americans’ performance of daily activities. Community-level efforts that improve neighborhood perceptions are needed to alleviate the negative effects of discrimination on the incidence of activity limitations. |
| doi_str_mv | 10.1093/geronb/gbad001 |
| format | Article |
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Objectives
This study aims to examine the relationship between everyday discrimination, neighborhood perceptions, and the incidence of daily activity limitations (i.e., activities of daily living [ADL] and instrumental activities of daily living [IADL]) among middle-aged and older African Americans. This study also examines whether neighborhood perceptions moderate the association between discrimination and the incidence of daily activity limitations.
Methods
Data were from the 2006 to 2016 waves of the Health and Retirement Study. African Americans aged 50 or older free of ADL limitations (N = 1,934) and IADL limitations (N = 2,007) at baseline were selected. Cox proportional hazards regression models were performed to test the study aims. Multiple imputations were applied to handle missing data.
Results
One-unit increase in everyday discrimination was associated with a 25% (p < .05) higher risk of ADL limitation onset. Perceived neighborhood social cohesion and physical disadvantage moderated the association between discrimination and IADL limitation onset.
Discussion
Everyday discrimination represents a significant stressor that negatively affects older African Americans’ performance of daily activities. Community-level efforts that improve neighborhood perceptions are needed to alleviate the negative effects of discrimination on the incidence of activity limitations.</description><identifier>ISSN: 1079-5014</identifier><identifier>EISSN: 1758-5368</identifier><identifier>DOI: 10.1093/geronb/gbad001</identifier><identifier>PMID: 36661210</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Activities of Daily Living ; Aged ; Black or African American ; Exercise ; Humans ; Incidence ; Middle Aged ; Racism ; Residence Characteristics ; Retirement</subject><ispartof>The journals of gerontology. Series B, Psychological sciences and social sciences, 2023-05, Vol.78 (5), p.866-879</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2023</rights><rights>The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c324t-c9d15f775e7d7572caafcffa99521495a248ebaa0f18f9ad7977a93d95eba0a23</cites><orcidid>0000-0003-1359-5712 ; 0000-0003-0860-6317 ; 0000-0002-0390-8546 ; 0000-0002-3404-5499 ; 0000-0002-2592-0773</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36661210$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Schafer, Markus</contributor><creatorcontrib>Qin, Weidi</creatorcontrib><creatorcontrib>Nguyen, Ann W</creatorcontrib><creatorcontrib>Wang, Yi</creatorcontrib><creatorcontrib>Hamler, Tyrone C</creatorcontrib><creatorcontrib>Wang, Fei</creatorcontrib><title>Everyday Discrimination, Neighborhood Perceptions, and Incidence of Activity Limitations Among Middle-Aged and Older African Americans</title><title>The journals of gerontology. Series B, Psychological sciences and social sciences</title><addtitle>J Gerontol B Psychol Sci Soc Sci</addtitle><description>Abstract
Objectives
This study aims to examine the relationship between everyday discrimination, neighborhood perceptions, and the incidence of daily activity limitations (i.e., activities of daily living [ADL] and instrumental activities of daily living [IADL]) among middle-aged and older African Americans. This study also examines whether neighborhood perceptions moderate the association between discrimination and the incidence of daily activity limitations.
Methods
Data were from the 2006 to 2016 waves of the Health and Retirement Study. African Americans aged 50 or older free of ADL limitations (N = 1,934) and IADL limitations (N = 2,007) at baseline were selected. Cox proportional hazards regression models were performed to test the study aims. Multiple imputations were applied to handle missing data.
Results
One-unit increase in everyday discrimination was associated with a 25% (p < .05) higher risk of ADL limitation onset. Perceived neighborhood social cohesion and physical disadvantage moderated the association between discrimination and IADL limitation onset.
Discussion
Everyday discrimination represents a significant stressor that negatively affects older African Americans’ performance of daily activities. Community-level efforts that improve neighborhood perceptions are needed to alleviate the negative effects of discrimination on the incidence of activity limitations.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Black or African American</subject><subject>Exercise</subject><subject>Humans</subject><subject>Incidence</subject><subject>Middle Aged</subject><subject>Racism</subject><subject>Residence Characteristics</subject><subject>Retirement</subject><issn>1079-5014</issn><issn>1758-5368</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM1u1DAURi0Eoj-wZYm8BKlpbSeO42XUllJpoCxgHd3Y16lRxh7sTKV5AZ4bd2Zgize-ss_3SfcQ8o6zS850fTVhimG8mkawjPEX5JQr2VWybruXZWZKV5Lx5oSc5fyTlcNV85qc1G3bcsHZKfl9-4RpZ2FHb3w2ya99gMXHcEG_op8ex5geY7T0GyaDm-ePfEEhWHofjLcYDNLoaG8W_-SXHV2V_LLPZ9qvY5joF2_tjFU_od3nHmaLifYueQOhMLgf8hvyysGc8e3xPic_Pt1-v_5crR7u7q_7VWVq0SyV0ZZLp5REZZVUwgA44xxoLQVvtATRdDgCMMc7p8EqrRTo2mpZXhmI-px8OPRuUvy1xbwM67I2zjMEjNs8CNV2ohGS1QW9PKAmxZwTumFT9EDaDZwNz-6Hg_vh6L4E3h-7t-Ma7T_8r-wCfDwAcbv5X9kfYnSSZw</recordid><startdate>20230511</startdate><enddate>20230511</enddate><creator>Qin, Weidi</creator><creator>Nguyen, Ann W</creator><creator>Wang, Yi</creator><creator>Hamler, Tyrone C</creator><creator>Wang, Fei</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1359-5712</orcidid><orcidid>https://orcid.org/0000-0003-0860-6317</orcidid><orcidid>https://orcid.org/0000-0002-0390-8546</orcidid><orcidid>https://orcid.org/0000-0002-3404-5499</orcidid><orcidid>https://orcid.org/0000-0002-2592-0773</orcidid></search><sort><creationdate>20230511</creationdate><title>Everyday Discrimination, Neighborhood Perceptions, and Incidence of Activity Limitations Among Middle-Aged and Older African Americans</title><author>Qin, Weidi ; Nguyen, Ann W ; Wang, Yi ; Hamler, Tyrone C ; Wang, Fei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c324t-c9d15f775e7d7572caafcffa99521495a248ebaa0f18f9ad7977a93d95eba0a23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Black or African American</topic><topic>Exercise</topic><topic>Humans</topic><topic>Incidence</topic><topic>Middle Aged</topic><topic>Racism</topic><topic>Residence Characteristics</topic><topic>Retirement</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Qin, Weidi</creatorcontrib><creatorcontrib>Nguyen, Ann W</creatorcontrib><creatorcontrib>Wang, Yi</creatorcontrib><creatorcontrib>Hamler, Tyrone C</creatorcontrib><creatorcontrib>Wang, Fei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journals of gerontology. Series B, Psychological sciences and social sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Qin, Weidi</au><au>Nguyen, Ann W</au><au>Wang, Yi</au><au>Hamler, Tyrone C</au><au>Wang, Fei</au><au>Schafer, Markus</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Everyday Discrimination, Neighborhood Perceptions, and Incidence of Activity Limitations Among Middle-Aged and Older African Americans</atitle><jtitle>The journals of gerontology. Series B, Psychological sciences and social sciences</jtitle><addtitle>J Gerontol B Psychol Sci Soc Sci</addtitle><date>2023-05-11</date><risdate>2023</risdate><volume>78</volume><issue>5</issue><spage>866</spage><epage>879</epage><pages>866-879</pages><issn>1079-5014</issn><eissn>1758-5368</eissn><abstract>Abstract
Objectives
This study aims to examine the relationship between everyday discrimination, neighborhood perceptions, and the incidence of daily activity limitations (i.e., activities of daily living [ADL] and instrumental activities of daily living [IADL]) among middle-aged and older African Americans. This study also examines whether neighborhood perceptions moderate the association between discrimination and the incidence of daily activity limitations.
Methods
Data were from the 2006 to 2016 waves of the Health and Retirement Study. African Americans aged 50 or older free of ADL limitations (N = 1,934) and IADL limitations (N = 2,007) at baseline were selected. Cox proportional hazards regression models were performed to test the study aims. Multiple imputations were applied to handle missing data.
Results
One-unit increase in everyday discrimination was associated with a 25% (p < .05) higher risk of ADL limitation onset. Perceived neighborhood social cohesion and physical disadvantage moderated the association between discrimination and IADL limitation onset.
Discussion
Everyday discrimination represents a significant stressor that negatively affects older African Americans’ performance of daily activities. Community-level efforts that improve neighborhood perceptions are needed to alleviate the negative effects of discrimination on the incidence of activity limitations.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>36661210</pmid><doi>10.1093/geronb/gbad001</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0003-1359-5712</orcidid><orcidid>https://orcid.org/0000-0003-0860-6317</orcidid><orcidid>https://orcid.org/0000-0002-0390-8546</orcidid><orcidid>https://orcid.org/0000-0002-3404-5499</orcidid><orcidid>https://orcid.org/0000-0002-2592-0773</orcidid><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | MEDLINE; Oxford University Press Journals Current; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Activities of Daily Living Aged Black or African American Exercise Humans Incidence Middle Aged Racism Residence Characteristics Retirement |
| title | Everyday Discrimination, Neighborhood Perceptions, and Incidence of Activity Limitations Among Middle-Aged and Older African Americans |
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