Race Disparities in Health among Older Adults: Examining the Role of Productive Engagement

Productive engagement is a potential pathway to health for older adults, but this relationship varies by race. This study examines the relationship of productive engagement to the health and observed health disparities of older African American and white adults. Productive activities include formal...

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Veröffentlicht in:Health & social work 2006-11, Vol.31 (4), p.275-288
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description Productive engagement is a potential pathway to health for older adults, but this relationship varies by race. This study examines the relationship of productive engagement to the health and observed health disparities of older African American and white adults. Productive activities include formal and irregular paid employment, caregiving, volunteering, and informal social assistance. The authors analyzed longitudinal panel data on individuals ages 60 and older from the Americans' Changing Lives survey with generalized estimating equations methods. Indicators of self-rated health and functional status were regressed separately on measures of productive engagement after accounting for sociodemographic differences and prior levels of health. Analyses were stratified by race and compared. Engagement in productive activities predicts better functional status for both groups, but higher self-rated health only among white adults. Number of activities performed was positively related to both health measures for all individuals, and hours of engagement and the ratio of paid to unpaid hours did not predict health outcomes.
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This study examines the relationship of productive engagement to the health and observed health disparities of older African American and white adults. Productive activities include formal and irregular paid employment, caregiving, volunteering, and informal social assistance. The authors analyzed longitudinal panel data on individuals ages 60 and older from the Americans' Changing Lives survey with generalized estimating equations methods. Indicators of self-rated health and functional status were regressed separately on measures of productive engagement after accounting for sociodemographic differences and prior levels of health. Analyses were stratified by race and compared. Engagement in productive activities predicts better functional status for both groups, but higher self-rated health only among white adults. Number of activities performed was positively related to both health measures for all individuals, and hours of engagement and the ratio of paid to unpaid hours did not predict health outcomes.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>17176975</pmid><doi>10.1093/hsw/31.4.275</doi><tpages>14</tpages></addata></record>
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subjects Activities of Daily Living
Adults
African Americans
Aged
Aged, 80 and over
Aging (Individuals)
Assistance
Attrition (Research Studies)
Caregivers
Chronic illnesses
Comparative Analysis
Data Collection
Disease prevention
Elderly
Elderly people
Employment
Ethnic Groups
Evidence
Female
Gender Differences
Health
Health aspects
Health behavior
Health care access
Health Care Services
health disparities
Health inequalities
Health Problems
Health Status Indicators
Humans
Hypotheses
Individual Activities
Inequality
Interviews as Topic
Life Style
Longitudinal Studies
Male
Measures (Individuals)
Medical research
Minority Groups
Mortality
Old age
Older Adults
Older workers
Physical Health
productive engagement
Race
Race discrimination
Racial Differences
Racial discrimination
Role Theory
Roles
Self Evaluation (Individuals)
Social aspects
Social Environment
Social Participation
Social services
Social workers
Studies
Time on Task
United States - epidemiology
Volunteers
White people
Whites
title Race Disparities in Health among Older Adults: Examining the Role of Productive Engagement
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