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.</description><identifier>ISSN: 0360-7283</identifier><identifier>EISSN: 1545-6854</identifier><identifier>DOI: 10.1093/hsw/31.4.275</identifier><identifier>PMID: 17176975</identifier><identifier>CODEN: HSWOEL</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>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</subject><ispartof>Health & social work, 2006-11, Vol.31 (4), p.275-288</ispartof><rights>COPYRIGHT 2006 Oxford University Press</rights><rights>Copyright National Association of Social Workers, Incorporated Nov 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c713t-dae06453ecdfa8bd88ca3b2cd6fb09a1a8b2d73f6ab49bcd9459c6f17a7605f03</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27323,27903,27904,30979,33753,33754</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ750599$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17176975$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hinterlong, James E</creatorcontrib><title>Race Disparities in Health among Older Adults: Examining the Role of Productive Engagement</title><title>Health & social work</title><addtitle>Health & Social Work</addtitle><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.</description><subject>Activities of Daily Living</subject><subject>Adults</subject><subject>African Americans</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging (Individuals)</subject><subject>Assistance</subject><subject>Attrition (Research Studies)</subject><subject>Caregivers</subject><subject>Chronic illnesses</subject><subject>Comparative Analysis</subject><subject>Data Collection</subject><subject>Disease prevention</subject><subject>Elderly</subject><subject>Elderly people</subject><subject>Employment</subject><subject>Ethnic Groups</subject><subject>Evidence</subject><subject>Female</subject><subject>Gender Differences</subject><subject>Health</subject><subject>Health aspects</subject><subject>Health behavior</subject><subject>Health care access</subject><subject>Health Care Services</subject><subject>health disparities</subject><subject>Health inequalities</subject><subject>Health Problems</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Individual Activities</subject><subject>Inequality</subject><subject>Interviews as Topic</subject><subject>Life Style</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Measures (Individuals)</subject><subject>Medical research</subject><subject>Minority Groups</subject><subject>Mortality</subject><subject>Old age</subject><subject>Older Adults</subject><subject>Older workers</subject><subject>Physical Health</subject><subject>productive engagement</subject><subject>Race</subject><subject>Race discrimination</subject><subject>Racial Differences</subject><subject>Racial discrimination</subject><subject>Role Theory</subject><subject>Roles</subject><subject>Self Evaluation (Individuals)</subject><subject>Social aspects</subject><subject>Social Environment</subject><subject>Social Participation</subject><subject>Social services</subject><subject>Social workers</subject><subject>Studies</subject><subject>Time on Task</subject><subject>United States - epidemiology</subject><subject>Volunteers</subject><subject>White 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Work</addtitle><date>2006-11-01</date><risdate>2006</risdate><volume>31</volume><issue>4</issue><spage>275</spage><epage>288</epage><pages>275-288</pages><issn>0360-7283</issn><eissn>1545-6854</eissn><coden>HSWOEL</coden><abstract>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.</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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