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US trends in disability and institutionalization among older Blacks and Whites.

D O Clark

Department of Medicine, Indiana University School of Medicine, Regenstrief Institute 46202-2859, USA.

OBJECTIVES: This study estimated and compared the prevalence of disability and institutionalization in 1982, 1984, and 1989 among the older Black and White populations of the United States. METHODS: Data on over 1100 Blacks and 14,000 Whites in each of a series of three National Long Term Care Surveys were used. RESULTS: Diverging trends for Blacks and Whites led to statistically significant increases in the age- and sex-adjusted odds of disability (19%) and institutionalization (31%) for Blacks relative to Whites. CONCLUSIONS: Black and White disparities in disability appear to have widened, while disparities in institutionalization appear to have narrowed during the decade of the 1980s.

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Current research in the epidemiology and public health of aging--the need for more diverse strategies.

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AJPH 1997 87: 333-334. [PDF]  

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