Abstract
Based on U.S. Census reports (Hispanic Americans: Census Facts. 2011. Retrieved August 1, 2011, from http://www.infoplease.com/spot/hhmcensus1.html) the United States Hispanic population has more than doubled during the past two decades, from 22.4 million in 1990 to 48.4 million in 2009 (16% of the population). Hispanics are the fasting growing ethnic group in the United States and are expected to comprise over 15% of the older United States population in 2050 (U.S. Bureau of the Census). Mexican-origin Hispanics (Mexican Americans) comprise 66% of the Hispanic population, and older Mexican Americans have higher rates of dependency, i.e., needing assistance from others, in activities of daily living than do European Americans (Hazuda, H. P., & Espino, D. V. 1997. Aging, chronic disease, and physical disability in Hispanic elderly. In K.S. Markides & M. Mirnda (Eds.) Minorities, Aging, and Health (pp. 127–148). Thousand Oaks, CA: Sage; Shetterly, S. M., Baxter, J., Morgenstern, N. E., Grigsby, J., & Hamman, R. F. 1998. Higher instrumental activities of daily living disability in Hispanics compared with non-Hispanic Whites in rural Colorado: The San Luis Valley Health and Aging Study. American Journal of Epidemiology 147:1019–1027; Hamman, R. F., Mulgrew, C. L., Baxter, J., Shetterly, S. M., Swenson, C., & Morgenstern, N. E. 1999. Methods and prevalence of ADL limitations in Hispanic and non-Hispanic White subjects in rural Colorado: The San Luis Valley Health and Aging Study. Annals of Epidemiology 9:225–235). A key factor contributing to this higher rate of dependency in older Mexican Americans may be the high prevalence of diabetes, which is 1.5–2 times greater than that in older European Americans (Hazuda et al.) and has been identified as a major cause of disability and dependence (Gregg, E. W., Beckles, G. L., Williamson, D. F., Leveille, S. G., Langlois, J. A., Engelgau, M. M., and Narayan, K. M. V. 2000. Diabetes and physical disability among older U.S. adults. Diabetes Care 23:1272–1277). The generally lower socioeconomic status (SES) of older Mexican Americans relative to European Americans is also likely to play a role as there is evidence that both education and income are associated with an inverse gradient of disability in later life, at least up to age 85 (Minkler, M., Fuller-Thompson, E., & Guralnik, J. M. 2006. Gradient of disability across the socioeconomic spectrum in the United States. The New England Journal of Medicine 355:695–703). Little attention has been given to systematically examining the relative contribution of specific diseases and sociocultural status (SES and acculturation-assimilation) to disability within the context of a theoretical framework that accounts for the role of both types of factors in the development of disability.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
For an excellent historical overview of the development and application of acculturation theory, including a critique of Gordon’s model, see Lara et al. (2005).
- 2.
A monograph describing the items and scoring procedures for the Hazuda Acculturation and Assimilation Scales can be obtained by contacting the first author.
References
Cronbach, L. J. (1952). Coefficient alpha and the internal structure of tests. Psychometrika 16 :294–334.
Dawber, T. R. (1980). The Framingham Study: The Epidemiology of Atherosclerotic Disease. (1st ed.). Harvard University Press.
Dunlop, D. D., Song, J., Manheim, L., Daviglus, M. L., & Chang, R. W. (2007, December). Racial/ethnic differences in the development of disability among older adults. American Journal of Public Health: Research and Practice 97(12):2209–2215. doi:10.2105/AJP.2006.106047.
Gordon, M. M. (1964). Assimilation in American Life. New York: Oxford University Press.
Gordon, M. M. (1975). “Toward a General Theory of Racial and Ethnic Group Relations.” pp. 84–110 in Nathan Gklazer and Daniel Moynihan, eds. Ethnicity: Theory and Experience. Cambridge: Harvard University Press.
Gregg, E. W., Beckles, G. L., Williamson, D. F., Leveille, S. G., Langlois, J. A., Engelgau, M. M., and Narayan, K. M. V. (2000). Diabetes and physical disability among older U.S. adults. Diabetes Care 23:1272–1277.
Hamman, R. F., Mulgrew, C. L., Baxter, J., Shetterly, S. M., Swenson, C., & Morgenstern, N. E. (1999). Methods and prevalence of ADL limitations in Hispanic and non-Hispanic White subjects in rural Colorado: The San Luis Valley Health and Aging Study. Annals of Epidemiology 9:225–235.
Hazuda, H. P., Comeaux, P. J., Stern, M. P., Haffner, S. M., Eifler, C. W., & Rosenthal, M. (1986). A comparison of three indicators for identifying Mexican Americans in epidemiologic research: Methodolocial findings in the San Antonio Heart Study. American Journal of Epidemiology 123:96–112.
Hazuda, H. P., & Espino, D. V. (1997). Aging, chronic disease, and physical disability in Hispanic elderly. In K.S. Markides & M. Mirnda (Eds.) Minorities, Aging, and Health, (pp. 127–148). Thousand Oaks, CA: Sage.
Hazuda, H. P., Haffner, S. M., & Stern, M. P. (1988). Acculturation and assimilation among Mexican Americans: Scales and population-based data. Social Science Quarterly 69:687–705.
Hispanic Americans: Census Facts. (2011). Retrieved August 1, 2011, from http://www.infoplease.com/spot/hhmcensus1.html
Isaacs, S. L., & Schroeder, S. A. (2004). Class – The ignored determinant of the Nation’s health. The New England Journal of Medicine 351:1137–1142.
Lara M., Gamboa C., Kahramanian M. I., Morales L. S., & Hayes Bautista D. E. (2005). Acculturation and Latino health: A review of the literature and its sociopolitical context. Annual Review of Public Health 26:367–397.
Lawrence, R. H., & Jette, A. M. (1996). Disentangling the disablement process. Journal of Gerontology: Social Sciences, 51B(4):S173–S182.
Lazarsfeld, P. F., & Rosenberg, M. (1955). The language of social research. Glencoe, IL: Free Press.
Mahurin, R. K., DeBettignies, B. H., & Pirozzolo, F. J. (1991). Structured assessment of independent living skills: Preliminary report of a performance measure of functional abilities in dementia. Journal of Gerontology: Social Sciences 46:58–66.
Minkler, M., Fuller-Thompson, E., & Guralnik, J. M. (2006). Gradient of disability across the socioeconomic spectrum in the United States. The New England Journal of Medicine 355:695–703.
Nagi, S. Z. (1991). Disability concepts revisited: Implications for prevention. In A. M. Pope & A. R. Tarlov (Eds.), Disability in America: Toward a National Agenda for Prevention (pp. 309–327). Washington, D.C.: National Academy Press.
Olson, S. R. (1976). Ideas and date: The process and practice of social research. Homewood, IL: Dorsey.
Pope, A. M., & Tarlov, A. R. (1991). Disability in America: Toward a National Agenda for Prevention. Washington, D.C: Division of Health Promotion and Disease Prevention, Institute of Medicine. National Academy Press.
Shetterly, S. M., Baxter, J., Morgenstern, N. E., Grigsby, J., & Hamman, R. F. (1998). Higher instrumental activities of daily living disability in Hispanics compared with non-Hispanic Whites in rural Colorado: The San Luis Valley Health and Aging Study. American Journal of Epidemiology 147:1019–1027.
Tirodkar, M. A., Song, J., Chang, R. W., Dunlop, D. D., & Chang, H. J. (2008). Racial and ethnic differences in activities of daily living disability among the elderly: the case of Spanish speakers. Archives of Physical Medicine & Rehabilitation 89(7):1262–1266.
U.S. Bureau of the Census. Current Population Reports: Sixty-Five Plus in America (Series P23–178). Washington DC, U.S. Government Printing Office.
Verbrugge, L. M., & Jette, A. M. (1994). The disablement process. Social Sciences and Medicine 38(1):1–14.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Hazuda, H.P., Espinoza, S.E. (2012). Sociocultural Status and Burden of Disability in Aging Mexican Americans. In: Angel, J., Torres-Gil, F., Markides, K. (eds) Aging, Health, and Longevity in the Mexican-Origin Population. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-1867-2_10
Download citation
DOI: https://doi.org/10.1007/978-1-4614-1867-2_10
Published:
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4614-1866-5
Online ISBN: 978-1-4614-1867-2
eBook Packages: Humanities, Social Sciences and LawSocial Sciences (R0)