Abstract
The black health disadvantage, including old-age disability, is well-known and persists over the life course, although it is smaller in the older population. Both race and place of residence play a role in shaping health status and disability, and these effects are cumulative in a way that ages African Americans prematurely, resulting in greater functional limitations and disability. This chapter analyzes geographic differences in disability among African Americans age 65 and older using the concepts measured in the 2009 American Community Survey and comparing disabilities of nonmetropolitan blacks to metropolitan blacks and whites. In addition, it compares disability among Southern blacks to that of other blacks. The results show that, in general, elderly African Americans are substantially more likely than whites to have disabilities; both whites and blacks have more disabilities when they live in nonmetropolitan areas as compared to metropolitan areas; and, while elderly living in the South are more likely to experience disabilities than elderly in other regions of the United States, the race differential in disability is smaller in the South than the non-South.
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Notes
- 1.
We distinguish between availability and access because mere availability does not assure access. For example, the availability of free health care is of limited use for people if they do not have transportation to the clinic or it is only open during their work hours.
- 2.
PUMAs are the smallest geographical unit available for the use of micro data. They include as many counties as is necessary to reach the threshold level for data confidentiality of 100,000 population.
References
Adler, N. E., & Rehkopf, D. H. (2008). U.S. Disparities in health: Descriptions, causes, and mechanisms. Annual Review of Public Health, 29(1), 235–252. doi:10.1146/annurev.publhealth.29.020907.090852.
Braden, J. J., & Beauregard, K. (1994). Health status and access to care of rural and urban populations. Rockville: US Department of Health and Human Services.
Carp, F. M. (1988). Significance of mobility of the well-being of the elderly (Transportation Research Board Special Report No. 218). Washington, DC: Transportation Research Board.
Crimmins, E. M., Hayward, M. D., & Saito, Y. (1996). Differentials in active life expectancy in the older population of the United States. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 51B(3), S111–S120. doi:10.1093/geronb/51B.3.S111.
Crimmins, E. M., Hayward, M. D., Hagedorn, A., Saito, Y., & Brouard, N. (2009). Change in disability-free life expectancy for Americans 70 years old and older. Demography, 46(3), 627–646. doi:10.1353/dem.0.0070.
Elo, I. T., & Preston, S. H. (1996). Educational differentials in mortality: United States, 1979–1985. Social Science & Medicine, 42(1), 47–57. doi:10.1016/0277-9536(95)00062-3.
Flegal, K. M., Carroll, M. D., Ogden, C. L., & Johnson, C. L. (2002). Prevalence and trends in obesity among US adults, 1999–2000. JAMA: The Journal of the American Medical Association, 288(14), 1723–1727. doi:10.1001/jama.288.14.1723.
Freedman, V., Schoeni, R., Martin, L., & Cornman, J. (2007). Chronic conditions and the decline in late-life disability. Demography, 44(3), 459–477. doi:10.1353/dem.2007.0026.
Fried, L., & Barron, J. (2005). Older adults: Guardians of our cities. In S. Galea & D. Vlahov (Eds.), Handbook of urban health: Populations, methods, and practice (pp. 177–199). New York: Springer.
Fuller-Thomson, E., Nuru-Jeter, A., Minkler, M., & Guralnik, J. M. (2009). Black–white disparities in disability among older Americans. Journal of Aging and Health, 21(5), 677–698. doi:10.1177/0898264309338296.
Geronimus, A. T. (1992). The weathering hypothesis and the health of African-American women and infants: Evidence and speculations. Ethnicity & Disease, 2(3), 207–221.
Geronimus, A. T. (1996). Black/white differences in the relationship of maternal age to birthweight: A population-based test of the weathering hypothesis. Social Science & Medicine, 42(4), 589–597. doi:10.1016/0277-9536(95)00159-x.
Geronimus, A. T. (2001). Understanding and eliminating racial inequalities in Women’s health in the United States: the role of the weathering conceptual framework. Journal of the American Medical Women’s Association, 56(4), 133–136, 149–150.
Geronimus, A. T., Bound, J., & Waidmann, T. A. (1999). Poverty, time, and place: Variation in excess mortality across selected US populations, 1980–1990. Journal of Epidemiology and Community Health, 53(6), 325–334. doi:10.1136/jech.53.6.325.
Geronimus, A. T., Bound, J., Waidmann, T., Colen, C., & Steffick, D. (2001). Inequality in life expectancy, functional status, and active life expectancy across selected black and white populations in the United States. Demography, 38(2), 227–251. doi:10.1353/dem.2001.0015.
Geronimus, A. T., Hicken, M., Pearson, J., Seashols, S., Brown, K., & Cruz, T. (2010). Do US black women experience stress-related accelerated biological aging? Human Nature, 21(1), 19–38. doi:10.1007/s12110-010-9078-0.
Glasgow, N. (2000). Older Americans’ patterns of driving and using other transportation. Rural America, 15(3), 26–31.
Glasgow, N., & Blakely, R. M. (2000). Older nonmetropolitan residents’ evaluations of their transportation arrangements. Journal of Applied Gerontology, 19(1), 95–116. doi:10.1177/0733-46480001900106.
Hayward, M. D., Pienta, A. M., & McLaughlin, D. K. (1997). Inequality in Men’s mortality: The socioeconomic status gradient and geographic context. Journal of Health and Social Behavior, 38(4), 313–330.
Institute of Medicine Committee on the Future of Rural Health Care. (2005). Quality through collaboration: The future of rural health. Washington, DC: The National Academies Press.
James, S. A. (1994). John Henryism and the health of African-Americans. Culture, Medicine and Psychiatry, 18(2), 163–182. doi:10.1007/bf01379448.
Katz, S. (1983). Assessing self-maintenance: Activities of daily living, mobility, and instrumental activities of daily living. Journal of the American Geriatrics Society, 31(12), 721–727.
Kitagawa, E. M., & Hauser, P. M. (1973). Differential mortality in the United States: A study in socioeconomic epidemiology. Cambridge: Harvard University Press.
Laditka, J. N., Laditka, S. B., Olatosi, B., & Elder, K. T. (2005). Disability burdens among older americans associated with gender and race/ethnicity in rural and urban areas. Columbia: South Carolina Rural Health Research Center.
Laplante, M. P., & Carlson, D. (1996). Disability in the United States: Prevalence and causes, 1992. (Disability Statistics Report No. 7). Washington, DC: US Department of Education, National Institute on Disability and Rehabilitation Research.
Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3 Part 1), 179–186. doi:10.1093/geront/9.3_Part_1.179.
Manton, K. G., Gu, X., & Lamb, V. L. (2006). Change in chronic disability from 1982 to 2004/2005 as measured by long-term changes in function and health in the U.S. elderly population. Proceedings of the National Academy of Sciences, 103(48), 18374–18379, doi:10.1073/pnas.0608483103.
Miller, M. K., Stokes, C. S., & Clifford, W. B. (1987). A comparison of the rural–urban mortality differential for deaths from all causes, cardiovascular disease and cancer. The Journal of Rural Health, 3(2), 23–34. doi:10.1111/j.1748-0361.1987.tb00165.x.
Morton, L. W. (2004). Spatial patterns of rural mortality. In N. Glasgow, L. W. Morton, & N. E. Johnson (Eds.), Critical issues in rural health (pp. 37–45). Ames: Blackwell Publishing.
National Center for Health Statistics. (1984). Health, United States, 1984 (DHHS Publication No. (PHS) 85–1232). Washington, DC: US Government Printing Office.
National Center for Health Statistics. (1995). Health, United States, 1994. Hyattsville: US Department of Health and Human Services, Public Health Service.
Peek, C. W., & Zsembik, B. A. (2004). The health of African Americans living in nonmetropolitan areas. In N. Glasgow, L. W. Morton, & N. E. Johnson (Eds.), Critical issues in rural health (pp. 141–154). Ames: Blackwell Publishing.
Rosenbloom, S. (2004). Mobility of the elderly: Good news and bad news. In Transportation in an aging Society: A decade of experience. Technical papers and reports from a conference, November 7–9, 1999, Bethesda, Maryland (Transportation Research Board Conference Proceedings 27) (pp. 3–21). Washington, DC: Transportation Research Board.
US Census Bureau (2009). American Community Survey and Puerto Rico Community Survey: 2009 Subject Definitions. http://www.census.gov/acs/www/Downloads/data_documentation/SubjectDefinitions/2009_ACSSubjectDefinitions.pdf. Accessed 8 July 2011.
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Lee, M., Singelmann, J. (2013). Place and Race: Health of African Americans in Nonmetropolitan Areas. In: Glasgow, N., Berry, E. (eds) Rural Aging in 21st Century America. Understanding Population Trends and Processes, vol 7. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-5567-3_6
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