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. Author manuscript; available in PMC: 2020 Jun 1.
Published in final edited form as: J Racial Ethn Health Disparities. 2019 Jan 7;6(3):552–562. doi: 10.1007/s40615-018-00554-9

Table II:

Correlates of Disability Rates in Older Immigrants

Citation Immigrant Group(s) Data set used Sample Disability Measure: Name (Scale used) Major results Factors (effect on Disability)
(Al Snih et al., 2006) Mexicans 1993 – 1994 Hispanic EPESE 2675 Functional Disability (Difficulty on ADLs & IADLs)
  • People with Arthritis had 1.86 higher odds of ADLs and 1.59 odds of IADLs

  • Arthritis ↑

(Wakabayashi, 2010) Mexicans 1996–2006 Health & Retirement studies 14,792 (includes Whites, Black and Mexicans) ADL limitations (Difficulty/unable to perform ADLS)
  • Women who migrated after age 34 have worse trajectory of ADL limitations

  • Migration at an older age ↑

(Lum & Vanderaa, 2010) Hispanic/Latino, African, White Immigrants Asset and Health Dynamic of the Oldest old (AHEAD) study 7345 ADL& IADL Difficulties (ADL difficulty 1–6 IADL difficulty 1–5)
  • Older immigrants had one or more ADL and IADL difficulties

  • Older age ↑

(Mendes de Leon, Carlos F et al., 2011) Hispanic/Latinos American Community survey (ACS) 2008 48,419,324 Disability (Difficulty with self-care (ADLs) Difficulty with Independent living (IADLs)
  • Poorest Hispanic/Latino men had more self-care disability 13.2%

  • Poorest Mexican women had more self-care disability 12.3%

  • Poorest Hispanic/Latino men and women had more independent-living disability at 16.8% and 23.1%

  • Low income ↑

(Gubernskaya et al., 2013) All immigrants 2000–2010 ACS data 1998–2010 Integrated Health Interview Series (IHIS) ACS- 336,948 IHIS - 44,978 Disability (limitations with ADLs and IADLs)
  • Older adults who migrated between 18 and 35 and became naturalized citizens had lower odds of functional limitations

  • Older adults who migrated after 50 years and became naturalized citizens had higher odds of functional limitation

  • Migration at a younger age ↓

  • Migration at an old age ↑

(Son, 2013) All immigrants 2004 National health Interview survey (NHIS) 13732 Functional difficulties (difficulty with IADLS)
  • Functional difficulties improve in older age

  • Females had worse functional difficulties

  • Immigrants who drank alcohol had better outcomes

  • Immigrants who exercised had less difficulties

  • Older age ↓

  • Female gender ↑

  • Alcohol intake ↓

  • Exercise ↓

1st Author, pub year Immigrant Group(s) Data set used Sample Disability Measure: Name (Scale used) Major results (Variable in review) Factors (effect on disability)
(De Souza & Fuller-Thomson, 2013) Filipino 2006 ACS 5192 Function limitations (ADL limitations Y/N)
  • Older age associated with increasing higher OR of disability for both men and women

  • Unmarried men/women had increase Odds of disability

  • Odds for disability increases with decreasing education

  • Older age ↑

  • Single-unmarried↑

  • Limited education↑

(Tran et al., 2014) Vietnamese 2000 Integrated Public Use Microdata Series IPUMS 2610 Functional disability (DIFFCARE- ADL limitations Y/N)
  • More acculturated had lower functional disability

  • Functional disability increases with age

  • Functional disability decreases with increasing education

  • Older age ↑

  • Limited education ↑

  • Acculturation ↓

(Howrey et al., 2015) Mexicans 1993 – 2013 Hispanic EPESE 2584, with subset of 2230 (no baseline ADL limitations) Disability (Modified Katz ADL scale- 0-no help needed ,1-help needed)
  • Women were more likely to be in rapid ADL decline compared to stable decline

  • Diabetes associated with increase odds of being in rapid disability groups

  • Obesity associated with increase odds in delayed disability group compare to stable

  • Church attendance associated with decrease disability

  • Female gender ↑

  • Diabetes ↑

  • Obesity ↑

  • Church ↓

(Garcia & Reyes, 2017) Mexicans (H-EPESE) 1993–94 1995–96, 1998–99, 2000–2001, 2004–2005, 2007, and 2010–2011 1,483 men 2,051 women Disability (Independence in ADLs)
  • Age of migration not related to disability late life for men

  • Less educated older adults have steeper decline in health

  • Limited education ↑