Urbanicity and Disparities in the Functional and Physical Abilities of Older Adults Using the Health and Retirement Study: A Cross-Sectional Study.

IF 2.2 3区医学 Q2 GERONTOLOGY

Journal of Applied Gerontology Pub Date : 2025-04-01 DOI:10.1177/07334648251326654

Amal Alzahmi, Kenneth Covinsky, Claire Ankuda, Irena Cenzer

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Abstract

This study investigates disparities between older adults based on urbanicity in the United States. We analyzed data from 8259 participants aged 65+ from the 2018 Health and Retirement Study. The mean age was 74 (SD 8). Low-urbanicity participants (29%) were more likely white (88% vs. 77%, p < .001), and had lower education (20% vs. 16%, p-value = .017), higher rates of hypertension (69% vs. 66.3%, p = .035), lung disease (15% vs. 11%, p=<.001), and cognitive impairment (24% vs. 19%, p < .001). After adjustment for demographics, they were less physically active (60% vs. 55%, p = .021) and more dependent on IADLs (19% vs. 16%, p = .018). Urbanicity significantly affects physical abilities (i.e., jogging, climbing stairs, and handling objects) more in younger participants (65-75) than older ones (75+) (p for interaction = .003, .007, and .012, respectively). Significant urbanicity-based disparities in older adults' physical and functional abilities must be addressed to tailor interventions that improve their quality of life.

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来源期刊

Journal of Applied Gerontology GERONTOLOGY-

CiteScore

5.10

自引率

13.30%

发文量

202

期刊介绍： The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.