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Research on Aging, Vol. 27, No. 6, 643-658 (2005)
DOI: 10.1177/0164027505279717

Differences in Functional Disability of Rural American Indian and White Older Adults With Comorbid Diabetes

R. Turner Goins

S. Melinda Spencer

West Virginia University

Yvette D. Roubideaux

University of Arizona

Spero M. Manson

University of Colorado

This study examines racial/ethnic differences in functional disability among a sample of rural older adults with comorbid diabetes. In 2002, interviews were conducted with 62 rural American Indian and 64 White community-dwelling persons aged 65 years or older. Examination of disability levels by group suggested that functional disability for Whites was concentrated in the lower levels (1-2 limitations), whereas disability for American Indians was concentrated in the higher levels (3 or more limitations). Adjusted prevalence rates indicated that American Indian older adults were significantly more likely than Whites to require assistance with dressing, walking, bathing, and shopping. Conversely, for reaching the toilet in time, Whites were significantly more likely than American Indians to report a limitation. Results of this study, coupled with previous literature, suggest that American Indians are more functionally disabled than other racial/ethnic groups and have a marked need for future long-term care.

Key Words: elders • American Indians • disability • diabetes • rural


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R. T. Goins, M. Moss, D. Buchwald, and J. M. Guralnik
Disability Among Older American Indians and Alaska Natives: An Analysis of the 2000 Census Public Use Microdata Sample
Gerontologist, October 1, 2007; 47(5): 690 - 696.
[Abstract] [Full Text] [PDF]