Examining the disablement process among older Mexican American adults

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

The Disablement Process model (Verbrugge and Jette, Social Science & Medicine 38 (1994) 1) describes a pathway leading from pathology to impairment to functional limitations, and, ultimately to disability. Components of this model have been examined among older White adults; however, very little research has examined the disablement process among older adults of other ethnic groups. Our goal in this research is to evaluate the Disablement Process model using Activities of Daily Living (ADL) disability as the outcome among a representative group of older Mexican American adults in the Southwestern United States. Respondents are from two waves of the Hispanic Established Populations Epidemiologic Study of the Elderly (EPESE) (n=2439). Structural equation models (LISREL 8.30) are utilized to examine the Disablement Process model. We also investigate aspects of the original model that have potentially important effects on the process of becoming disabled, such as cognitive impairment and perceived emotional support. Findings from structural equation models suggest that the main pathway from pathology to ADL disability is through functional limitations among older Mexican Americans. Risk factors, especially age and gender, have significant indirect effects on ADL disability. The main pathway in the Disablement Process model receives preliminary support among older Mexican Americans. We discuss implications of this model for future research.

Original languageEnglish (US)
Pages (from-to)413-425
Number of pages13
JournalSocial Science and Medicine
Volume57
Issue number3
DOIs
StatePublished - Aug 2003

Fingerprint

Activities of Daily Living
Structural Models
Southwestern United States
disability
Pathology
Social Sciences
Hispanic Americans
Ethnic Groups
Research
Epidemiologic Studies
structural model
pathology
Medicine
Population
Mexican Americans
Process model
Process Model
ethnic group
risk factor
social science

Keywords

  • Aging
  • Disability
  • Mexican American
  • USA

ASJC Scopus subject areas

  • Economics and Econometrics
  • Public Health, Environmental and Occupational Health
  • Social Psychology
  • Development
  • Health(social science)

Cite this

Examining the disablement process among older Mexican American adults. / Peek, Mary; Ottenbacher, Kenneth; Markides, Kyriakos; Ostir, Glenn V.

In: Social Science and Medicine, Vol. 57, No. 3, 08.2003, p. 413-425.

Research output: Contribution to journalArticle

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