Positive Affect and Disability among Older Mexican Americans with Arthritis

Michielle N. Fisher, Soham Al Snih al snih, Glenn V. Ostir, James Goodwin

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Objective. To examine the relationship between positive affect and subsequent functional disability in older Mexican Americans with self-reported physician-diagnosed arthritis. Methods. We conducted a 2-year prospective cohort study using a population-based sample of 1,084 noninstitutionalized Mexican American subjects aged ≥65 years residing in 5 southwestern states. Measures included self-reported diagnoses of various medical conditions, functional ability, body mass index, and ratings of positive and negative affect. Results. For 937 subjects with arthritis who reported no limitations in activities of daily living (ADLs) at baseline, 697 remained ADL independent, 84 became ADL dependent, 41 died, and 115 were lost to followup 2 years later. There was a significant association between high positive affect (score = 12) and reduced risk of ADL disability 2 years later, controlling for baseline sociodemographic variables, medical conditions, and negative affect (odds ratio 0.46, 95% confidence interval 0.22-0.94). There was an interaction effect between positive affect and sex, with positive affect having a larger effect in reducing risk of ADL dependence in men than in women. Conclusion. High positive affect was associated with lower incidence of ADL disability in older Mexican Americans with self-reported physician-diagnosed arthritis. The strength of the positive affect is stronger in men than in women.

Original languageEnglish (US)
Pages (from-to)34-39
Number of pages6
JournalArthritis Care and Research
Volume51
Issue number1
StatePublished - Feb 15 2004

Fingerprint

Arthritis
Activities of Daily Living
Physicians
Aptitude
Body Mass Index
Cohort Studies
Odds Ratio
Prospective Studies
Confidence Intervals
Incidence
Population

Keywords

  • ADL
  • Aging
  • Arthritis
  • Disability
  • Mexican Americans
  • Positive affect

ASJC Scopus subject areas

  • Rheumatology

Cite this

Positive Affect and Disability among Older Mexican Americans with Arthritis. / Fisher, Michielle N.; Al Snih al snih, Soham; Ostir, Glenn V.; Goodwin, James.

In: Arthritis Care and Research, Vol. 51, No. 1, 15.02.2004, p. 34-39.

Research output: Contribution to journalArticle

@article{0ef2cb0d9b52493ab301ed4ef3cc7c62,
title = "Positive Affect and Disability among Older Mexican Americans with Arthritis",
abstract = "Objective. To examine the relationship between positive affect and subsequent functional disability in older Mexican Americans with self-reported physician-diagnosed arthritis. Methods. We conducted a 2-year prospective cohort study using a population-based sample of 1,084 noninstitutionalized Mexican American subjects aged ≥65 years residing in 5 southwestern states. Measures included self-reported diagnoses of various medical conditions, functional ability, body mass index, and ratings of positive and negative affect. Results. For 937 subjects with arthritis who reported no limitations in activities of daily living (ADLs) at baseline, 697 remained ADL independent, 84 became ADL dependent, 41 died, and 115 were lost to followup 2 years later. There was a significant association between high positive affect (score = 12) and reduced risk of ADL disability 2 years later, controlling for baseline sociodemographic variables, medical conditions, and negative affect (odds ratio 0.46, 95{\%} confidence interval 0.22-0.94). There was an interaction effect between positive affect and sex, with positive affect having a larger effect in reducing risk of ADL dependence in men than in women. Conclusion. High positive affect was associated with lower incidence of ADL disability in older Mexican Americans with self-reported physician-diagnosed arthritis. The strength of the positive affect is stronger in men than in women.",
keywords = "ADL, Aging, Arthritis, Disability, Mexican Americans, Positive affect",
author = "Fisher, {Michielle N.} and {Al Snih al snih}, Soham and Ostir, {Glenn V.} and James Goodwin",
year = "2004",
month = "2",
day = "15",
language = "English (US)",
volume = "51",
pages = "34--39",
journal = "Arthritis and Rheumatology",
issn = "2326-5191",
publisher = "John Wiley and Sons Ltd",
number = "1",

}

TY - JOUR

T1 - Positive Affect and Disability among Older Mexican Americans with Arthritis

AU - Fisher, Michielle N.

AU - Al Snih al snih, Soham

AU - Ostir, Glenn V.

AU - Goodwin, James

PY - 2004/2/15

Y1 - 2004/2/15

N2 - Objective. To examine the relationship between positive affect and subsequent functional disability in older Mexican Americans with self-reported physician-diagnosed arthritis. Methods. We conducted a 2-year prospective cohort study using a population-based sample of 1,084 noninstitutionalized Mexican American subjects aged ≥65 years residing in 5 southwestern states. Measures included self-reported diagnoses of various medical conditions, functional ability, body mass index, and ratings of positive and negative affect. Results. For 937 subjects with arthritis who reported no limitations in activities of daily living (ADLs) at baseline, 697 remained ADL independent, 84 became ADL dependent, 41 died, and 115 were lost to followup 2 years later. There was a significant association between high positive affect (score = 12) and reduced risk of ADL disability 2 years later, controlling for baseline sociodemographic variables, medical conditions, and negative affect (odds ratio 0.46, 95% confidence interval 0.22-0.94). There was an interaction effect between positive affect and sex, with positive affect having a larger effect in reducing risk of ADL dependence in men than in women. Conclusion. High positive affect was associated with lower incidence of ADL disability in older Mexican Americans with self-reported physician-diagnosed arthritis. The strength of the positive affect is stronger in men than in women.

AB - Objective. To examine the relationship between positive affect and subsequent functional disability in older Mexican Americans with self-reported physician-diagnosed arthritis. Methods. We conducted a 2-year prospective cohort study using a population-based sample of 1,084 noninstitutionalized Mexican American subjects aged ≥65 years residing in 5 southwestern states. Measures included self-reported diagnoses of various medical conditions, functional ability, body mass index, and ratings of positive and negative affect. Results. For 937 subjects with arthritis who reported no limitations in activities of daily living (ADLs) at baseline, 697 remained ADL independent, 84 became ADL dependent, 41 died, and 115 were lost to followup 2 years later. There was a significant association between high positive affect (score = 12) and reduced risk of ADL disability 2 years later, controlling for baseline sociodemographic variables, medical conditions, and negative affect (odds ratio 0.46, 95% confidence interval 0.22-0.94). There was an interaction effect between positive affect and sex, with positive affect having a larger effect in reducing risk of ADL dependence in men than in women. Conclusion. High positive affect was associated with lower incidence of ADL disability in older Mexican Americans with self-reported physician-diagnosed arthritis. The strength of the positive affect is stronger in men than in women.

KW - ADL

KW - Aging

KW - Arthritis

KW - Disability

KW - Mexican Americans

KW - Positive affect

UR - http://www.scopus.com/inward/record.url?scp=1242291913&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=1242291913&partnerID=8YFLogxK

M3 - Article

C2 - 14872453

AN - SCOPUS:1242291913

VL - 51

SP - 34

EP - 39

JO - Arthritis and Rheumatology

JF - Arthritis and Rheumatology

SN - 2326-5191

IS - 1

ER -