CoChat
Sign Up
Cited by 79Aging, Health, and DisabilityHealth disparities and outcomesFrailty in Older Adults

Prevalence of Health Conditions and Predictors of Mortality in Oldest Old Mexican Americans and Non-Hispanic Whites

Open access
Samper-Ternent, Rafael, Kuo, Yong Fang, Ray, Laura A., Ottenbacher, Kenneth J., Markides, Kyriakos S., Al Snih, Soham·2012·Journal of the American Medical Directors Association
DOI 10.1016/j.jamda.2010.07.010PMC PMC3128678
Open this paper in CoChat — free account

Abstract

Background The oldest old represent a unique group of older adults. This group is rapidly growing worldwide and yet there are gaps in the knowledge related to their health condition. Ethnic differences in disease prevalence and mortality must be understood to better care for the oldest old.Objective To compare prevalence of common health conditions and predictors of mortality in oldest old Mexican Americans and non-Hispanic whites.Methods This study included 568 community-dwelling Mexican Americans (MA) aged 85 years and older from the Hispanic Established Population for the Epidemiological Study of the Elderly 2004-2005 and 933 non-Hispanic whites (NHW) of the same age from the Health and Retirement Study 2004. Measures included sociodemographic variables, self-reported medical conditions, activities of daily living (ADLs), and instrumental activities of daily living. Logistic regression analysis was used to examine 2-year mortality in both populations.Results Heart attack was significantly more prevalent in oldest old NHW compared with MA, regardless of gender. Conversely, diabetes was significantly more prevalent among MA men and women compared with their NHW counterparts. Compared with NHW men, MA men had significantly higher prevalence of cognitive impairment and hypertension. Additionally, prevalence of hip fracture was significantly higher for MA women compared with NHW women. Significant differences in ADL disability were observed only between both groups of women, whereas significant differences in instrumental activities of daily living disability were observed only between men. MA men and women had higher prevalence of obesity compared with NHW. Predictors of 2-year mortality for both ethnic groups included older age, male gender, and ADL disability. Cognitive impairment was a mortality predictor only for NHW. Similarly, lung disease was a predictor only for MA.Conclusion Health-related conditions that affect the oldest old vary by gender and ethnicity and entail careful evaluation and monitoring in the clinical setting. Better care requires inclusion of such differences as part of the comprehensive evaluation of the oldest old adults.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1016/j.jamda.2010.07.010

Cites

41 of 41 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Some studies indicate Hispanic older adults are about one and one-half times as likely to have Alzheimer's or other dementias as White older adults, though others show similar prevalences.

    “Some other studies indicate Hispanic older adults are about one and one-half times as likely to have Alzheimer's or other dementias as White older adults, [299][300][301] though others have shown similar prevalences among Hispanic older adults and White older adults.149”

    From 2023 Alzheimer's disease facts and figures (2023) · cites this paper as [301]

    The Results report higher cognitive-impairment prevalence among Mexican American men aged 85 and older than among non-Hispanic White men (16.3% versus 5.8%), but no significant difference among women. This does not establish the claimed one-and-one-half-times likelihood of Alzheimer's or other dementias among Hispanic older adults generally. The Discussion also notes that the two groups were asked different cognitive-impairment questions. (LLM, conf=0.86)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

3 of the 44 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. [21]Markides KS Stroup-Benham CA B S The health of Mexican-American elderly: selected findings from the Hispanic EPESE Wykle M Ford A 72 90 1999 New York Springer Serving Minority Elderly in the 21st Century

Cited by

Sorted by citations

Related

Authors
Samper-Ternent, R., Kuo, Y. F., Ray, L. A., Ottenbacher, K. J., Markides, K. S., & Al Snih, S.
Affiliations
The University of Texas Medical Branch at Galveston (US)
ORCID
Venue
Journal of the American Medical Directors Association
Publisher
Elsevier BV
Published
2012-03
Volume
13
Issue
3
Pages
254-259
ISSN
1525-8610 (ISSN-L)
DOI
10.1016/j.jamda.2010.07.010
PMC
PMC3128678
OpenAlex
W1977267943
Cited by
79
References
44
Citations by year
2026: 5 · 2025: 9 · 2024: 6 · 2023: 11 · 2022: 7 · 2021: 8 · 2020: 7 · 2019: 4 · 2018: 7 · 2017: 2 · 2016: 3 · 2015: 2 · 2014: 3 · 2013: 4 · 2012: 1
FWCI
1.58
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Medical Directors Association (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Aging (R01AG017638, R03AG029959, R01AG010939, P30AG024832)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD052023)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
  • Social Sciences › Health › Health disparities and outcomes
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Keywords
oldest old, Mexican Americans, non-Hispanic whites, ethnic differences, mortality risk factors, activities of daily living, instrumental activities of daily living, cognitive impairment, myocardial infarction, diabetes mellitus, hypertension, hip fracture, obesity, lung disease, gender differences, community-dwelling older adults
MeSH terms
Aged, 80 and over, Cross-Sectional Studies, Female, Health Status Indicators, Humans, Male, Mortality, Southwestern United States, Mexican Americans, White People, Health Status Disparities

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review