Jordan 1990: results from the demographic and health survey.
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Data are presented from sample surveys conducted in 1974 (N = 3,119) and 1975 (N = 657) in Alameda County, California, by the Human Population Laboratory. Mexican Americans are compared to Anglos and Blacks on selected health status indicators; chronic conditions, disability, symptoms and a summary measure, the Physical Health Spectrum. Comparisons of crude percentages indicate that, compared to Anglos, Blacks report having more chronic conditions, more disability and more symptoms, while Chicanos generally report fewer health problems than these two groups. Controlling for the effects of age, sex, education, family income, marital status, and perceived health reduces the Anglo/Black differentials in reported health problems, primarily by reducing the rates for Blacks. However, even after adjustment the prevalence rates for Blacks remain higher. After controlling for the effects of the six covariates, the rates for Chicanos remain essentially unchanged in both samples, e.g., lower than the other groups. Results of binary regression analysis indicate that the two most powerful predictors of health status in both samples are age/sex and perceived health. Ethnicity overall is not a good predictor of health status, accounting for 1 per cent or less of the explained variance. Socioeconomic status, while predicting slightly better than ethnicity, still accounts for less than 2% of the variance in health status.
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Are the aged concentrated in the inner-city? Are they confined to lower value housing in older neighborhoods? Although the spatial pattern of the elderly in Toledo, Ohio, is dissimilar from that of the nonelderly, they are widely distributed throughout the city. The associations between the location of the elderly and variables such as distance to the Central Business District, age of neighborhood, value of housing, and multiple-family dwelling units are statistically significant. However, these associations are weak and at no time between 1940 and 1970 are more than 40% of the variations in the aged's distribution explained.
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The effect of parental longevity on the length of survival of offspring has been examined according to selected demographic and environmental characteristics. The present study is based on 7,103 progeny, 20 years old or older. They were the sons and daughters of 1,766 men or women, 90 or more years old, who were alive in 1922-1930 at the time of ascertainment. The age at death of the other parent of the offspring is the basis of classification used in this analysis. A positive relationship was found between age at death of the non-proband parent and the age at death of the offspring. This relationship existed regardless of similarities or differences in the characteristics analyzed.
The social, psychological, and environmental situations of a national area probability sample of 1875 elderly tenants in 153 public housing sites were studied by means of interviews with tenants and project mangers and direct observation of social and environmental characteristics of the housing. In this report the association between the age mix of the housing and the well-being of the tenants was investigated. With a variety of personal, social, and physical environmental characteristics statistically controlled, age segregation showed small but reliable relationships to on-site activity participation, morale, housing satisfaction, and neighborhood motility. The results are discussed in terms of policy and planning designed to maximize options for the individual.
Cystic fibrosis (CF) is a systemic disorder that may compromise linear growth in childhood, but quantitating this effect requires accurate mathematical models for normal growth. Anthropometric measurements on a cohort of 37 CF patients were analyzed using the growth model of Preece and Baines (1978) which reduces longitudinal height data to 6 quantitative parameters. When parameter means for CF females (n = 19) were compared to the reference population in the Harpenden growth study, the overall difference was significant (p less than 0.05). Examination of the derived biological parameters revealed 12-month and 14-month delays in age at take off and peak height velocity, respectively, indicating that the pubertal growth spurt in female patients is delayed. Mean ages at take off and peak height velocity were delayed 9 months in the CF males (n = 18). These results reaffirm the observation that CF females experience greater morbidity in later childhood and adolescence than males, and illustrate a quantitative approach that should facilitate further examination of CF and the efficacy of different treatment modalities on the disease process in both sexes.
OBJECTIVE: To determine whether there is a difference in the oral/dental health in older persons with different life styles and medical status. STUDY DESIGN: Survey (cross-sectional study) included four groups: (1) subjects (n = 123) living in a residential retirement home or community dwelling; (2) subjects (n = 218) seeking dental treatment at a Veterans Affairs Dental Outpatient Clinic; (3) subjects (n = 132) resident in a VA long-term care facility; and (4) subjects (n = 81) recently admitted to a VA acute care ward with a diagnosis of cerebral vascular accident or other neurologic problem. Each subject answered questions on medical and dental health and dietary preferences in a comprehensive interview. They were given a comprehensive dental examination that included measurements of stimulated salivary flow and minor salivary gland output. RESULTS: The data from groups 2 and 3 confirmed previous reports that independent living subjects have better oral/dental health than dependent living subjects. The data from groups 1 and 4, obtained from geriatric populations on the opposite ends of the medical health/disease continuum provide new information that suggests that good medical health and good oral/dental health are linked. The subjects in group 1 were very healthy as judged by their longevity; 54% were > or = 80 years and they had low reported prevalence of medical disease. Only 6% were edentulous and the dentate persons were missing 4.5 teeth. In contrast, over 50% of the patients in group 4 were < 70 years; they had an edentulous rate of 49% and among the dentate persons had an average 12 missing and 5 decayed teeth. CONCLUSIONS: The medically healthy persons had excellent dental health whereas the sickest persons were either edentulous or had many missing teeth.
All unexpected deaths in New Mexico from 1977 to 1988 were reviewed. By statute each such death must be reported to the Office of the Medical Examiner (OMI) and according to institutional policy autopsied even when death is presumed to be from natural causes. From this group the 650 index cases that form the basis of this report were obtained. The crude rate of sudden, unexpected death among New Mexico residents 5 to 39 years old during the study period was 6.6/100,000 persons at risk. As documented by autopsy, the underlying cause of death in a majority of these cases (53.4%) was related to cardiovascular disease and alcoholism. Male persons in general are at increased risk for sudden, unexpected death, and American Indian and black male persons are at greater risk than their Anglo and Hispanic counterparts. American Indians account for a disproportionate share of the unexpected deaths resulting from alcoholism, and black male persons are at particular risk for unexpected death resulting from cardiovascular diseases. This report emphasizes the importance of life style and diet in the well-being of persons 5 to 39 years old.
Household heads who grew up as members of large families and/or as natives of small towns or rural areas tend to have less education and are more likely to be poor than those coming from small families and/or large cities. Data to support these conclusions have been drawn from two independent sources--a special Social Security Administration supplement to the April 1968 Current Population Survey and findings from the Retirement History Study conducted by the Social Security Administration.