Factors that influence physical function and emotional well-being among Medicare-Medicaid enrollees.
Geriatr Nurs
; 36(2 Suppl): S16-20, 2015.
Article
em En
| MEDLINE
| ID: mdl-25784082
ABSTRACT
Dually enrolled Medicare-Medicaid older adults are a vulnerable population. We tested House's Conceptual Framework for Understanding Social Inequalities in Health and Aging in Medicare-Medicaid enrollees by examining the extent to which disparities indicators, which included race, age, gender, neighborhood poverty, education, income, exercise (e.g., walking), and physical activity (e.g., housework) influence physical function and emotional well-being. This secondary analysis included 337 Black (31%) and White (69%) older Medicare-Medicaid enrollees. Using path analysis, we determined that race, neighborhood poverty, education, and income did not influence physical function or emotional well-being. However, physical activity (e.g., housework) was associated with an increased self-report of physical function and emotional well-being of ß = .23, p < .001; ß = .17, p < .01, respectively. Future studies of factors that influence physical function and emotional well-being in this population should take into account health status indicators such as allostatic load, comorbidity, and perceived racism/discrimination.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Exercício Físico
/
Saúde Mental
/
Medicare
/
Medicaid
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Disparidades nos Níveis de Saúde
Limite:
Aged
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Aged80
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Female
/
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Geriatr Nurs
Ano de publicação:
2015
Tipo de documento:
Article