Impact of Multiple Chronic Conditions on Activity Limitations Among Older Mexican-American Care Recipients

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Collins, Diane M. ; Downer, Brian ; Kumar, Amit ; Krishnan, Shilpa ; Li, Chih-ying ; Markides, Kyriakos S. ; Karmarkar, Amol M.
• Description:
  Introduction
  
  Older Mexican Americans are living longer with multiple chronic conditions (MCCs). This has placed greater demands on caregivers to assist with basic activities of daily living (ADL) or instrumental activities of daily living (IADL). To understand the needs of older Mexican-American care recipients, we examined the impact of MCC on ADL and IADL limitations.
  
  Methods
  
  We analyzed data from 485 Mexican American care-receiving/caregiving dyads. Selected MCCs in the analysis were diabetes, hypertension, stroke, heart disease, arthritis, emphysema/chronic obstructive pulmonary disease, cognitive impairment, depression, and cancer. Care recipients were dichotomized as having 3 or more conditions or as having 2 or fewer conditions. Three comorbidity clusters were established on the basis of the most prevalent health conditions among participants with comorbid arthritis and hypertension. These clusters included arthritis and hypertension plus: diabetes (cluster 1), cognitive impairment (cluster 2), and heart disease (cluster 3).
  
  Results
  
  Care recipients with 3 or more chronic conditions (n = 314) had higher odds of having mobility limitations (OR = 1.98; 95% CI, 1.34–2.94), self-care limitations (OR = 2.53; 95% CI, 1.70–3.81), >3 ADL limitations (OR = 2.00; 95% CI, 1.28–3.17), and >3 IADL limitations (OR = 1.88; 95% CI, 1.26–2.81). All clusters had increased odds of ADL and severe ADL limitations. Of care recipients in cluster 2, those with arthritis, hypertension, and cognitive impairment had significantly higher odds of mobility limitations (OR = 2.33; 95% CI, 1.05–5.24) than those with just arthritis and hypertension.
  
  Conclusion
  
  MCCs were associated with more ADL and IADL limitations among care recipients, especially for those with hypertension and arthritis plus diabetes, cognitive impairment, or heart disease. These findings can assist in developing programs to meet the needs of older Mexican-American care recipients.
  
  
• Subjects:
  Activities Of Daily Living Aged Aged, 80 And Over Caregivers Disability Evaluation Disabled Persons Female Humans Male Mexican Americans Multiple Chronic Conditions Odds Ratio Risk Factors

  More +
• Source:
  Prev Chronic Dis. 15.
• DOI:
  http://dx.doi.org/10.5888/pcd15.170358
• ISSN:
  1545-1151
• Pubmed ID:
  29729133
• Pubmed Central ID:
  PMC5951156
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  15
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:de5c321598905a66aa868288d348d240c8217fdab0daef9a6a3b12b3f198a6f35769729e40af96945856476a07d0a947fffbf82a450bf29da0003389912e5a5e
• Download URL:
  https://stacks.cdc.gov/view/cdc/55293/cdc_55293_DS1.pdf
• File Type:
  [PDF - 340.59 KB ]