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Differences in the Progression of Disability: A U.S.–Mexico Comparison

Author

Listed:
  • Carlos Díaz-Venegas
  • Timothy A Reistetter
  • Rebeca Wong

Abstract

Objectives This article seeks to document the progression of disability in a developing country by implementing a model to examine how this process compares to a developed country. Methods Data come from the Mexican Health and Aging Study (MHAS), including a baseline survey in 2001 and a follow-up in 2003, and from the U.S. Health and Retirement Study (HRS), using the 2000 and 2002 waves. An ordinal logistic regression approach is used to examine a progression of disability that considers (a) no disability, (b) mobility problems, (c) mobility plus limitations with instrumental activities of daily living, (d) mobility plus limitations with activities of daily living (ADLs), (e) limitations in all three areas and (f) death. Results In both data sets, approximately 44% of the sample remained in the same level of disability at the 2-year follow-up. However, the progression of limitations with two disabilities differs by gender in the MHAS but is consistent for both men and women in the HRS. Discussion Our model reflects the importance of ADLs in the disablement process in Mexico. We speculate that the difference in lifetime risk profiles and cultural context might be responsible for the divergence in the progression of disability by gender.

Suggested Citation

  • Carlos Díaz-Venegas & Timothy A Reistetter & Rebeca Wong, 2018. "Differences in the Progression of Disability: A U.S.–Mexico Comparison," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 73(5), pages 913-922.
    • Handle: RePEc:oup:geronb:v:73:y:2018:i:5:p:913-922.
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    File URL: http://hdl.handle.net/10.1093/geronb/gbw082
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    References listed on IDEAS

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    1. Mitra, Sophie & Posarac, Aleksandra & Vick, Brandon, 2011. "Disability and poverty in developing countries : a snapshot from the world health survey," Social Protection Discussion Papers and Notes 62564, The World Bank.
    2. Xiaoyan Lei & Yuqing Hu & John J. McArdle & James P. Smith & Yaohui Zhao, 2012. "Gender Differences in Cognition among Older Adults in China," Journal of Human Resources, University of Wisconsin Press, vol. 47(4), pages 951-971.
    3. Peek, M. Kristen & Ottenbacher, Kenneth J. & Markides, Kyriakos S. & Ostir, Glenn V., 2003. "Examining the disablement process among older Mexican American adults," Social Science & Medicine, Elsevier, vol. 57(3), pages 413-425, August.
    4. repec:ran:wpaper:881 is not listed on IDEAS
    5. Kerstin Gerst-Emerson & Rebeca Wong & Alejandra Michaels-Obregon & Alberto Palloni, 2015. "Cross-National Differences in Disability Among Elders: Transitions in Disability in Mexico and the United States," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 70(5), pages 759-768.
    6. David Melzer & Grant Izmirlian & Suzanne G. Leveille & Jack M. Guralnik, 2001. "Educational Differences in the Prevalence of Mobility Disability in Old Age," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(5), pages 294-301.
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