243952 Cross-sectional predictors of health status among older adults living in a low income community

Monday, October 31, 2011

Rie Suzuki, PhD , Department of Public Health & Health Sciences, University of Michigan-Flint, Flint, MI
Arlesia L. Mathis, PhD, CPH, CPM , Department of Public Health & Health Sciences, University of Michigan-Flint, Flint, MI
Daniel J. Kruger, PhD , School of Public Health, University of Michigan, Ann Arbor, MI
Increased understanding about the etiology of having poor health status in older people has led to the recognition that social factors play a major role in health status. Few studies, however, have investigated the degree to which social capital constructs relate to health status among the undeserved older adults in a low income community. The purpose of this study was to examine the relative contribution of demographic and social capital factors to health outcomes in Flint, MI. The subjects were selected from the Speaking to Your Health Community Survey 2009. Eligibility criteria included adults, ages 65 years and older, living in Flint, Michigan. Hierarchical regression models were created using M-plus to examine the relationship of perceived neighborhoods characteristics and demographic characteristics to self-rated health, body mass index (BMI), and chronic conditions. Of the 217 participants, a large percentage were Caucasian or African American (48%) women (73%) with low education levels (52% ≤ high school or GED), married or committed relationship (39%) and retired (78%). Their mean age was 74.14 (SD=7.02). In the International Classification of Functioning, Disability and Health, perceived fear of crime and chronic conditions predicted decreased self-rated health. Social participation predicted decreased BMI. Perceived fear of crime and decreased social support predicted chronic conditions. Perceived racism was not associated with health outcomes. The importance of the intervention programs targeting safety and social support in a community will be discussed

Learning Areas:
Chronic disease management and prevention
Diversity and culture
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Learn the relationship between characteristics of neighborhoods and health outcomes for undeserved older adults in a low income community. Discuss the implication of these findings for strategies to improve health outcomes

Keywords: Aging, Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a PI for this project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.