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The Effects of Social Support on Physical Functioning in Older African Americans: Longitudinal Results from the Baltimore Study of Black Aging.

Publication ,  Journal Article
Cary, MP; Thorpe, RJ; Walker, JL; Gamaldo, AA; Allaire, JC; Whitfield, KE
Published in: Journal of the National Medical Association
December 2016

Compared with other racial/ethnic groups, African Americans have higher rates of chronic conditions and suffer a disproportionate burden of disability. We aimed to examine the effects of social support on physical functioning among older African Americans.We analyzed a sample of 448 urban, community-dwelling, older African Americans (aged 48-98 years) from the Baltimore Study of Black Aging. Baseline physical functioning was collected between 2006 and 2008 (wave 1), and change in physical functioning was collected between 2009 and 2011 (wave 2), physical functioning was assessed by self-reported limitations in 7 activities of daily living-eating, dressing, grooming, walking, bathing, using the toilet, and transferring in and out of bed-using a binary variable to indicate whether the individual had difficulty performing each specific activity. Social support was measured by how frequently participants provided/received goods and services, financial assistance, transportation, companionship, advice, or encouragement (never [0], rarely [1], sometimes [2], frequently [3]). Negative binomial regression models were used to test the effects of social support given, received, and a ratio (support received/support given) on physical functioning for those who improved and those who declined in physical functioning.Participants reported physical functioning at wave 1 (1.24, standard deviation [SD] = 1.98) and at wave 2 (0.34, SD = 0.83). Average social support given was 7.49 (SD = 3.26), and average social support received was 7.81 (SD = 3.17). Those who improved in physical function gave less social support and had lower social support ratios; social support received had no effect. Those who remained stable or declined in physical function gave more social support; neither social support received nor social ratio had an effect.Social support given and social support received as well as the ratio should be considered when seeking to understand how physical functioning changes over time among older African Americans.

Duke Scholars

Published In

Journal of the National Medical Association

DOI

EISSN

1943-4693

ISSN

0027-9684

Publication Date

December 2016

Volume

108

Issue

4

Start / End Page

195 / 200

Related Subject Headings

  • United States
  • Social Support
  • Public Health
  • Middle Aged
  • Male
  • Humans
  • Female
  • Disabled Persons
  • Black or African American
  • Baltimore
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Cary, M. P., Thorpe, R. J., Walker, J. L., Gamaldo, A. A., Allaire, J. C., & Whitfield, K. E. (2016). The Effects of Social Support on Physical Functioning in Older African Americans: Longitudinal Results from the Baltimore Study of Black Aging. Journal of the National Medical Association, 108(4), 195–200. https://doi.org/10.1016/j.jnma.2016.07.003
Cary, Michael P., Roland J. Thorpe, Janiece L. Walker, Alyssa A. Gamaldo, Jason C. Allaire, and Keith E. Whitfield. “The Effects of Social Support on Physical Functioning in Older African Americans: Longitudinal Results from the Baltimore Study of Black Aging.Journal of the National Medical Association 108, no. 4 (December 2016): 195–200. https://doi.org/10.1016/j.jnma.2016.07.003.
Cary MP, Thorpe RJ, Walker JL, Gamaldo AA, Allaire JC, Whitfield KE. The Effects of Social Support on Physical Functioning in Older African Americans: Longitudinal Results from the Baltimore Study of Black Aging. Journal of the National Medical Association. 2016 Dec;108(4):195–200.
Cary, Michael P., et al. “The Effects of Social Support on Physical Functioning in Older African Americans: Longitudinal Results from the Baltimore Study of Black Aging.Journal of the National Medical Association, vol. 108, no. 4, Dec. 2016, pp. 195–200. Epmc, doi:10.1016/j.jnma.2016.07.003.
Cary MP, Thorpe RJ, Walker JL, Gamaldo AA, Allaire JC, Whitfield KE. The Effects of Social Support on Physical Functioning in Older African Americans: Longitudinal Results from the Baltimore Study of Black Aging. Journal of the National Medical Association. 2016 Dec;108(4):195–200.
Journal cover image

Published In

Journal of the National Medical Association

DOI

EISSN

1943-4693

ISSN

0027-9684

Publication Date

December 2016

Volume

108

Issue

4

Start / End Page

195 / 200

Related Subject Headings

  • United States
  • Social Support
  • Public Health
  • Middle Aged
  • Male
  • Humans
  • Female
  • Disabled Persons
  • Black or African American
  • Baltimore