Factors that influence physical function and emotional well-being among Medicare-Medicaid enrollees

Factors that influence physical function and emotional well-being among Medicare-Medicaid enrollees

Wright K D; Pepper G A; Caserta M; Wong B; Brunker C P; Morris D L; Burant C J; Hazelett S; Kropp D; Allen K R

Geriatric Nursing

2015

2015-03

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 wellbeing. However, physical activity (e.g., housework) was associated with an increased self-report of physical function and emotional well-being of beta = .23, p < .001; beta = .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. (C) 2015 Elsevier Inc. All rights reserved.

associations; Disparities indicators; Geriatrics & Gerontology; health-status; inequalities; Medicare-Medicaid enrollees; mobility; neighborhood safety; Nursing; older-adults; population; quality-of-life; socioeconomic-status; structural equation models; Subjective; well-being

Journal Article

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

S16-S20

2

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