Journal Article

The progression of disability among older adults in Mexico

Díaz-Venegas, C., Reistetter, T. A., Wang, C., Wong, R.

Disability and Rehabilitation, 38:20, 2016-2027 (2016)



Purpose: This paper seeks to document the progression of disability in a developing country and to examine gender differences in this process. Methods: The data come from the Mexican Health and Aging Study (MHAS), a nationally representative sample of older adults. An ordinal logistic regression (n = 3283) is used to measure the progression of disability that considers: (1) no disability, (2) mobility problems, (3) mobility problems with IADLs limitations, (4) mobility problems with ADLs limitations, (5) combinations of the latter three and (6) death. Results: Approximately 43% of the sample remained in the same level of disability after 2 years. The patterns of progression with two disabilities differ for men and women. Conclusions: Our model reflects the importance of separating ADLs and IADLs in the study of disability progression in Mexico. Varying risk profiles and cultural differences might influence the divergent disability paths followed by each gender.