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Disability Trends by Marital Status Among Older Americans, 1997–2010: An Examination by Gender and Race

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  • Hui Liu
  • Zhenmei Zhang

Abstract

This study examined disability trends by marital status among older adults aged 60 and above from 1997 to 2010 in the U.S. We addressed two questions: (1) Has the relationship between marital status and disability changed over the study period? (2) Can the trends be explained by changes in socioeconomic status? We paid special attention to potential gender and racial variations in these patterns. Data were drawn from the National Health Interview Surveys (NHIS) 1997–2010 (N = 170,446). Consistent with previous literature, our results from logistic regression models suggested that the married had lower odds of reporting either ADL or IADL disability than the unmarried groups over the entire study period across all gender and racial subgroups examined. More importantly, we found that the ADL disability gaps of widowed white men, widowed white women, and divorced white women in comparison to their married white counterparts decreased from 1997 to 2010; the IADL disability gaps of widowed white men and widowed black women in comparison to their married counterparts also decreased, while the IADL disability gap between never married white men and married white men increased over time. Socioeconomic status could explain little of these trends. These results, coupled with the growth of unmarried elderly population, suggest that the national long-term care system needs to get prepared for the potentially significant increase in demand for their services among the vulnerable unmarried elderly (especially blacks) and provide affordable and adequate services to those in need. Copyright Springer Science+Business Media Dordrecht 2013

Suggested Citation

  • Hui Liu & Zhenmei Zhang, 2013. "Disability Trends by Marital Status Among Older Americans, 1997–2010: An Examination by Gender and Race," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 32(1), pages 103-127, February.
    • Handle: RePEc:kap:poprpr:v:32:y:2013:i:1:p:103-127
    DOI: 10.1007/s11113-012-9259-0
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    Cited by:

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    2. Ning Hsieh & Hui Liu, 2019. "Bisexuality, Union Status, and Gender Composition of the Couple: Reexamining Marital Advantage in Health," Demography, Springer;Population Association of America (PAA), vol. 56(5), pages 1791-1825, October.
    3. Kenneth Couch & Christopher Tamborini & Gayle Reznik, 2015. "The Long-Term Health Implications of Marital Disruption: Divorce, Work Limits, and Social Security Disability Benefits Among Men," Demography, Springer;Population Association of America (PAA), vol. 52(5), pages 1487-1512, October.
    4. Pellón-Elexpuru, Inés & Van Dijk, Rianne & Van der Valk, Inge & Martínez-Pampliega, Ana & Molleda, Asier & Cormenzana, Susana, 2024. "Divorce and physical health: A three-level meta-analysis," Social Science & Medicine, Elsevier, vol. 352(C).
    5. Zhang, Zhenmei & Liu, Hui & Choi, Seung-won Emily, 2021. "Marital loss and risk of dementia: Do race and gender matter?," Social Science & Medicine, Elsevier, vol. 275(C).
    6. Glenn Sandström & Fredinah Namatovu & Jens Ineland & Daniel Larsson & Nawi Ng & Mikael Stattin, 2021. "The Persistence of High Levels of Living Alone Among Adults with Disabilities in Sweden, 1993–2011," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 40(2), pages 163-185, April.

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