Latinas with disabilities, estimated at over 3 million U.S. women, report greater levels of disablement than White, Non-Hispanic White women with disabilities;over the life course Latinas experience increased numbers of functional limitations, more difficulties with activities of daily living, and more unemployment due to impairments. The reasons for this health disparity are unclear. This application requests four years of funding in order to examine the experience of disablement among Mexican American and White, Non-Hispanic women and to compare ethnic differences in disablement among the two groups of women. The multiple methods of ethnography - interviews, questionnaires, participant observation, life history calendars, and field notes - are essential tools for gathering the data that is necessary for developing explanatory models of disablement and for comparing differences in outcomes between ethnic groups. It is estimated that up to 120 women, 60 Mexican American and 60 Non-Hispanic White, will be selected based upon age, gender, ethnicity, and mobility impairment using purposeful sampling techniques. Current degrees of disablement will be described using quantitative measures and field notes based upon participant observation. Duration of disablement, emic descriptions of disablement, and selection of accommodations will be explored using topical biographical interviews, participant observation, and life history calendars. The analysis will be based on traditional ethnographic analyses: domain, componential, and cultural thematic analyses as specified by Spradley.

Public Health Relevance

The results of this study will provide the theoretical knowledge base needed to develop future interventions addressing health disparities in disablement among Mexican American women.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
5R01NR010360-04
Application #
8035393
Study Section
Nursing Science: Adults and Older Adults Study Section (NSAA)
Program Officer
Mccloskey, Donna J
Project Start
2008-04-09
Project End
2013-02-28
Budget Start
2011-03-01
Budget End
2013-02-28
Support Year
4
Fiscal Year
2011
Total Cost
$385,305
Indirect Cost
Name
University of Texas Austin
Department
Type
Schools of Nursing
DUNS #
170230239
City
Austin
State
TX
Country
United States
Zip Code
78712
Ricks, Tiffany N; Harrison, Tracie (2014) Disability and health: exploring the disablement experience of young adult African Americans. Disabil Rehabil 36:479-86
Divin, Chris; Volker, Deborah L; Harrison, Tracie (2013) Intimate partner violence in Mexican-American women with disabilities: a secondary data analysis of cross-language research. ANS Adv Nurs Sci 36:243-57
Hendrickson, Sherry G; Harrison, Tracie C; Lopez, Nora A et al. (2013) Translation cost, quality, and adequacy. J Nurs Scholarsh 45:185-91
Harrison, Tracie; Taylor, Jessica; Fredland, Nina et al. (2013) A qualitative analysis of life course adjustment to multiple morbidity and disability. Res Gerontol Nurs 6:57-69
Walker, Janiece L; Harrison, Tracie C; Hendrickson, Sherry G (2013) The pain and suffering of a Mexican American woman with mobility impairment. Hisp Health Care Int 11:53-61
Harrison, Tracie; Legarde, Brittany; Kim, Sunhun et al. (2013) Work related injury among aging women. Policy Polit Nurs Pract 14:16-25
Volker, Deborah L; Zolnierek, Cynthia; Harrison, Tracie et al. (2012) End of life and women aging with a disability. J Palliat Med 15:667-71
Harrison, Tracie; Stuifbergen, Alexa; Walker, Janiece et al. (2011) The meaning of gender while aging with paralytic polio. J Gerontol Soc Work 54:138-58
Volker, Deborah L; Watson, Joni; Becker, Heather et al. (2011) Assessing cancer-related learning needs of Texas nurses. Cancer Nurs 34:E20-7
Scott Ricks, Tiffany N; Harrison, Tracie (2011) Issues using the life history calendar in disability research. Disabil Health J 4:262-70

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