Health disparities among adults with physical disabilities or cognitive limitations compared to individuals with no disabilities in the United States
Health disparities among adults with physical disabilities or cognitive limitations compared to individuals with no disabilities in the United States
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DOI：
10.1016/j.dhjo.2010.05.003
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发表时间：
2011-04-01
影响因子：
4.5
通讯作者：
Fox, Michael H.
中科院分区：
文献类型：
--
作者：
Reichard, Amanda;Stolzle, Hayley;Fox, Michael H.
背景：全国调查数据显示，报告残疾的人数正在增加。残疾人在健康促进和疾病预防方案拟订方面遇到许多障碍。然而，只有有限的研究使用了全国代表性的数据，以检查个人的健康状况与残疾人相比，那些没有disability.Objective/Hypothesis：我们使用的医疗支出面板调查（MEPS），以检查是否残疾与常见慢性病的患病率较高，较低的使用预防保健和较高的医疗保健支出。我们的研究假设是，在全国范围内，与没有残疾的人相比，有身体残疾或认知限制的成年人经历了显着的健康差异。我们进行了一项回顾性分析，（18岁及以上）使用2006年全年医疗支出综合数据文件中的数据，小组调查。我们使用卡方检验，t检验，和logistic回归评估association.Results：个人与身体残疾或认知局限性有显着较高的患病率为7种慢性疾病比没有残疾的人。残疾组也显着不太可能比没有残疾组接受3种类型的preventive careers.Conclusions：这些数据表明，残疾和慢性疾病的成年人接受的预防服务显着减少，健康状况较差的个人没有残疾谁有相同的健康状况。这表明需要采取公共卫生干预措施，解决成年残疾人的独特特点，其中许多人面临费用高、使人衰弱的风险，而这些风险对其他人口部分的影响可能不那么严重。爱思唯尔公司出版
Background: National survey data indicate the number of individuals reporting a disability is rising. Those with disabilities experience a large number of barriers to health promotion and disease prevention programming. However, only a limited number of studies have used nationally representative data to examine the health status of individuals with disabilities in comparison to those without disabilities.Objective/Hypothesis: We used the Medical Expenditures Panel Survey (MEPS) to examine whether disability is associated with higher prevalence rates for common chronic diseases, lower use of preventive care and higher health care expenditures. Our research hypothesis was that nationally, adults with either physical disability or cognitive limitations experience significant health disparities in comparison to those with no disability.Methods: We conducted a retrospective analysis comparing the health of adults (18 and over) with physical disabilities or cognitive limitations to individuals with no disability using data from the 2006 full year consolidated data file from the Medical Expenditures Panel Survey (MEPS). We used chi-squared tests, t-tests, and logistic regression to evaluate the association.Results: Individuals with physical disabilities or cognitive limitations had significantly higher prevalence rates for 7 chronic diseases than persons with no disabilities. The disability groups were also significantly less likely than the no disability group to receive 3 types of preventive care.Conclusions: These data suggest that adults with disabilities and chronic conditions receive significantly fewer preventive services and have poorer health status than individuals without disabilities who have the same health conditions. This indicates a need for public health interventions that address the unique characteristics of adults with disabilities, many of whom are at risk for high cost, debilitating conditions that may not have as severe an effect on other population segments. Published by Elsevier Inc.