Persons With Disabilities as an Unrecognized Health Disparity Population
Persons With Disabilities as an Unrecognized Health Disparity Population
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DOI：
10.2105/ajph.2014.302182
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发表时间：
2015-04-01
影响因子：
12.7
通讯作者：
Correa-De-Araujo, Rosaly
中科院分区：
文献类型：
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作者：
Krahn, Gloria L.;Walker, Deborah Klein;Correa-De-Araujo, Rosaly
残疾是公共卫生领域的一个新兴领域;有严重残疾的人占美国人口的12%以上。这一群体的不平等地位将使联邦和州政府能够积极努力减少不平等。我们总结了证据，并建议观察到的差异足以满足健康差异的标准：健康结果的人口水平差异与广泛的劣势历史有关，这些劣势是可以避免的，主要不是由潜在的残疾引起的。我们建议未来的研究和政策方向，以解决残疾人的健康不平等，其中包括改善获得医疗保健和人类服务，增加数据，以支持决策，加强卫生和人类服务的劳动力能力，明确纳入残疾人的公共卫生计划，并增加应急准备。
Disability is an emerging field within public health; people with significant disabilities account formore than 12% of the US population. Disparity status for this group would allow federal and state governments to actively work to reduce inequities. We summarize the evidence and recommend that observed differences are sufficient to meet the criteria for health disparities: population-level differences in health outcomes that are related to a history of wide-ranging disadvantages, which are avoidable and not primarily caused by the underlying disability. We recommend future research and policy directions to address health inequities for individuals with disabilities; these include improved access to health care and human services, increased data to support decision-making, strengthened health and human services workforce capacity, explicit inclusion of disability in public health programs, and increased emergency preparedness.