Health, preventive health care, and health care access among women with disabilities in the 1994-1995 national health interview survey, supplement on disability
Health, preventive health care, and health care access among women with disabilities in the 1994-1995 national health interview survey, supplement on disability
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DOI：
10.1016/j.whi.2006.10.002
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发表时间：
2006-11-01
影响因子：
3.2
通讯作者：
Nosek, Margaret A.
中科院分区：
文献类型：
--
作者：
Chevarley, Frances M.;Thierry, JoAnn M.;Nosek, Margaret A.
目标.这项研究提供了关于成年残疾妇女的健康、预防性保健和获得保健的全国估计数。我们比较了有1或2个功能限制（FL）和>= 3个FL的女性与没有FL的女性。所涵盖的主题包括人口特征，选定的报告的健康措施，选定的临床预防服务，并选择获得保健指标和医疗保健覆盖面。本报告中的估计数是根据1994-1995年全国健康访谈调查，残疾问题补充资料（NHIS-D）的数据得出的。在1994年和1995年NHIS-D的合并估计中，使用的年龄≥ 18岁的女性样本量为77，762。据估计，16%的≥ 18岁的女性至少有1个FL。与没有FL的女性相比，有FL的女性不太可能将自己的健康状况评为优秀或非常好，而更有可能将自己的健康状况报告为一般或较差。患有FL的女性也更有可能报告目前吸烟，患有高血压，超重和经历心理健康问题。在≥ 65岁的女性中，与没有FL的女性相比，有FL的女性在过去一年内接受巴氏涂片检查的可能性也较低，而有≥ 3个FL的女性在过去一年内接受乳房X光检查的可能性也较低。与没有FL的女性相比，无论年龄组如何，FL>= 3的女性更有可能报告无法获得一般医疗护理，牙科护理，处方药或眼镜。据报告，无法得到一般护理的主要原因是经济问题或保险有限。这些研究结果表明，研究人员，临床医生和公共卫生专业人员需要更加关注残疾妇女的医疗保健需求。
Objectives. This study presents national estimates on the health, preventive health care, and health care access of adult women with disabilities. We compared women with 1 or 2 functional limitations (FLs) and >= 3 FLs with women with no FLs. Topics covered included demographic characteristics, selected reported health measures, selected clinical preventive services, and selected access to care indicators and health care coverage.Methods. Estimates in this report were based on data from the 1994-1995 National Health Interview Survey, Supplement on Disability (NHIS-D). The sample size for women >= 18 years of age used in producing the estimates from the combined 1994 and 1995 NHIS-D was 77,762.Results. An estimated 16% of women >= 18 years of age had difficulty with at least 1 FL. Women with FLs were less likely to rate their health as excellent or very good and more likely to report their health as fair or poor when compared with women with no FLs. Women with FLs were also more likely to report being a current smoker, having hypertension, being overweight, and experiencing mental health problems. Among women >= 65 years of age, those with FLs were also less likely to have received Pap smear tests within the past year and those with >= 3 FLs were less likely to have received mammograms within the past year than women with no FLs. Women with >= 3 FLs were more likely to report being unable to get general medical care, dental care, prescription medicines, or eyeglasses, regardless of age group, compared with women with no FLs. The main reasons reported for being unable to receive general care were financial problems or limitations in insurance. These findings suggest that increased attention to the health care needs of women with disabilities from researchers, clinicians, and public health professionals is warranted.