Secondary conditions in a community-based sample of women with physical disabilities over a 1-year period
Secondary conditions in a community-based sample of women with physical disabilities over a 1-year period
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DOI：
10.1016/j.apmr.2005.11.003
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发表时间：
2006-03-01
影响因子：
4.3
通讯作者：
Morgan, R
中科院分区：
文献类型：
--
作者：
Nosek, MA;Hughes, RB;Morgan, R
一年内以社区为基础的身体残疾妇女样本的次要状况。 Arch Phys Med Rehabil 2006;87:320-7。目的：检查身体残疾妇女继发性疾病的患病率和预测因素。设计：横断面。背景：通过私人和公共卫生诊所以及各种社区组织招募妇女。参与者：443 名身体残疾的少数民族妇女样本。干预措施：不适用。主要结果测量：健康状况检查表干扰评分。结果：汇总数据为期一年的研究显示，几乎所有样本都报告了疼痛（94.5%）和疲劳（93.7%）的干扰，并且至少四分之三的样本报告了痉挛（85.4%）、虚弱（81.8%）、睡眠问题（80.2%）、视力障碍（77.9%）和循环系统问题（77.9%）的问题。该样本中的肥胖率 (47.6%) 远高于一般女性人群 (34.0%)。每个女性患有次要病症的平均数 +/- 标准差为 14.6 +/- 6.2（范围为 1-42），其中 75% 的样本认可 10 种或更多病症。平均而言，女性报告经历过 5.7 +/- 4.03（范围，0-20）种被她们评为严重或慢性的病症。回归分析中解释了干扰分数差异的三分之一 (33.4%)，其中种族、残疾类型（患有关节和结缔组织疾病的女性和患有脊髓灰质炎后的女性报告的总体干扰分数最高）、更大的功能限制和较低的一般心理健康水平导致了显着差异。结论：身体残疾女性的继发性疾病比之前文献报道的问题要严重得多。需要进一步研究来确定残疾妇女和非残疾妇女的健康差异。讨论了测量问题和这些发现的临床相关性。
Secondary conditions in a community-based sample of women with physical disabilities over a 1-year period. Arch Phys Med Rehabil 2006;87:320-7.Objective: To examine prevalence and predictors of secondary conditions in women with physical disabilities.Design: Cross-sectional.Setting: Women were recruited through private and public health clinics and various community organizations.Participants: A sample of 443 predominantly ethnic minority women with physical disabilities.Interventions: Not applicable.Main Outcome Measure: Health Conditions Checklist interference score.Results: Aggregated data over a 1-year period showed that nearly the entire sample reported interference from pain (94.5%) and fatigue (93.7%) and that at least three quarters of the sample reported problems with spasticity (85.4%), weakness (81.8%), sleep problems (80.2%), vision impairment (77.9%), and circulatory problems (77.9%). Obesity was substantially more prevalent in this sample (47.6%) than in the general population of women (34.0%). The mean number of secondary conditions per woman +/- standard deviation was 14.6 +/- 6.2 (range, 1-42), with 75% of the sample endorsing 10 or more conditions. On average, women reported experiencing 5.7 +/- 4.03 (range, 0-20) conditions that they rated as significant or chronic. A third (33.4%) of the variance in interference scores was accounted for in the regression analysis, with significant variance accounted for by race, disability type (women with joint and connective tissue disorders and women with postpolio reported the highest overall interference scores), greater functional limitations, and lower levels of general mental health.Conclusions: Secondary conditions in women with physical disabilities are substantially more problematic than reported previously in the literature. Further research is needed to determine health disparities of women with and without disabilities. Measurement issues and the clinical relevance of these findings are discussed.