Disparities in chronic conditions and health status by type of disability.
Disparities in chronic conditions and health status by type of disability.
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DOI：
10.1016/j.dhjo.2013.04.006
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发表时间：
2013-10
影响因子：
4.5
通讯作者：
Expert Panel on Disability and Health Disparities
中科院分区：
文献类型：
--
作者：
Horner-Johnson W;Dobbertin K;Lee JC;Andresen EM;Expert Panel on Disability and Health Disparities
先前的研究已经确定了残疾人和非残疾人之间的健康差异。然而，对残疾人口内部的差异，如与残疾类型有关的差异，研究得要少得多。研究不同残疾类型人群在慢性病和健康状况方面的差异。我们分析了2002-2008年医疗支出调查的年度数据文件。Logistic回归分析从三个方面考虑了差异：1）基本差异，未调整其他因素; 2）控制关键的人口统计学和健康协变量; 3）控制更大的人口统计学变量和社会经济地位以及健康和获得医疗保健的机会。有视力、身体、认知或多种残疾类型的人在大多数健康结果上比听力障碍的人表现更差。对于有多种残疾的人来说，这一点最为一致。即使考虑了所有协变量，与听力障碍（参考组）相比，多种残疾的人更有可能报告除BMI ≥ 25和肺部疾病外的所有不良健康结果（p < 0.05）。虽然在控制其他因素后，残疾类型之间的许多差异有所减少，但有些差异仍然很大。这就要求采取更加个性化的方法来了解和预防特定残疾群体的慢性病和健康状况不佳。
Prior research has established health disparities between people with and without disabilities. However, disparities within the disability population, such as those related to type of disability, have been much less studied. To examine differences in chronic conditions and health status between subgroups of people with different types of disability. We analyzed Medical Expenditure Panel Survey annual data files from 2002-2008. Logistic regression analyses considered disparity from three perspectives: 1) basic differences, unadjusted for other factors; 2) controlling for key demographic and health covariates; and 3) controlling for a larger set of demographic variables and socioeconomic status as well as health and access to healthcare. Individuals with vision, physical, cognitive, or multiple disability types fared worse than people with hearing impairment on most health outcomes. This was most consistently true for people with multiple disabilities. Even when all covariates were accounted for, people with multiple types of disability were significantly more likely (p < 0.05) than those with hearing impairment (reference group) to report every poor health outcome with the exception of BMI ≥ 25 and lung disease. While many of the differences between disability types were reduced when controlling for other factors, some differences remained significant. This argues for a more individualized approach to understanding and preventing chronic conditions and poor health in specific disability groups.
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影响因子：
4.5
作者：
Drum, Charles E.;Horner-Johnson, Willi;Krahn, Gloria L.
通讯作者：
Krahn, Gloria L.
影响因子：
2.5
作者：
Hassiotis A;Serfaty M;Azam K;Strydom A;Martin S;Parkes C;Blizard R;King M
通讯作者：
King M
影响因子：
1.5
作者：
Nosek, MA;Howland, C;Chanpong, GF
通讯作者：
Chanpong, GF
影响因子：
3.2
作者：
Chevarley, Frances M.;Thierry, JoAnn M.;Nosek, Margaret A.
通讯作者：
Nosek, Margaret A.
影响因子：
3
作者：
Cohen, Joel W.;Cohen, Steven B.;Banthin, Jessica S.
通讯作者：
Banthin, Jessica S.