Health Disparities Among Childrearing Women with Disabilities
Health Disparities Among Childrearing Women with Disabilities
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DOI：
10.1007/s10995-012-1118-4
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发表时间：
2013-09-01
影响因子：
2.3
通讯作者：
Fredriksen-Goldsen, Karen I.
中科院分区：
文献类型：
--
作者：
Kim, Miok;Kim, Hyun-Jun;Fredriksen-Goldsen, Karen I.
这项研究考察了残疾育儿妇女的主要健康指标，包括与健康相关的生活质量、慢性健康状况、不良和预防性健康行为、卫生保健途径以及社会和情感支持。这项研究分析了华盛顿州行为风险因素监测系统(n=28,629)的汇总数据。比较了残疾育儿妇女(18-59岁)和非残疾育儿妇女关键健康指标的加权患病率。应用了一系列调整后的Logistic回归分析，控制了混杂变量。与非残疾育儿妇女相比，残疾育儿妇女不太可能有伴侣或配偶，报告的收入和教育水平较低，而且年龄较大。与非残疾育儿妇女相比，残疾育儿妇女报告的与健康相关的生活质量显著降低，包括总体健康状况差(调整后的优势比[AOR]=6.85；p<；.001)，经常精神困扰(AOR=4.02；p<；.001)，经常身体健康差(AOR=9.34；p<；.001)；慢性健康问题的患病率较高，包括关节炎、心血管疾病、糖尿病、哮喘、高血压和胆固醇，以及肥胖(调整后的优势比=1.59至5.65；p<；；在控制了年龄、教育、收入和关系状况的情况下，不良健康行为的发生率更高，包括吸烟(AOR=2.14；p<；.001)和缺乏锻炼(AOR=1.61；p<；.001)；更多的经济障碍(AOR=2.11；p<；.001)以及缺乏社会和情感支持(AOR=2.05；p<；.001)。基于人口层面的数据，这项研究显示，育儿残疾妇女在许多关键健康指标上面临着健康差距的风险增加，其中许多指标是可以预防和改变的。这些调查结果突出表明，必须查明促成因素并制定干预措施，以改善残疾育儿妇女的健康和生活质量。
This study examines leading health indicators for childrearing women with disabilities, including health-related quality of life, chronic health conditions, adverse and preventive health behaviors, health care access, and social and emotional support. The study analyzes aggregated data from the Washington State Behavioral Risk Factor Surveillance System (n = 28,629). The weighted prevalence of key health indicators of childrearing women with disabilities (aged 18-59) are compared with childrearing women without disabilities. A series of adjusted logistic regression analyses are applied, controlling for confounding variables. When compared to childrearing women without disabilities, childrearing women with disabilities are less likely to have a partner or spouse, report lower income and education levels and are older. Childrearing women with disabilities, compared to childrearing women without disabilities, report significantly lower health-related quality of life including poor general health (adjusted odds ratio[AOR] = 6.85; p < .001), frequent mental distress (AOR = 4.02; p < .001), and frequent poor physical health (AOR = 9.34; p < .001); higher prevalence of chronic health conditions, including arthritis, cardiovascular diseases, diabetes, asthma, high blood pressure and cholesterol, and obesity (the range of AORs = 1.59 to 5.65; p < .001); higher prevalence of adverse health behaviors including smoking (AOR = 2.14; p < .001) and lack of exercise (AOR = 1.61; p < .001); more financial barriers to health care (AOR = 2.11; p < .001) and lack of social and emotional support (AOR = 2.05; p < .001) while controlling for age, education, income, and relationship status. Based on population level data, the study reveals that childrearing women with disabilities experience elevated risks of health disparities across many key health indicators, many of which are preventable and modifiable. These findings underscore the importance of identifying contributing factors and developing interventions to improve the health and quality of life of childrearing women with disabilities.