Disparities in mortality by disability: an 11-year follow-up study of 1 million individuals.

Abstract:

OBJECTIVES:This longitudinal study examines to what extent the risk of mortality-all-cause, natural death, suicide, and unintentional injury mortality-differs by types and severity of disabilities as well as disability status. METHODS:Data were the National Sample Cohort of 1,025,340 individuals in South Korea followed from 2002 to 2013. Cox regression with time-variant variables was used to estimate the hazard ratio of mortality by disability. RESULTS:Individuals with disabilities had a higher risk of mortality compared to those without (HR 1.84, 95% CI 1.80-1.88 for natural death; HR 1.83, 95% CI 1.64-2.03 for suicide; HR 1.54, 95% CI 1.38-1.71 for unintentional injury). All types of disability were associated with an increased risk of natural death. Individuals with mental disability were the highest risk group for suicide (HR 7.14, 95% CI 5.31-9.60). People defined as having severe disability had an elevated risk for all categories of mortality. CONCLUSIONS:Disabilities are important markers of high risk of mortality. Findings call for actions to reduce mortality risk of people with disabilities, including preventing suicidal behaviors of those with mental disability.

journal_name

Int J Public Health

authors

Park JM,Oh U,Roh BR,Moon Y

doi

10.1007/s00038-017-0966-5

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

989-996

issue

9

eissn

1661-8556

issn

1661-8564

pii

10.1007/s00038-017-0966-5

journal_volume

62

pub_type

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