Abstract：
BACKGROUND:People with disabilities tend to be at risk for secondary conditions. There is a need for comprehensive disability and health databases, including geographic information systems to evaluate trends in health, functioning, and employment. OBJECTIVE:We evaluated county levels in morbidity and mortality across the Southeastern United States using spatial regression, examining 2015 trends in accordance with Healthy People 2020 objectives. METHODS:We merged 2015 National County Health Rankings and the 2015 Social Security Administration's Report on SSDI Beneficiaries, all for n = 1387 Southeastern U.S. county units. We used GeoDa to regress health and disability multivariable models for the dependent variable, age-adjusted Years of Potential Life Lost (YPLL) per 100,000 population. RESULTS:The principal Health/Demographic multivariable model of factors impacting YPLL yielded an adjusted R2 = 0.743 (F = 188.3, p < 0.001) with percentage physically inactive, preventable hospital stays, percentage diabetics, and low college attendance figuring prominently. A Socioeconomic/Demographic multivariable model impacting YPLL yielded R2 = 0.631 (F = 156.0, p < 0.001), with disability and percentage unemployment being major associated variables. CONCLUSIONS:For the Southeastern U.S., counties with higher prevalence of SSDI disability workers correlated with significantly higher YPLL and poorer health outcomes. The research augments CDC Disability and Health GIS systems to measure Healthy People 2020 outcomes for persons with disabilities nationwide. Spatial regression represents a robust approach for improved analysis of geographic data for population health measures.
journal_name
Disabil Health Jjournal_title
Disability and health journalauthors
Hollar DW Jrdoi
10.1016/j.dhjo.2017.01.003subject
Has Abstractpub_date
2017-10-01 00:00:00pages
518-524issue
4eissn
1936-6574issn
1876-7583pii
S1936-6574(17)30005-5journal_volume
10pub_type
杂志文章abstract：BACKGROUND:Caregiving roles of children <18 years of age living with parents with health conditions or disability have been studied extensively abroad, but little U.S. research has examined the caregiving activities and perceptions of children with parents with significant physical disability. OBJECTIVE:To examine chi...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2015.10.009
更新日期：2016-04-01 00:00:00
abstract：BACKGROUND:Women with disabilities report fewer pregnancies than those without disabilities. OBJECTIVE:To explore the range of factors involved in pregnancy decision-making among women with disabilities, and give insight into the decision making process. METHODS:Data were obtained from 4 focus groups conducted with 2...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2017.02.011
更新日期：2017-07-01 00:00:00
abstract：BACKGROUND:Hip osteoarthritis, a common age-associated condition, produces considerable disability that may be influenced by a variety of factors other than age. This study examines the magnitude and impact of the presence of comorbid and/or concurrent depression and anxiety symptoms on the disability experienced befor...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2008.10.001
更新日期：2009-01-01 00:00:00
abstract：BACKGROUND:Studies suggest that women with disabilities experience health and health care disparities before, during, and after pregnancy. However, existing perinatal health and health care frameworks do not address the needs and barriers faced by women with physical disabilities around the time of pregnancy. A new fra...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2015.05.007
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:The transition to adulthood, the gradual change in roles and responsibilities, is identified as a challenging time for adolescents and young adults with physical disabilities, including those with cerebral palsy. Health care, education, employment, independent living, and community engagement have been ident...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2016.09.008
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:the purpose of this study was to describe the distribution and relationship of 16 secondary medical problems, impairments, and participation limitations among adults with disabilities to demographic characteristics, self-reported health, satisfaction with life, and social participation. METHODS:data were an...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2007.11.006
更新日期：2008-01-01 00:00:00
abstract：BACKGROUND:Disability is a dynamic process where functional status may change over time. Examination of the Medicare population suggests that, for those over age 65, disability status will fluctuate in 30% of beneficiaries each year. Less is known about those under age 65. The dynamic nature of disability is of relevan...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2013.10.007
更新日期：2014-04-01 00:00:00
abstract：BACKGROUND:Patient at Risk (PAR) is an online database using an emergency information form (EIF) that parents of children with special health care needs (CSHCN) complete to store their child's medical information. Emergency medical service (EMS) providers can then access PAR during medical emergencies or for pre-planni...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2019.100852
更新日期：2020-04-01 00:00:00
abstract：:This article reviews much of the history of the Surgeon General's Call to Action to Improve the Health and Wellness of Persons with Disabilities and its implications 5 years after publication. This article also reviews historical trends related to disability legislation such as the Social Security Act, the Civil Right...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2010.07.004
更新日期：2010-10-01 00:00:00
abstract：BACKGROUND:There are growing numbers of adults aging with long-term mobility disabilities. Very little is known about the challenges this population experiences with everyday activities, and such challenges are likely to be greater and more complex than those of older adults who experience mobility declines later in li...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2020.100936
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:Female sterilization accounts for 50% of all contraceptive use in the U.S. The extent to which U.S. women with physical and/or sensory disabilities have undergone female sterilization is unknown. OBJECTIVE:Our primary objective was to determine the prevalence of sterilization for women with physical/sensory...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2016.12.020
更新日期：2017-07-01 00:00:00
abstract：BACKGROUND:A substantial and increasing population of US women of childbearing age live with disability. Disability-based disparities in access to family planning services have been previously documented, but few studies have used population-based data sources or evidence-based measures of disability. OBJECTIVE:To det...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2017.03.014
更新日期：2017-07-01 00:00:00
abstract：BACKGROUND:Prior studies on the impact of disabling work injury have neglected social support as a key mediating factor. This study investigates how permanent impairment from a work injury affects marital formation, an indicator of social support and integration with the potential to affect psychosocial adjustment and ...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2012.10.001
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND:Negative attitudes toward disability cause difficulties in integrating persons with disabilities (PWDs) into society and limit their access to health care, education, employment, and leisure. Being aware of societal attitudes toward disability may help explain discrimination against PWDs and draw attention t...
journal_title：Disability and health journal
pub_type： 杂志文章,评审
doi：10.1016/j.dhjo.2016.01.008
更新日期：2016-07-01 00:00:00
abstract：BACKGROUND:Middle-aged and older African American women experience disproportionate rates of functional limitations and disability from osteoarthritis (OA) compared to other racial ethnic groups; however, little is known about what factors contribute to this disparity within African American women. OBJECTIVE:To examin...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2016.02.004
更新日期：2016-07-01 00:00:00
abstract：BACKGROUND:Adolescents with intellectual and developmental disabilities (IDD) have high rates of obesity. However, little research has been conducted demonstrating effective strategies and barriers for weight loss or weight management in adolescents with IDD. Furthermore, parents play a large role in terms of weight ma...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2015.07.003
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:Physical activity is an essential component of a healthy lifestyle. Health clubs encourage sustained healthy lifestyles but are still largely not accessible to people with disabilities. Cost is a barrier for accessibility enhancements. HYPOTHESIS:We postulate that: (A) universal design coupled with a social...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2020.101006
更新日期：2020-09-18 00:00:00
abstract：BACKGROUND:Women with intellectual and developmental disabilities (IDD) are bearing children at increasing rates. However, there is very little research about pregnancy experiences and birth outcomes among women with IDD. No studies to date have examined birth outcomes with a US population-based sample. OBJECTIVE:The ...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2017.02.010
更新日期：2017-07-01 00:00:00
abstract：BACKGROUND:Trends in the patterns and prevalence of chronic disability among U.S. residents carry important implications for public health and public policies across multiple societal sectors. OBJECTIVES:To examine trends in U.S. adult population rates of chronic disability from 1998 to 2011 using 7 different disabili...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2014.05.007
更新日期：2014-10-01 00:00:00
abstract：BACKGROUND:The Washington Group Short Set (WGSS) is increasingly being included in surveys worldwide to improve the quality and comparability of disability data within and between nations. However, compared to commonly employed binary impairment measures, the WGSS appears to have a relatively high threshold for disabil...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2020.100995
更新日期：2020-09-12 00:00:00
abstract：BACKGROUND:With decreased length of stay for inpatient rehabilitation, individuals with newly acquired spinal cord injury (SCI) might be discharged back into the community without the level of knowledge and functional skills necessary to live successfully post injury. This research studied the course of recovery and ou...
journal_title：Disability and health journal
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.dhjo.2012.03.005
更新日期：2012-07-01 00:00:00
abstract：BACKGROUND:Universal access and equity are salient principles of the World Health Organization global action plan 'Towards Universal Eye Health'. However, collection of disability-disaggregated data to measure access to eye hospitals in low- and middle income countries, including referral to rehabilitative services, ar...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2018.07.005
更新日期：2018-10-01 00:00:00
abstract：BACKGROUND:Advances in medical care have increased the long-term survival of patients with spina bifida. Despite this growing population, limited knowledge is available on age-related illnesses in adults with spina bifida, particularly prostate cancer for which there is no published data. OBJECTIVE:Our aim was to desc...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2019.100866
更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:People with disabilities experience barriers to receiving healthcare and often have worse health outcomes, but data on disability is rarely routinely collected in a standardized way. OBJECTIVE:This study examined how patients responded to being asked about disabilities as part of a routine, self-administere...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2019.100872
更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:Adults with long-term disability are living longer and may experience accelerated aging. More information is needed to understand the incidence of chronic comorbid medical conditions in this population. OBJECTIVE:To examine the incidence, prevalence, age of onset and predictors of five chronic conditions in...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2016.02.002
更新日期：2016-07-01 00:00:00
abstract：BACKGROUND:Individuals with spinal cord injury (SCI) consume more dietary supplements than the general population. However, there is limited information regarding the clinical effectiveness of dietary supplements in SCI population. OBJECTIVE:To systematically review the effectiveness of dietary supplements for the pre...
journal_title：Disability and health journal
pub_type： 杂志文章,评审
doi：10.1016/j.dhjo.2016.12.002
更新日期：2017-04-01 00:00:00
abstract：BACKGROUND:Poor medication adherence exerts a substantial negative impact on the health and well-being of individuals with multiple sclerosis (MS). Improving adherence rates requires a proactive approach of frequent and ongoing monitoring; however, this can be difficult to achieve within traditional, reactive health ca...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2015.08.008
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:The accessibility of public facilities for all is an issue increasingly gaining focus in policy debates, especially regarding the ageing population. OBJECTIVE:This paper describes a psychometric approach to the development of a new instrument for assessing the accessibility of public entrances. METHODS:Ite...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2019.02.007
更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:Perceived social support has been found to be associated with depression, subjective well-being and psychological health in cross-sectional studies in people with physical disabilities. No longitudinal studies have been conducted to examine these associations over time using a comprehensive measure of social...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2018.09.005
更新日期：2019-04-01 00:00:00
abstract：BACKGROUND:In low-income countries, like Malawi, approaches aimed at improving access to household sanitation for persons with disabilities have been limited, and often do not include post-intervention process evaluations. 6% of Malawi's population reports defecating outside rather than in a sanitation facility, and 4%...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2019.05.007
更新日期：2019-10-01 00:00:00
