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 disability measures and examining the implications of trends in population age, race and ethnicity, and body mass index (BMI). METHODS:We used National Health Interview Survey data on civilian, non-institutionalized U.S. residents ages ≥ 18 from selected years between 1998 and 2011. We used self-reported information on functional impairments, activity/participation limitations, and expected duration to create 7 chronic disability measures. We used direct standardization to account for changes in age, race/ethnicity, and BMI distributions over time. Multivariable logistic regression models identified associations of disability with sociodemographic characteristics. RESULTS:Without adjustment, population rates of all 7 disabilities increased significantly (p < 0.0001) from 1998 to 2011. The absolute percentage change was greatest for movement difficulties: 19.3% in 1998 and 23.3% in 2011. After separate adjustments for trends in age, race/ethnicity, and BMI distributions, 6 disability types continued to show increased rates over time (p < 0.01), except for sensory disabilities. Over time, poor education, poverty, and unemployment remained significantly associated with disability. CONCLUSIONS:If these trends continue, the numbers and proportions of U.S. residents with various disabilities will continue rising in coming years. In particular, the prevalence of movement difficulties and work limitations will increase. Furthermore, disability will remain strongly associated with low levels of education, employment, and income.
journal_name
Disabil Health Jjournal_title
Disability and health journalauthors
Iezzoni LI,Kurtz SG,Rao SRdoi
10.1016/j.dhjo.2014.05.007subject
Has Abstractpub_date
2014-10-01 00:00:00pages
402-12issue
4eissn
1936-6574issn
1876-7583pii
S1936-6574(14)00080-6journal_volume
7pub_type
杂志文章abstract:BACKGROUND:Studies have reported that adolescents with intellectual and developmental disabilities (IDD) have a higher prevalence of obesity due to medication intake, poor diet, and physical inactivity. More importantly, they lack awareness and comprehension to prevent weight problems. Thereby, health-promoting practic...
journal_title:Disability and health journal
pub_type: 杂志文章
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更新日期:2019-10-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章,随机对照试验
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更新日期:2018-07-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
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更新日期:2020-07-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章,评审
doi:10.1016/j.dhjo.2008.04.001
更新日期:2008-07-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
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journal_title:Disability and health journal
pub_type: 杂志文章
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journal_title:Disability and health journal
pub_type: 杂志文章
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更新日期:2016-01-01 00:00:00
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journal_title:Disability and health journal
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journal_title:Disability and health journal
pub_type: 杂志文章
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journal_title:Disability and health journal
pub_type: 杂志文章,评审
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更新日期:2011-07-01 00:00:00
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更新日期:2016-07-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
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更新日期:2018-01-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2018.07.009
更新日期:2019-01-01 00:00:00
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journal_title:Disability and health journal
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journal_title:Disability and health journal
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journal_title:Disability and health journal
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更新日期:2019-07-01 00:00:00
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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
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journal_title:Disability and health journal
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更新日期:2017-01-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
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更新日期:2015-10-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章,多中心研究
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journal_title:Disability and health journal
pub_type: 杂志文章
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更新日期:2013-10-01 00:00:00
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更新日期:2021-01-09 00:00:00
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journal_title:Disability and health journal
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更新日期:2017-01-01 00:00:00
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journal_title:Disability and health journal
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journal_title:Disability and health journal
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doi:10.1016/j.dhjo.2013.04.006
更新日期:2013-10-01 00:00:00
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更新日期:2020-04-01 00:00:00
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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
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journal_title:Disability and health journal
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更新日期:2019-07-01 00:00:00
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