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 relevance since it has important implications for social policies related to disability. OBJECTIVES:To: (1) describe the characteristics of Medicare beneficiaries eligible due to disability; and (2) estimate the proportion of individuals with transitions in functional status over a one-year period stratified by baseline characteristics and diagnostic subgroups. METHODS:We used the Medicare Current Beneficiary Survey from 1995 to 2005 to examine transitions in mobility and daily activities among individuals who were eligible for Medicare coverage due to disability. RESULTS:From the standpoint of function in mobility and daily activities, the working-age Medicare population with disability is fairly stable. While 75%-90% of our sample reported no disability or stable disability from one year to the next, depending on the condition and disability metric, as many as 13-14% of individuals showed improvement or decline in their functional status. CONCLUSIONS:In the working-age population with disability, a small percentage of individuals will improve or worsen from one year to the next. Since these transitions are associated with a variety of individual characteristics including health conditions, further research applied to larger samples is required to refine policy relevant models that might inform decisions related to ongoing eligibility for disability programs.
journal_name
Disabil Health Jjournal_title
Disability and health journalauthors
Ciol MA,Rasch EK,Hoffman JM,Huynh M,Chan Ldoi
10.1016/j.dhjo.2013.10.007subject
Has Abstractpub_date
2014-04-01 00:00:00pages
206-15issue
2eissn
1936-6574issn
1876-7583pii
S1936-6574(13)00168-4journal_volume
7pub_type
杂志文章abstract:BACKGROUND:No definitive conclusions have been made on the levels of physical activity in the rheumatoid arthritis (RA) population. Similarly no clear consensus has been reached on the correlates and predictors of physical activity in the population. OBJECTIVE:To profile total energy expenditure (TEE), resting energy ...
journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2015.03.008
更新日期:2015-10-01 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
abstract:BACKGROUND:Adolescents with disabilities (AWD) often report higher loneliness levels than adolescents without disabilities, as they frequently encounter barriers to social participation. A negative relationship between physical activity (PA) and loneliness has been established outside of AWD populations, while few stud...
journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2021.101060
更新日期:2021-01-09 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::The concept of disability has medical, functional, and social components. We review the frameworks for the definition of disability and endorse a multidimensional approach that is parsimonious and has utility for epidemiology. We need to be able to count people with disabilities to quantify service and support needs, ...
journal_title:Disability and health journal
pub_type: 杂志文章,评审
doi:10.1016/j.dhjo.2010.06.002
更新日期:2011-01-01 00:00:00
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 ...
journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2017.01.003
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Women with disabilities experience higher rates of intimate partner violence (IPV) than the general population. Reproductive coercion, a type of intimate partner violence, is associated with an increased risk of unintended pregnancy (UIP), yet little is known about this relationship among women with disabili...
journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2019.100849
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Florida has the third largest population in the U.S. of persons living with disabilities, making optimizing health outcomes for this population paramount. Though the state has a long-standing and robust program to reduce tobacco use, prevention efforts do not specifically target persons with disabilities. O...
journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2013.01.008
更新日期:2013-07-01 00:00:00
abstract::The World Health Organization in collaboration with the World Bank developed the World Report on Disability to inform governments of countries about the importance of disability, analyze scientific information, and provide recommendations for action at the national and international levels. The report is remarkably re...
journal_title:Disability and health journal
pub_type: 杂志文章,评审
doi:10.1016/j.dhjo.2011.05.001
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Little is known about the availability and technical quality of online information related to the medical care of people with disability, despite the potential of this information to alter clinical interactions and treatment decisions. OBJECTIVES:This review examines the utility of internet search engines f...
journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2019.100877
更新日期:2020-04-01 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:BACKGROUND:Between 250,000 and 400,000 individuals in the United States are diagnosed with Down syndrome (DS). Nearly all adults with DS will develop Alzheimer's disease pathology starting in their thirties. Recent studies suggest that increased physical activity (PA) may be important for maintaining components of cogn...
journal_title:Disability and health journal
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.dhjo.2018.02.003
更新日期:2018-07-01 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: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:A growing number of states are turning to managed care arrangements to provide care to senior and disabled Medicaid beneficiaries. Despite their complex care needs, very little is known about the experience of these individuals in managed care. OBJECTIVE:To document experiences of a sample of aged and disab...
journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2020.100975
更新日期:2021-01-01 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: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:Adults with multiple sclerosis (MS) have many health problems that can interfere with healthy nutritional behaviors. Self-management activities (e.g., strategies used to manage emotions and functional limitations) may help facilitate engagement in healthy nutritional behaviors. However, few studies have docu...
journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2012.05.007
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:People with developmental disabilities are at disproportionately high risk of abuse. Although considerable evidence exists on the health-related consequences of abuse in the general population, little is known about those consequences in people with developmental disabilities. OBJECTIVE:To examine the relat...
journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2018.09.007
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Women with disabilities experience significant health disparities. A barrier to progress in addressing these disparities is the lack of population-based data on their health outcomes, which are needed to plan health care delivery systems. Administrative health data are increasingly being used to measure the ...
journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2020.100909
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Numerous studies have reported people with disabilities are more likely to be obese and engaged in unhealthy lifestyles. Few studies explored the mechanism of health-related lifestyles and obesity among people with disabilities. OBJECTIVE:We aimed to investigate health-related lifestyles and obesity in rela...
journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2018.08.007
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Emerging research demonstrates that light-intensity physical activity is favorably associated with numerous health outcomes among the general population, even independent of high-intensity physical activity. OBJECTIVE:To examine the association between accelerometer-assessed light-intensity physical activit...
journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2017.08.007
更新日期:2018-04-01 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:In South Africa barriers to accessing health services by persons with a disability would appear to be exacerbated by the overburdened state of public healthcare. OBJECTIVES:/Hypotheses: The study examined physical access to and utilization of healthcare services by persons with and without a disability. It ...
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
abstract:BACKGROUND:Little is known about health care experiences among people with and without disabilities. OBJECTIVE:We sought to explore perceptions of people with and without disabilities related to their health care experiences. METHODS:Nineteen persons with and without disabilities participated in one of four focus gro...
journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2015.08.007
更新日期:2016-01-01 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:Achieving and maintaining health are no less important to people with a disability than they are to anyone else; it is just typically more challenging. This report explores sport as a mechanism of health for people with a disability. The International Classification of Functioning, Disability and Health (ICF...
journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2009.01.002
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:50% of patients with Chiari Malformation (CM) report a history of depression; however, rates of other psychological symptoms are unknown. Further, it is unclear whether surgical correction impacts pain, disability, and psychological symptoms. OBJECTIVE:/Hypothesis: We examined rates of symptoms in a nationw...
journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2019.05.004
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:This paper is an introduction to four papers that present the findings of the 2007 "State of the Science in Aging with Developmental Disabilities: Charting Lifespan Trajectories and Supportive Environments for Healthy Community Living" symposium. The overall goal of this symposium was to increase our underst...
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
abstract:BACKGROUND:Medicaid is one of the most important health care safety nets for people with disabilities in the United States. Yet, from the beginning Medicaid only covered long-term services and supports (LTSS) through institutional care. In 1981 changes to Medicaid allowed states to provide home and community-based serv...
journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2019.01.012
更新日期:2019-07-01 00:00:00