Transitions in mobility, ADLs, and IADLs among working-age Medicare beneficiaries.

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 J

authors

Ciol MA,Rasch EK,Hoffman JM,Huynh M,Chan L

doi

10.1016/j.dhjo.2013.10.007

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

206-15

issue

2

eissn

1936-6574

issn

1876-7583

pii

S1936-6574(13)00168-4

journal_volume

7

pub_type

杂志文章
  • Profile of energy expenditure in people with rheumatoid arthritis.

    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

    authors: Tierney M,Fraser A,Purtill H,Kennedy N

    更新日期:2015-10-01 00:00:00

  • Lasting results: A qualitative assessment of efforts to make community-led total sanitation more inclusive of the needs of people with disabilities in Rumphi District, Malawi.

    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

    authors: Kayoka C,Itimu-Phiri A,Biran A,Holm RH

    更新日期:2019-10-01 00:00:00

  • Physical activity and loneliness among adolescents with disabilities: Examining the quality of physical activity experiences as a possible moderator.

    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

    authors: Santino N,Arbour-Nicitopoulos KP,Sharma R,Graham JD,Bassett-Gunter RL

    更新日期:2021-01-09 00:00:00

  • Towards Universal Eye Health: Hospital-based disability-disaggregated data collection in Takeo province, Cambodia.

    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

    authors: Mörchen M,Bonn TS,Lewis D

    更新日期:2018-10-01 00:00:00

  • The myth and reality of disability prevalence: measuring disability for research and service.

    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

    authors: McDermott S,Turk MA

    更新日期:2011-01-01 00:00:00

  • Disability and health outcomes in geospatial analyses of Southeastern U.S. county health data.

    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

    authors: Hollar DW Jr

    更新日期:2017-10-01 00:00:00

  • Intimate partner violence, reproductive coercion, and unintended pregnancy in women with disabilities.

    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

    authors: Alhusen JL,Bloom T,Anderson J,Hughes RB

    更新日期:2020-04-01 00:00:00

  • Tobacco use in Florida: comparisons between adults living with and without disabilities.

    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

    authors: Hall AG,Schumacher JR,Cannell MB,Berry JB,Schiaffino M,Park S

    更新日期:2013-07-01 00:00:00

  • WHO World Report on Disability: a review.

    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

    authors: Krahn GL

    更新日期:2011-07-01 00:00:00

  • A systematic search and technical review of online information pertaining to medical care for people with disability.

    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

    authors: Goss KD,Ioerger M,Young V,Flanders RM,Turk MA

    更新日期:2020-04-01 00:00:00

  • Patient at Risk: Emergency medical service providers' opinions on improving an electronic emergency information form database for the medical care of children with special health care needs.

    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

    authors: Piibe Q,Kane E,Melzer-Lange M,Beckmann K

    更新日期:2020-04-01 00:00:00

  • Changes in cognitive function after a 12-week exercise intervention in adults with Down syndrome.

    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

    authors: Ptomey LT,Szabo AN,Willis EA,Gorczyca AM,Greene JL,Danon JC,Donnelly JE

    更新日期:2018-07-01 00:00:00

  • "Paying the price to get there": Motherhood and the dynamics of pregnancy deliberations among women with disabilities.

    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

    authors: LaPierre TA,Zimmerman MK,Hall JP

    更新日期:2017-07-01 00:00:00

  • Birth outcomes among US women with intellectual and developmental disabilities.

    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

    authors: Akobirshoev I,Parish SL,Mitra M,Rosenthal E

    更新日期:2017-07-01 00:00:00

  • Medicaid managed care in Iowa: Experiences of older adults and people with disabilities.

    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

    authors: Arora K,Rochford H,Todd K,Kaskie B

    更新日期:2021-01-01 00:00:00

  • Comorbid depression and anxiety impact hip osteoarthritis disability.

    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

    authors: Marks R

    更新日期:2009-01-01 00:00:00

  • Trends in U.S. adult chronic disability rates over time.

    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

    authors: Iezzoni LI,Kurtz SG,Rao SR

    更新日期:2014-10-01 00:00:00

  • Correlates of nutritional behavior in individuals with multiple sclerosis.

    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

    authors: Plow M,Finlayson M,Cho C

    更新日期:2012-10-01 00:00:00

  • The relation of abuse to physical and psychological health in adults with developmental disabilities.

    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

    authors: Hughes RB,Robinson-Whelen S,Raymaker D,Lund EM,Oschwald M,Katz M,Starr A,Ashkenazy E,Powers LE,Nicolaidis C,Partnering with People with Disabilities to Address Violence Consortium.

    更新日期:2019-04-01 00:00:00

  • Identifying reproductive-aged women with physical and sensory disabilities in administrative health data: A systematic review.

    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

    authors: Brown HK,Carty A,Havercamp SM,Parish S,Lunsky Y

    更新日期:2020-07-01 00:00:00

  • Health-related lifestyles and obesity among adults with and without disability in Australia: Implication for mental health care.

    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

    authors: Zhou Q,Glasgow NJ,Du W

    更新日期:2019-01-01 00:00:00

  • Accelerometer-assessed light-intensity physical activity and mortality among those with mobility limitations.

    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

    authors: Frith E,Loprinzi PD

    更新日期:2018-04-01 00:00:00

  • Parents' perspective on weight management interventions for adolescents with intellectual and developmental disabilities.

    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

    authors: Ptomey LT,Gibson CA,Willis EA,Taylor JM,Goetz JR,Sullivan DK,Donnelly JE

    更新日期:2016-01-01 00:00:00

  • Disparities in physical access and healthcare utilization among adults with and without disabilities in South Africa.

    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

    authors: Mutwali R,Ross E

    更新日期:2019-01-01 00:00:00

  • Health care experiences and perceptions among people with and without disabilities.

    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

    authors: de Vries McClintock HF,Barg FK,Katz SP,Stineman MG,Krueger A,Colletti PM,Boellstorff T,Bogner HR

    更新日期:2016-01-01 00:00:00

  • Changes in perceived social support predict changes in depressive symptoms in adults with physical disability.

    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

    authors: de la Vega R,Molton IR,Miró J,Smith AE,Jensen MP

    更新日期:2019-04-01 00:00:00

  • In praise of sport: promoting sport participation as a mechanism of health among persons with a disability.

    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

    authors: Wilhite B,Shank J

    更新日期:2009-07-01 00:00:00

  • An examination of pain, disability, and the psychological correlates of Chiari Malformation pre- and post-surgical correction.

    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

    authors: Garcia MA,Allen PA,Li X,Houston JR,Loth F,Labuda R,Delahanty DL

    更新日期:2019-10-01 00:00:00

  • Report of the state of the science in aging with developmental disabilities: charting lifespan trajectories and supportive environments for healthy community living symposium.

    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

    authors: Heller T

    更新日期:2008-07-01 00:00:00

  • The relationship between disability prejudice and medicaid home and community-based services spending.

    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

    authors: Friedman C,VanPuymbrouck L

    更新日期:2019-07-01 00:00:00