Abstract：
BACKGROUND:Individuals with disabilities are a health disparity population with high rates of risk factors, lower overall health status, and greater health care costs. The interacting effect of employment, health and disability has not been reported in the research. OBJECTIVE:This study examined the relationship of employment to health and quality of life among people with disabilities. METHODS:Self-reported survey data and secondary claims data analyses of 810 Kansans ages 18-64 with disabilities who were dually-eligible for Medicare and Medicaid; 49% were employed, with 94% working less than 40 hours per week. Statistical analyses included ANOVA for differences between the employed and unemployed groups' health status, risk scores, and disease burdens; chi-square analyses for differences in prevalence of health risk behaviors and differences in quality of life by employment status; and logistic regression with health status measures to determine factors associated with higher than average physical and mental health status. RESULTS:Findings indicated participants with any level of paid employment had significantly lower rates of smoking and better quality of life; self-reported health status was significantly higher, while per person per month Medicaid expenditures were less. Employment, even at low levels, was associated with better health and health behaviors as well as lower costs. Participants reported being discouraged from working by medical professionals and federal disability policies. CONCLUSIONS:Although cause-effect cannot be established from this study, findings strongly support changes to provider practices and federal disability policy to support employment at all levels for people with disabilities.
journal_name
Disabil Health Jjournal_title
Disability and health journalauthors
Hall JP,Kurth NK,Hunt SLdoi
10.1016/j.dhjo.2012.11.001subject
Has Abstractpub_date
2013-04-01 00:00:00pages
100-6issue
2eissn
1936-6574issn
1876-7583pii
S1936-6574(12)00126-4journal_volume
6pub_type
杂志文章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: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: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: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: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: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: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: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: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: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:Adults who are deaf or hard of hearing (D/HoH) have lower levels of health literacy compared to their counterparts who can hear. It is unclear, however, whether or not this inequality manifests in adolescence. OBJECTIVE OR HYPOTHESIS:This study aims to determine levels of health literacy among D/HoH adolesc...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2020.100929
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:To implement appropriate programs for promoting physical activity (PA) in people who are Deaf, it is important to have valid instruments for assessing PA in this population. OBJECTIVE:The main purpose of this study was to examine the criterion validity of the short form of the International Physical Activit...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2016.06.005
更新日期：2017-01-01 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:Many young adults, specifically those with a diagnosis of autism spectrum disorder (ASD), do not meet the national physical activity (PA) guidelines. One way to address this problem may be to examine the factors that motivate individuals to engage in PA. However, the majority of current literature does not c...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2018.05.004
更新日期：2018-10-01 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: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: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: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:Youth with disabilities experience greater levels of peer victimization and psychosocial distress than non-disabled youth. However, the extent to which exposure to peer victimization mediates the relationship between disability status and psychosocial distress is unknown. OBJECTIVE:To determine whether the ...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2014.09.006
更新日期：2015-04-01 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: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: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:Audio computer-assisted self-interviews (ACASIs) have safely and effectively obtained sensitive research data from the general public and have been recommended for use with people with disabilities. However, few studies have used ACASIs with people with disabilities and ACASIs have not been used to investiga...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2014.01.002
更新日期：2014-07-01 00:00:00
abstract：BACKGROUND:Young adults with cerebral palsy (CP) are reported to be less active than their typically developing peers, have higher rates of sedentary behaviors, engage in slower tempo activities, and overall participate in a smaller variety of physical activities (PA). Functional motor level and environmental barriers ...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2019.02.008
更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:Individuals with multiple sclerosis (MS) report fatigue, pain, depression, cognitive difficulties, and other symptoms. It is often difficult to compare symptoms across studies and populations because scales used to measure individual symptoms or quality of life indicators (QOLI) use different metrics and oft...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2017.04.008
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:This study compared the expense associated with use of personal assistance services (PAS) for individuals with disabilities to the expense incurred by individuals with disabilities who did not use PAS. The intent of this investigation was to assess the disability accommodation costs and benefits of PAS and n...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2009.04.002
更新日期：2009-10-01 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: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:Deaf American Sign Language (ASL) users comprise a linguistic minority population with poor health care access due to communication barriers and low health literacy. Potentially, these health care barriers could increase Emergency Department (ED) use. OBJECTIVE:To compare ED use between deaf and non-deaf pa...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2015.05.004
更新日期：2015-10-01 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
