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Disability and Health Journal
Article . 2013 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
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Disparities in chronic conditions and health status by type of disability

Authors: Horner-Johnson, Willi; Dobbertin, Konrad; Lee, Jae Chul; Andresen, Elena M.; The Expert Panel on Disability and Health Disparities C. Drum, G. Fujiura, G. Krahn, &L. Iezzoni;

Disparities in chronic conditions and health status by type of disability

Abstract

Prior research has established health disparities between people with and without disabilities. However, disparities within the disability population, such as those related to type of disability, have been much less studied.To examine differences in chronic conditions and health status between subgroups of people with different types of disability.We analyzed Medical Expenditure Panel Survey annual data files from 2002 to 2008. Logistic regression analyses considered disparity from three perspectives: 1) basic differences, unadjusted for other factors; 2) controlling for key demographic and health covariates; and 3) controlling for a larger set of demographic variables and socioeconomic status as well as health and access to healthcare.Individuals with vision, physical, cognitive, or multiple disability types fared worse than people with hearing impairment on most health outcomes. This was most consistently true for people with multiple disabilities. Even when all covariates were accounted for, people with multiple types of disability were significantly more likely (p < 0.05) than those with hearing impairment (reference group) to report every poor health outcome with the exception of BMI ≥ 25 and lung disease.While many of the differences between disability types were reduced when controlling for other factors, some differences remained significant. This argues for a more individualized approach to understanding and preventing chronic conditions and poor health in specific disability groups.

Country
United States
Keywords

Adult, Male, Social Work, Adolescent, Vision Disorders, Persons with Visual Disabilities, Persons with Hearing Disabilities, Health Status Disparities, Middle Aged, Persons with Intellectual Disabilities, Young Adult, Logistic Models, Chronic Disease, Humans, Female, Cognition Disorders, Hearing Loss

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    popularity
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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
61
Top 10%
Top 10%
Top 10%
bronze