Distribution of secondary medical problems, impairments, and participation limitations among adults with disabilities and their relationship to health and other outcomes
Abstract Background The purpose of this study was to describe the distribution and relationship of 16 secondary medical problems, impairments, and participation limitations among adults with disabilities to demographic characteristics, self-reported health, satisfaction with life, and social partici...
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| Veröffentlicht in: | Disability and health journal 2008, Vol.1 (1), p.42-50 |
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| description | Abstract Background The purpose of this study was to describe the distribution and relationship of 16 secondary medical problems, impairments, and participation limitations among adults with disabilities to demographic characteristics, self-reported health, satisfaction with life, and social participation. Methods Data were analyzed for 4175 respondents to the disability supplements of the 2001 and 2003 Washington State Behavioral Risk Factor Surveillance Survey Disability Supplement. Results Of persons with disabilities, 87% reported at least 1 secondary medical problem, impairment, or participation limitation, with a mean of 4.1. Conditions were unevenly distributed in the 73% of those with disabilities with more than 1 condition: a cluster of one-fourth of this group had an average of 9.7 conditions and the remaining three-fourths averaged 3.9 conditions, with no strong correlations among conditions in either cluster. Number and type of condition were related to age, gender, income, and social participation among people with disabilities and explained part of the relationship of disability status to health and life satisfaction. Conclusion The data provide evidence that prevention and treatment of secondary medical problems, impairments, and participation limitations may reduce disability-related disparities in health and well-being. |
| doi_str_mv | 10.1016/j.dhjo.2007.11.006 |
| format | Article |
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Methods Data were analyzed for 4175 respondents to the disability supplements of the 2001 and 2003 Washington State Behavioral Risk Factor Surveillance Survey Disability Supplement. Results Of persons with disabilities, 87% reported at least 1 secondary medical problem, impairment, or participation limitation, with a mean of 4.1. Conditions were unevenly distributed in the 73% of those with disabilities with more than 1 condition: a cluster of one-fourth of this group had an average of 9.7 conditions and the remaining three-fourths averaged 3.9 conditions, with no strong correlations among conditions in either cluster. Number and type of condition were related to age, gender, income, and social participation among people with disabilities and explained part of the relationship of disability status to health and life satisfaction. Conclusion The data provide evidence that prevention and treatment of secondary medical problems, impairments, and participation limitations may reduce disability-related disparities in health and well-being.</description><identifier>ISSN: 1936-6574</identifier><identifier>EISSN: 1876-7583</identifier><identifier>DOI: 10.1016/j.dhjo.2007.11.006</identifier><identifier>PMID: 21122710</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Chronic Disease ; Confidence Intervals ; Cross-Sectional Studies ; Developmental Disabilities - complications ; Developmental Disabilities - epidemiology ; Developmental Disabilities - psychology ; Disability ; Disabled Persons - psychology ; Female ; Health Status ; Humans ; Internal Medicine ; Linear Models ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Odds Ratio ; Population Surveillance ; Risk Factors ; Secondary impairments ; Secondary medical problems ; Secondary participation limitations ; Self Report ; Social Identification ; Social Perception ; United States - epidemiology ; Young Adult</subject><ispartof>Disability and health journal, 2008, Vol.1 (1), p.42-50</ispartof><rights>Elsevier Inc.</rights><rights>2008 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-33dd650a25ac41172d03c7c4a8170e599e283c132e2fd194b3f2d0db2869d6043</citedby><cites>FETCH-LOGICAL-c410t-33dd650a25ac41172d03c7c4a8170e599e283c132e2fd194b3f2d0db2869d6043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.dhjo.2007.11.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21122710$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kinne, Susan, Ph.D</creatorcontrib><title>Distribution of secondary medical problems, impairments, and participation limitations among adults with disabilities and their relationship to health and other outcomes</title><title>Disability and health journal</title><addtitle>Disabil Health J</addtitle><description>Abstract Background The purpose of this study was to describe the distribution and relationship of 16 secondary medical problems, impairments, and participation limitations among adults with disabilities to demographic characteristics, self-reported health, satisfaction with life, and social participation. Methods Data were analyzed for 4175 respondents to the disability supplements of the 2001 and 2003 Washington State Behavioral Risk Factor Surveillance Survey Disability Supplement. Results Of persons with disabilities, 87% reported at least 1 secondary medical problem, impairment, or participation limitation, with a mean of 4.1. Conditions were unevenly distributed in the 73% of those with disabilities with more than 1 condition: a cluster of one-fourth of this group had an average of 9.7 conditions and the remaining three-fourths averaged 3.9 conditions, with no strong correlations among conditions in either cluster. Number and type of condition were related to age, gender, income, and social participation among people with disabilities and explained part of the relationship of disability status to health and life satisfaction. Conclusion The data provide evidence that prevention and treatment of secondary medical problems, impairments, and participation limitations may reduce disability-related disparities in health and well-being.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Chronic Disease</subject><subject>Confidence Intervals</subject><subject>Cross-Sectional Studies</subject><subject>Developmental Disabilities - complications</subject><subject>Developmental Disabilities - epidemiology</subject><subject>Developmental Disabilities - psychology</subject><subject>Disability</subject><subject>Disabled Persons - psychology</subject><subject>Female</subject><subject>Health Status</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Linear Models</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Odds Ratio</subject><subject>Population Surveillance</subject><subject>Risk Factors</subject><subject>Secondary impairments</subject><subject>Secondary medical problems</subject><subject>Secondary participation limitations</subject><subject>Self Report</subject><subject>Social Identification</subject><subject>Social Perception</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><issn>1936-6574</issn><issn>1876-7583</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks2KFTEQhRtRnB99AReSnRu7TSX9CyLI6Kgw4EJdh3RS11vXdKdN0so8km9p-t7RhQuzSSV850DVqaJ4ArwCDu2LQ2X3B18JzrsKoOK8vVecQ9-1Zdf08n6uB9mWbdPVZ8VFjIcM8KGHh8WZABCiA35e_HpDMQUa10R-Zn7HIho_Wx1u2YSWjHZsCX50OMXnjKZFU5hwTvmhZ8sWHRIZWvRR7WiidCwj05OfvzJtV5ci-0lpzyxFPZKjRBiP4rRHCiygO0n2tLDk2R61y_QG-EwE5tdk_ITxUfFgp13Ex3f3ZfHl-u3nq_flzcd3H65e35SmBp5KKa1tG65Fo_MHdMJyaTpT6x46js0woOilASlQ7CwM9Sh3GbGj6NvBtryWl8Wzk2_u-_uKMamJokHn9Ix-jaqHZmillDyT4kSa4GMMuFNLoCmPTgFXW0LqoLaE1JaQAlA5gCx6eme_jnnCfyV_IsnAyxOAuckfhEFFQzibnEZAk5T19H__V__IjaN5C_Ib3mI8-DXMeXwKVBSKq0_bjmwrwjueT9_L38ghuzk</recordid><startdate>2008</startdate><enddate>2008</enddate><creator>Kinne, Susan, Ph.D</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2008</creationdate><title>Distribution of secondary medical problems, impairments, and participation limitations among adults with disabilities and their relationship to health and other outcomes</title><author>Kinne, Susan, Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-33dd650a25ac41172d03c7c4a8170e599e283c132e2fd194b3f2d0db2869d6043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Chronic Disease</topic><topic>Confidence Intervals</topic><topic>Cross-Sectional Studies</topic><topic>Developmental Disabilities - complications</topic><topic>Developmental Disabilities - epidemiology</topic><topic>Developmental Disabilities - psychology</topic><topic>Disability</topic><topic>Disabled Persons - psychology</topic><topic>Female</topic><topic>Health Status</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Linear Models</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Odds Ratio</topic><topic>Population Surveillance</topic><topic>Risk Factors</topic><topic>Secondary impairments</topic><topic>Secondary medical problems</topic><topic>Secondary participation limitations</topic><topic>Self Report</topic><topic>Social Identification</topic><topic>Social Perception</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kinne, Susan, Ph.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Disability and health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kinne, Susan, Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Distribution of secondary medical problems, impairments, and participation limitations among adults with disabilities and their relationship to health and other outcomes</atitle><jtitle>Disability and health journal</jtitle><addtitle>Disabil Health J</addtitle><date>2008</date><risdate>2008</risdate><volume>1</volume><issue>1</issue><spage>42</spage><epage>50</epage><pages>42-50</pages><issn>1936-6574</issn><eissn>1876-7583</eissn><abstract>Abstract Background The purpose of this study was to describe the distribution and relationship of 16 secondary medical problems, impairments, and participation limitations among adults with disabilities to demographic characteristics, self-reported health, satisfaction with life, and social participation. Methods Data were analyzed for 4175 respondents to the disability supplements of the 2001 and 2003 Washington State Behavioral Risk Factor Surveillance Survey Disability Supplement. Results Of persons with disabilities, 87% reported at least 1 secondary medical problem, impairment, or participation limitation, with a mean of 4.1. Conditions were unevenly distributed in the 73% of those with disabilities with more than 1 condition: a cluster of one-fourth of this group had an average of 9.7 conditions and the remaining three-fourths averaged 3.9 conditions, with no strong correlations among conditions in either cluster. Number and type of condition were related to age, gender, income, and social participation among people with disabilities and explained part of the relationship of disability status to health and life satisfaction. Conclusion The data provide evidence that prevention and treatment of secondary medical problems, impairments, and participation limitations may reduce disability-related disparities in health and well-being.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>21122710</pmid><doi>10.1016/j.dhjo.2007.11.006</doi><tpages>9</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adolescent Adult Aged Chronic Disease Confidence Intervals Cross-Sectional Studies Developmental Disabilities - complications Developmental Disabilities - epidemiology Developmental Disabilities - psychology Disability Disabled Persons - psychology Female Health Status Humans Internal Medicine Linear Models Logistic Models Male Middle Aged Multivariate Analysis Odds Ratio Population Surveillance Risk Factors Secondary impairments Secondary medical problems Secondary participation limitations Self Report Social Identification Social Perception United States - epidemiology Young Adult |
| title | Distribution of secondary medical problems, impairments, and participation limitations among adults with disabilities and their relationship to health and other outcomes |
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