2023-09-28 14:46:10 +00:00
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abstract: 'Background: Trends in the patterns and prevalence of chronic disability
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among U.S. residents carry important implications for public health and
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public policies across multiple societal sectors.
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Objectives: To examine trends in U.S. adult population rates of chronic
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disability from 1998 to 2011 using 7 different disability measures and
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examining the implications of trends in population age, race and
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ethnicity, and body mass index (BMI).
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Methods: We used National Health Interview Survey data on civilian,
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non-institutionalized U.S. residents ages >= 18 from selected years
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between 1998 and 2011. We used self-reported information on functional
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impairments, activity/participation limitations, and expected duration
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to create 7 chronic disability measures. We used direct standardization
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to account for changes in age, race/ethnicity, and BMI distributions
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over time. Multivariable logistic regression models identified
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associations of disability with sociodemographic characteristics.
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Results: Without adjustment, population rates of all 7 disabilities
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increased significantly (p < 0.0001) from 1998 to 2011. The absolute
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percentage change was greatest for movement difficulties: 19.3\% in 1998
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and 23.3\% in 2011. After separate adjustments for trends in age,
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race/ethnicity, and BMI distributions, 6 disability types continued to
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show increased rates over time (p < 0.01), except for sensory
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disabilities. Over time, poor education, poverty, and unemployment
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remained significantly associated with disability.
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Conclusions: If these trends continue, the numbers and proportions of
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U.S. residents with various disabilities will continue rising in coming
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years. In particular, the prevalence of movement difficulties and work
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limitations will increase. Furthermore, disability will remain strongly
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associated with low levels of education, employment, and income. (C)
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2014 Elsevier Inc. All rights reserved.'
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affiliation: 'Iezzoni, LI (Corresponding Author), Massachusetts Gen Hosp, Mongan Inst
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Hlth Policy, 50 Staniford St,Room 901B, Boston, MA 02114 USA.
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Iezzoni, Lisa I., Massachusetts Gen Hosp, Mongan Inst Hlth Policy, Boston, MA 02114
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USA.
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Iezzoni, Lisa I., Harvard Univ, Sch Med, Dept Med, Boston, MA USA.
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Kurtz, Stephen G.; Rao, Sowmya R., Univ Massachusetts, Sch Med, Dept Quantitat Hlth
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Sci, Worcester, MA USA.
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Rao, Sowmya R., Bedford Veteran Affairs Med Ctr, CHOIR, Bedford, MA USA.'
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author: Iezzoni, Lisa I. and Kurtz, Stephen G. and Rao, Sowmya R.
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author-email: liezzoni@mgh.harvard.edu
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author_list:
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- family: Iezzoni
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given: Lisa I.
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- family: Kurtz
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given: Stephen G.
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- family: Rao
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given: Sowmya R.
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da: '2023-09-28'
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doi: 10.1016/j.dhjo.2014.05.007
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eissn: 1876-7583
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files: []
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issn: 1936-6574
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journal: DISABILITY AND HEALTH JOURNAL
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keywords: 'Disability; Prevalence rates; Movement difficulties; National health
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interview survey'
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keywords-plus: 'UNITED-STATES; OLDER AMERICANS; US POPULATION; HEALTH; OBESITY;
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DISPARITIES; LIMITATIONS; DECLINES; LIFE'
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language: English
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month: OCT
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number: '4'
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number-of-cited-references: '30'
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pages: 402-412
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papis_id: bcb7ee6b2991cf3919e140c2bbe97b7e
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ref: Iezzoni2014trendsus
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times-cited: '40'
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title: Trends in U.S. adult chronic disability rates over time
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000342331500006
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usage-count-last-180-days: '1'
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usage-count-since-2013: '12'
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volume: '7'
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web-of-science-categories: 'Health Care Sciences \& Services; Health Policy \& Services;
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Public,
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Environmental \& Occupational Health; Rehabilitation'
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year: '2014'
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