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. (C) 2013 Elsevier Inc. All rights reserved.'
affiliation: 'Hall, JP (Corresponding Author), JR Pearson Hall,Room 517,1122 West
  Campus Rd, Lawrence, KS 66045 USA.

  Hall, Jean P.; Kurth, Noelle K., Univ Kansas, Inst Hlth \& Disabil Policy Studies,
  Lawrence, KS 66045 USA.

  Hunt, Suzanne L., Univ Kansas, Med Ctr, Dept Biostat, Lawrence, KS 66045 USA.'
author: Hall, Jean P. and Kurth, Noelle K. and Hunt, Suzanne L.
author-email: jhall@ku.edu
author_list:
- family: Hall
  given: Jean P.
- family: Kurth
  given: Noelle K.
- family: Hunt
  given: Suzanne L.
da: '2023-09-28'
doi: 10.1016/j.dhjo.2012.11.001
eissn: 1876-7583
files: []
issn: 1936-6574
journal: DISABILITY AND HEALTH JOURNAL
keywords: Disability; Employment; Health disparity; Dual-eligible
keywords-plus: BRITISH CIVIL-SERVANTS; JOB STRESS MODELS; IMPACT; RISK; LIFE; US
language: English
month: APR
number: '2'
number-of-cited-references: '35'
orcid-numbers: Hall, Jean/0000-0001-7236-1807
pages: 100-106
papis_id: fa2b53cc35859e473ff184edd59d86ce
ref: Hall2013employmenthealth
times-cited: '43'
title: Employment as a health determinant for working-age, dually-eligible people
  with disabilities
type: article
unique-id: WOS:000316806600006
usage-count-last-180-days: '1'
usage-count-since-2013: '24'
volume: '6'
web-of-science-categories: 'Health Care Sciences \& Services; Health Policy \& Services;
  Public,

  Environmental \& Occupational Health; Rehabilitation'
year: '2013'