99 lines
3.2 KiB
YAML
99 lines
3.2 KiB
YAML
abstract: 'Background: Individuals with disabilities are a health disparity
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population with high rates of risk factors, lower overall health status,
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and greater health care costs. The interacting effect of employment,
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health and disability has not been reported in the research.
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Objective: This study examined the relationship of employment to health
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and quality of life among people with disabilities.
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Methods: Self-reported survey data and secondary claims data analyses of
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810 Kansans ages 18-64 with disabilities who were dually-eligible for
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Medicare and Medicaid; 49\% were employed, with 94\% working less than
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40 hours per week. Statistical analyses included ANOVA for differences
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between the employed and unemployed groups'' health status, risk scores,
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and disease burdens; chi-square analyses for differences in prevalence
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of health risk behaviors and differences in quality of life by
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employment status; and logistic regression with health status measures
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to determine factors associated with higher than average physical and
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mental health status.
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Results: Findings indicated participants with any level of paid
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employment had significantly lower rates of smoking and better quality
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of life; self-reported health status was significantly higher, while per
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person per month Medicaid expenditures were less. Employment, even at
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low levels, was associated with better health and health behaviors as
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well as lower costs. Participants reported being discouraged from
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working by medical professionals and federal disability policies.
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Conclusions: Although cause-effect cannot be established from this
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study, findings strongly support changes to provider practices and
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federal disability policy to support employment at all levels for people
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with disabilities. (C) 2013 Elsevier Inc. All rights reserved.'
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affiliation: 'Hall, JP (Corresponding Author), JR Pearson Hall,Room 517,1122 West
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Campus Rd, Lawrence, KS 66045 USA.
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Hall, Jean P.; Kurth, Noelle K., Univ Kansas, Inst Hlth \& Disabil Policy Studies,
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Lawrence, KS 66045 USA.
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Hunt, Suzanne L., Univ Kansas, Med Ctr, Dept Biostat, Lawrence, KS 66045 USA.'
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author: Hall, Jean P. and Kurth, Noelle K. and Hunt, Suzanne L.
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author-email: jhall@ku.edu
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author_list:
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- family: Hall
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given: Jean P.
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- family: Kurth
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given: Noelle K.
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- family: Hunt
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given: Suzanne L.
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da: '2023-09-28'
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doi: 10.1016/j.dhjo.2012.11.001
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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; Employment; Health disparity; Dual-eligible
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keywords-plus: BRITISH CIVIL-SERVANTS; JOB STRESS MODELS; IMPACT; RISK; LIFE; US
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language: English
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month: APR
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number: '2'
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number-of-cited-references: '35'
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orcid-numbers: Hall, Jean/0000-0001-7236-1807
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pages: 100-106
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papis_id: fa2b53cc35859e473ff184edd59d86ce
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ref: Hall2013employmenthealth
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times-cited: '43'
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title: Employment as a health determinant for working-age, dually-eligible people
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with disabilities
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type: article
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unique-id: WOS:000316806600006
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usage-count-last-180-days: '1'
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usage-count-since-2013: '24'
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volume: '6'
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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: '2013'
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