Disparities in Smoking and Heavy Drinking Behaviors by Disability Status and Age of Disability Onset: Secondary Analysis of National Health Interview Survey Data.

IF 3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Public Health Reports Pub Date : 2024-11-01 Epub Date: 2024-05-23 DOI:10.1177/00333549241249339

Cristina A Sarmiento, Anna Furniss, Megan A Morris, Michelle L Stransky, Darcy A Thompson

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Abstract

Objectives: People with childhood-onset disabilities are living into adulthood, and the prevalence of smoking and illicit drug use among adults with disabilities is high. We evaluated the relationship between disability status and age of disability onset, current cigarette smoking status, and heavy alcohol drinking.

Methods: We conducted a secondary data analysis of the National Health Interview Survey (NHIS), a US survey on illness and disability. Among 2020 NHIS participants aged 22-80 years (n = 28 225), we compared self-reported prevalence of current cigarette smoking and heavy alcohol drinking among those with and without disabilities and among those with childhood- versus adult-onset disabilities. We used adjusted logistic regression analysis to calculate the adjusted odds ratios (AORs) of current smoking and heavy alcohol drinking based on disability status and age of disability onset.

Results: Compared with adults without disabilities, adults with disabilities were significantly more likely to report current smoking (23.5% vs 11.2%; P < .001) and significantly less likely to report heavy alcohol drinking (5.3% vs 7.4%; P = .001). The prevalence of these behaviors did not vary significantly by age of disability onset. In adjusted logistic regression models, adults with disabilities had significantly higher odds of current smoking (AOR = 1.76; 95% CI, 1.53-2.03) and similar odds of heavy alcohol drinking (AOR = 0.82; 95% CI, 0.65-1.04) compared with adults without disabilities. The odds of these health behaviors did not vary significantly by age of disability onset.

Conclusions: Adults with disabilities overall may be at high risk for these unhealthy behaviors, particularly smoking, regardless of age of disability onset. Routine screening and cessation counseling related to smoking and unhealthy alcohol use are important for all people with disabilities.

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按残疾状况和残疾发生年龄划分的吸烟和酗酒行为差异：全国健康访谈调查数据的二次分析。

目标：儿童时期致残的人一直活到成年，而成年残疾人中吸烟和使用非法药物的比例很高。我们评估了残疾状况与残疾发病年龄、当前吸烟状况和大量饮酒之间的关系：我们对美国国家健康访谈调查（National Health Interview Survey，NHIS）进行了二次数据分析，这是一项关于疾病和残疾的调查。在 2020 名年龄在 22-80 岁之间的 NHIS 参与者（n = 28 225）中，我们比较了有残疾和无残疾者以及儿童期残疾和成年期残疾者自我报告的当前吸烟率和酗酒率。我们使用调整后的逻辑回归分析法，计算了基于残疾状况和残疾发病年龄的当前吸烟和大量饮酒的调整后几率比（AORs）：与非残疾成年人相比，残疾成年人报告当前吸烟的可能性明显更高（23.5% vs 11.2%; P P = .001）。这些行为的发生率并不因残疾发生年龄的不同而有显著差异。在调整后的逻辑回归模型中，与非残疾成年人相比，残疾成年人当前吸烟的几率明显更高（AOR = 1.76；95% CI，1.53-2.03），大量饮酒的几率也与非残疾成年人相似（AOR = 0.82；95% CI，0.65-1.04）。这些健康行为的发生几率并不因残疾发生年龄的不同而有显著差异：结论：总体而言，残疾成年人可能是这些不健康行为的高危人群，尤其是吸烟，与残疾发病年龄无关。与吸烟和不健康饮酒有关的常规筛查和戒酒咨询对所有残疾人都很重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health Reports 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.00

自引率

6.10%

发文量

164

审稿时长

6-12 weeks

期刊介绍： Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.