Application of a comprehensive disability measure: Disability prevalence among US Veterans and non-veterans from the National Health Interview Survey Data from 2015 to 2018

IF 4.3 2区医学 Q1 MEDICINE, GENERAL & INTERNAL Preventive medicine Pub Date : 2024-06-19 DOI:10.1016/j.ypmed.2024.108051

Abigail C. Mulcahy , Diana J. Govier , Claire T. Than , Neetu Chawla , Elisheva Danan , Elizabeth R. Hooker , Holly McCready , Katherine J. Hoggatt , Elizabeth M. Yano , Denise M. Hynes

{"title":"Application of a comprehensive disability measure: Disability prevalence among US Veterans and non-veterans from the National Health Interview Survey Data from 2015 to 2018","authors":"Abigail C. Mulcahy , Diana J. Govier , Claire T. Than , Neetu Chawla , Elisheva Danan , Elizabeth R. Hooker , Holly McCready , Katherine J. Hoggatt , Elizabeth M. Yano , Denise M. Hynes","doi":"10.1016/j.ypmed.2024.108051","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Current measures of condition-specific disabilities or those capturing only severe limitations may underestimate disability prevalence, including among Veterans.</p></div><div><h3>Objectives</h3><p>To develop a comprehensive measure to characterize and compare disabilities among US Veterans and non-Veterans.</p></div><div><h3>Methods</h3><p>Using 2015–2018 pooled cross-sectional National Health Interview Survey data, we compared the frequency and survey-weighted prevalence of non-mutually exclusive sensory, social, and physical disabilities by Veteran status. We developed a measure for and examined the frequency and survey-weighted prevalence of eight mutually exclusive disability categories—sensory only; physical only; social only; sensory and physical; social and sensory; physical and social; and sensory, social, and physical.</p></div><div><h3>Results</h3><p>Among 118,818 NHIS respondents, 11,943 were Veterans. Veterans had a greater prevalence than non-Veterans of non-mutually exclusive physical [52.01% vs. 34.68% (<em>p</em> < 0.001)], sensory [44.47% vs. 21.79% (p < 0.001)], and social [17.20% vs. 11.61% (p < 0.001)] disabilities (after survey-weighting). The most frequently reported mutually exclusive disability categories for both Veterans and non-Veterans were sensory and physical (19.20% and 8.02%, <em>p</em> < 0.001) and physical only (16.24% and 15.69%, <em>p</em> = 0.216) (after survey-weighting). The least frequently reported mutually exclusive disability categories for both Veterans and non-Veterans were social only (0.31% and 0.44%, <em>p</em> = 0.136) and sensory and social (0.32% and 0.20%, respectively, 0.026) (after survey-weighting).</p></div><div><h3>Conclusions</h3><p>Our disability metric demonstrates that Veterans have a higher disability prevalence than non-Veterans, and a higher prevalence than previously reported. Public policy and future research should consider this broader definition of disability to more fully account for the variable needs of people with disabilities.</p></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":null,"pages":null},"PeriodicalIF":4.3000,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Preventive medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0091743524002068","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Current measures of condition-specific disabilities or those capturing only severe limitations may underestimate disability prevalence, including among Veterans.

Objectives

To develop a comprehensive measure to characterize and compare disabilities among US Veterans and non-Veterans.

Methods

Using 2015–2018 pooled cross-sectional National Health Interview Survey data, we compared the frequency and survey-weighted prevalence of non-mutually exclusive sensory, social, and physical disabilities by Veteran status. We developed a measure for and examined the frequency and survey-weighted prevalence of eight mutually exclusive disability categories—sensory only; physical only; social only; sensory and physical; social and sensory; physical and social; and sensory, social, and physical.

Results

Among 118,818 NHIS respondents, 11,943 were Veterans. Veterans had a greater prevalence than non-Veterans of non-mutually exclusive physical [52.01% vs. 34.68% (p < 0.001)], sensory [44.47% vs. 21.79% (p < 0.001)], and social [17.20% vs. 11.61% (p < 0.001)] disabilities (after survey-weighting). The most frequently reported mutually exclusive disability categories for both Veterans and non-Veterans were sensory and physical (19.20% and 8.02%, p < 0.001) and physical only (16.24% and 15.69%, p = 0.216) (after survey-weighting). The least frequently reported mutually exclusive disability categories for both Veterans and non-Veterans were social only (0.31% and 0.44%, p = 0.136) and sensory and social (0.32% and 0.20%, respectively, 0.026) (after survey-weighting).

Conclusions

Our disability metric demonstrates that Veterans have a higher disability prevalence than non-Veterans, and a higher prevalence than previously reported. Public policy and future research should consider this broader definition of disability to more fully account for the variable needs of people with disabilities.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

综合残疾衡量标准的应用：从 2015 年至 2018 年全国健康访谈调查数据看美国退伍军人和非退伍军人的残疾发生率。

背景：目前针对特定病症的残疾测量方法或仅反映严重限制的测量方法可能低估了残疾的普遍程度，包括退伍军人：开发一种综合测量方法来描述和比较美国退伍军人和非退伍军人的残疾情况：利用 2015-2018 年汇总的横断面国家健康访谈调查数据，我们比较了退伍军人身份下非相互排斥的感官、社交和身体残疾的频率和调查加权患病率。我们为八个相互排斥的残疾类别--仅感官残疾、仅肢体残疾、仅社交残疾、感官和肢体残疾、社交和感官残疾、肢体和社交残疾以及感官、社交和肢体残疾--制定了衡量标准，并对其频率和调查加权流行率进行了研究：在 118,818 名 NHIS 受访者中，有 11,943 名退伍军人。与非退伍军人相比，退伍军人的非互斥性肢体残疾发生率更高[52.01% vs. 34.68% (p 结论：退伍军人的非互斥性肢体残疾发生率高于非退伍军人：我们的残疾指标表明，退伍军人的残疾发生率高于非退伍军人，且高于之前的报告。公共政策和未来研究应考虑这一更广泛的残疾定义，以更充分地考虑残疾人的不同需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Preventive medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.70

自引率

3.90%

发文量

审稿时长

42 days

期刊介绍： Founded in 1972 by Ernst Wynder, Preventive Medicine is an international scholarly journal that provides prompt publication of original articles on the science and practice of disease prevention, health promotion, and public health policymaking. Preventive Medicine aims to reward innovation. It will favor insightful observational studies, thoughtful explorations of health data, unsuspected new angles for existing hypotheses, robust randomized controlled trials, and impartial systematic reviews. Preventive Medicine''s ultimate goal is to publish research that will have an impact on the work of practitioners of disease prevention and health promotion, as well as of related disciplines.