Health outcome disparities among subgroups of people with disabilities: A scoping review

Rowland, Maya G; Peterson-Besse, Jana J.; Dobbertin, Konrad; Walsh, Emily S.; Horner‐Johnson, Willi; Andresen, Elena M.; Drum, Charles E.; Fujiura, Glenn T.; Iezzoni, Liza; Krahn, Gloria L.

doi:10.1016/j.dhjo.2013.09.003

Cited by 41 publications

(33 citation statements)

References 36 publications

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“…Of these, only five used population-based data, and just one of that subset compared multiple different categories of functional disability. 13 More research is clearly warranted in order to identify disability groups most in need of health interventions and inform the types of interventions to apply.…”

Section: Introductionmentioning

confidence: 99%

Disparities in chronic conditions and health status by type of disability

Horner‐Johnson

Dobbertin

Lee

et al. 2013

Disability and Health Journal

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Background Prior research has established health disparities between people with and without disabilities. However, disparities within the disability population, such as those related to type of disability, have been much less studied. Objective To examine differences in chronic conditions and health status between subgroups of people with different types of disability. Methods We analyzed Medical Expenditure Panel Survey annual data files from 2002-2008. Logistic regression analyses considered disparity from three perspectives: 1) basic differences, unadjusted for other factors; 2) controlling for key demographic and health covariates; and 3) controlling for a larger set of demographic variables and socioeconomic status as well as health and access to healthcare. Results Individuals with vision, physical, cognitive, or multiple disability types fared worse than people with hearing impairment on most health outcomes. This was most consistently true for people with multiple disabilities. Even when all covariates were accounted for, people with multiple types of disability were significantly more likely (p < 0.05) than those with hearing impairment (reference group) to report every poor health outcome with the exception of BMI ≥ 25 and lung disease. Conclusions While many of the differences between disability types were reduced when controlling for other factors, some differences remained significant. This argues for a more individualized approach to understanding and preventing chronic conditions and poor health in specific disability groups.

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Section: Introductionmentioning

confidence: 99%

Disparities in chronic conditions and health status by type of disability

Horner‐Johnson

Dobbertin

Lee

et al. 2013

Disability and Health Journal

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“…A recent expert panel identified significant research gaps in available research exploring potential disparities by race for persons with diabetes and disabilities [17]. Blacks have greater muscle mass but poorer lower extremity physical function compared to whites [5, 6, 18], and Black women have greater fat infiltration into the muscle than white women [18].…”

Section: Discussionmentioning

confidence: 99%

Diabetes, race, and functional limitations in older U.S. men and women

Kalyani

Rodríguez

Yeh³

et al. 2015

Diabetes Research and Clinical Practice

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Aims The presence of diabetes is associated with increased odds of difficulties in functional tasks but it remains unclear if the burden is similar by race. Methods Our study included 122,004 non-Hispanic Black (NHB) and non-Hispanic White (NHW) adults ≥50 years from the U.S. National Health Interview Survey (2001–2012). Diabetes was defined as self-reported diagnosis or medication use. Functional limitations were defined as any self-reported difficulty in performing mobility tasks, general physical activities (GPA), or leisure and social activities (LSA). Logistic regression models were created to investigate the relationship of race with functional limitations accounting for key covariates, among men and women, by diabetes status. Results Among older U.S. adults, NHB versus NHW women without diabetes had a higher odds of limitations in mobility (OR=1.39, 1.30–1.49) and LSA (OR=1.13, 1.05–1.23) without diabetes but a similar odds of these limitations with diabetes by race, adjusting for age, income, education, obesity, arthritis, heart disease, stroke, COPD, and cancer. Interestingly, NHB versus NHW women had significantly lower odds of GPA, irrespective of diabetes status. However, NHB versus NHW men with diabetes had a persistently higher odds for mobility and LSA limitations with diabetes as follows: mobility (OR=1.30, 1.12–1.51) and LSA limitations (OR=1.07, 1.06–1.34). The interaction of race and diabetes was significant among women for mobility limitations (p<0.01), but not men. Conclusions The burden of functional limitations differs by race among both men and women with diabetes. Future studies should examine mechanisms underlying these differences to prevent progression to disability in older adults with diabetes.

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“…In recent years, several studies have demonstrated that people with intellectual developmental disorders have not only a higher prevalence of adverse medical conditions than the general population (Anderson et al, 2013;Emerson & Hatton, 2013;Havercamp & Scott, 2014;Krahn & Fox, 2014;Rowland, Peterson-Besse, Dobbertin, Walsh, & Horner-Johnson, 2014) but also worse access to health care (Balogh, Ouellette-Kuntz, Bourne, Lunsky, & Colantonio, 2008;Krahn, Hammond, & Turner, 2006) and a lack of proper attention to their health needs (Ailey, Johnson, Fogg, & Friese, 2014;Howlett, Florio, Xu, & Trollor, 2015).…”

Section: Introductionmentioning

confidence: 99%