Age at disability onset and self-reported health status

Eric W. Jamoom, Willi Horner-Johnson, Rie Suzuki, Elena Andresen, Vincent A. Campbell, Phillip Beatty, Brad Cardinal, Charles Drum, Glenn Fujiura, Trevor Hall, Gloria Krahn, Margaret A. Nosek

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Background. The critical importance of improving the well-being of people with disabilities is highlighted in many national health plans. Self-reported health status is reduced both with age and among people with disabilities. Because both factors are related to health status and the influence of the age at disability onset on health status is unclear, we examined the relationship between disability onset and health status. Methods. The U.S. 1998-2000 Behavioral Risk Factor Surveillance system (BRFSS) provided data on 11,905 adults with disability. Bivariate logistic regression analysis modeled the relationship between age at disability onset (based on self-report of duration of disability) and fair/poor self-perceived health status, adjusting for confounding variables. Results. Key variables included demographics and other measures related to disability and general health status. Disability onset after 21 years of age showed significant association with greater prevalence of fair/poor health compared to early disability onset, even adjusting for current age and other demographic covariates. Compared with younger onset, the adjusted odds ratios (OR) were ages 22-44: OR 1.52, ages 45-64: OR 1.67, and age ≥65: OR 1.53. Conclusion. This cross-sectional study provides population-level, generalizable evidence of increased fair or poor health in people with later onset disability compared to those with disability onset prior to the age of 21 years. This finding suggests that examining the general health of people with and those without disabilities might mask differences associated with onset, potentially relating to differences in experience and self-perception. Future research relating to global health status and disability should consider incorporating age at disability onset. In addition, research should examine possible differences in the relationship between age at onset and self-reported health within specific impairment groups.

Original languageEnglish (US)
Article number10
JournalBMC Public Health
Volume8
DOIs
StatePublished - 2008

Fingerprint

Age of Onset
Health Status
Odds Ratio
Health
Disabled Persons
Health Fairs
Demography
Behavioral Risk Factor Surveillance System
Confounding Factors (Epidemiology)
Masks
Self Concept
Self Report
Cross-Sectional Studies
Logistic Models
Regression Analysis
Research
Population

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Age at disability onset and self-reported health status. / Jamoom, Eric W.; Horner-Johnson, Willi; Suzuki, Rie; Andresen, Elena; Campbell, Vincent A.; Beatty, Phillip; Cardinal, Brad; Drum, Charles; Fujiura, Glenn; Hall, Trevor; Krahn, Gloria; Nosek, Margaret A.

In: BMC Public Health, Vol. 8, 10, 2008.

Research output: Contribution to journalArticle

Jamoom, EW, Horner-Johnson, W, Suzuki, R, Andresen, E, Campbell, VA, Beatty, P, Cardinal, B, Drum, C, Fujiura, G, Hall, T, Krahn, G & Nosek, MA 2008, 'Age at disability onset and self-reported health status', BMC Public Health, vol. 8, 10. https://doi.org/10.1186/1471-2458-8-10
Jamoom, Eric W. ; Horner-Johnson, Willi ; Suzuki, Rie ; Andresen, Elena ; Campbell, Vincent A. ; Beatty, Phillip ; Cardinal, Brad ; Drum, Charles ; Fujiura, Glenn ; Hall, Trevor ; Krahn, Gloria ; Nosek, Margaret A. / Age at disability onset and self-reported health status. In: BMC Public Health. 2008 ; Vol. 8.
@article{f10c62e18d634908a541f44c6b378992,
title = "Age at disability onset and self-reported health status",
abstract = "Background. The critical importance of improving the well-being of people with disabilities is highlighted in many national health plans. Self-reported health status is reduced both with age and among people with disabilities. Because both factors are related to health status and the influence of the age at disability onset on health status is unclear, we examined the relationship between disability onset and health status. Methods. The U.S. 1998-2000 Behavioral Risk Factor Surveillance system (BRFSS) provided data on 11,905 adults with disability. Bivariate logistic regression analysis modeled the relationship between age at disability onset (based on self-report of duration of disability) and fair/poor self-perceived health status, adjusting for confounding variables. Results. Key variables included demographics and other measures related to disability and general health status. Disability onset after 21 years of age showed significant association with greater prevalence of fair/poor health compared to early disability onset, even adjusting for current age and other demographic covariates. Compared with younger onset, the adjusted odds ratios (OR) were ages 22-44: OR 1.52, ages 45-64: OR 1.67, and age ≥65: OR 1.53. Conclusion. This cross-sectional study provides population-level, generalizable evidence of increased fair or poor health in people with later onset disability compared to those with disability onset prior to the age of 21 years. This finding suggests that examining the general health of people with and those without disabilities might mask differences associated with onset, potentially relating to differences in experience and self-perception. Future research relating to global health status and disability should consider incorporating age at disability onset. In addition, research should examine possible differences in the relationship between age at onset and self-reported health within specific impairment groups.",
author = "Jamoom, {Eric W.} and Willi Horner-Johnson and Rie Suzuki and Elena Andresen and Campbell, {Vincent A.} and Phillip Beatty and Brad Cardinal and Charles Drum and Glenn Fujiura and Trevor Hall and Gloria Krahn and Nosek, {Margaret A.}",
year = "2008",
doi = "10.1186/1471-2458-8-10",
language = "English (US)",
volume = "8",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",

}

TY - JOUR

T1 - Age at disability onset and self-reported health status

AU - Jamoom, Eric W.

AU - Horner-Johnson, Willi

AU - Suzuki, Rie

AU - Andresen, Elena

AU - Campbell, Vincent A.

AU - Beatty, Phillip

AU - Cardinal, Brad

AU - Drum, Charles

AU - Fujiura, Glenn

AU - Hall, Trevor

AU - Krahn, Gloria

AU - Nosek, Margaret A.

PY - 2008

Y1 - 2008

N2 - Background. The critical importance of improving the well-being of people with disabilities is highlighted in many national health plans. Self-reported health status is reduced both with age and among people with disabilities. Because both factors are related to health status and the influence of the age at disability onset on health status is unclear, we examined the relationship between disability onset and health status. Methods. The U.S. 1998-2000 Behavioral Risk Factor Surveillance system (BRFSS) provided data on 11,905 adults with disability. Bivariate logistic regression analysis modeled the relationship between age at disability onset (based on self-report of duration of disability) and fair/poor self-perceived health status, adjusting for confounding variables. Results. Key variables included demographics and other measures related to disability and general health status. Disability onset after 21 years of age showed significant association with greater prevalence of fair/poor health compared to early disability onset, even adjusting for current age and other demographic covariates. Compared with younger onset, the adjusted odds ratios (OR) were ages 22-44: OR 1.52, ages 45-64: OR 1.67, and age ≥65: OR 1.53. Conclusion. This cross-sectional study provides population-level, generalizable evidence of increased fair or poor health in people with later onset disability compared to those with disability onset prior to the age of 21 years. This finding suggests that examining the general health of people with and those without disabilities might mask differences associated with onset, potentially relating to differences in experience and self-perception. Future research relating to global health status and disability should consider incorporating age at disability onset. In addition, research should examine possible differences in the relationship between age at onset and self-reported health within specific impairment groups.

AB - Background. The critical importance of improving the well-being of people with disabilities is highlighted in many national health plans. Self-reported health status is reduced both with age and among people with disabilities. Because both factors are related to health status and the influence of the age at disability onset on health status is unclear, we examined the relationship between disability onset and health status. Methods. The U.S. 1998-2000 Behavioral Risk Factor Surveillance system (BRFSS) provided data on 11,905 adults with disability. Bivariate logistic regression analysis modeled the relationship between age at disability onset (based on self-report of duration of disability) and fair/poor self-perceived health status, adjusting for confounding variables. Results. Key variables included demographics and other measures related to disability and general health status. Disability onset after 21 years of age showed significant association with greater prevalence of fair/poor health compared to early disability onset, even adjusting for current age and other demographic covariates. Compared with younger onset, the adjusted odds ratios (OR) were ages 22-44: OR 1.52, ages 45-64: OR 1.67, and age ≥65: OR 1.53. Conclusion. This cross-sectional study provides population-level, generalizable evidence of increased fair or poor health in people with later onset disability compared to those with disability onset prior to the age of 21 years. This finding suggests that examining the general health of people with and those without disabilities might mask differences associated with onset, potentially relating to differences in experience and self-perception. Future research relating to global health status and disability should consider incorporating age at disability onset. In addition, research should examine possible differences in the relationship between age at onset and self-reported health within specific impairment groups.

UR - http://www.scopus.com/inward/record.url?scp=40149087345&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=40149087345&partnerID=8YFLogxK

U2 - 10.1186/1471-2458-8-10

DO - 10.1186/1471-2458-8-10

M3 - Article

VL - 8

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

M1 - 10

ER -