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 M.
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.
N1 - Funding Information:
The other members of the RRTC Expert Panel on Health Status Measurement are: Phillip Beatty, Ph.D., NIDRR; Brad Cardinal, Ph.D., Oregon State University; Charles Drum, Ph.D., Oregon Health & Science University; Glenn Fujiura, Ph.D., University of Illinois at Chicago; Trevor Hall, Ph.D., Oregon Health & Science University; Gloria Krahn, Ph.D., Oregon Health & Science University; Margaret A. Nosek, Ph.D., Baylor College of Medicine. An earlier version of our findings was presented in March 2006 at the 23rd Annual BRFSS conference. Content from this manuscript was originally presented to the Expert Panel on Health Status Measurement of the Oregon Health & Science University Rehabilitation Research and Training Center meeting in Portland, Oregon in June 2006. This work was supported, in part, by the Rehabilitation Research and Training Center on Health & Wellness – a grant from the National Institute on Disability and Rehabilitation Research (NIDRR grant # H133B040034) to Oregon Health & Science University. Additionally, we'd like to thank Babette Brumback, Ph.D. at the University of Florida Department of Epidemiology and Biostatistics for time and assistance during this project. The University of Florida, OHSU, and the CDC provided a supportive environment for this very important collaborative work to take place. The findings and conclusions in this article have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or policy.
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.
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U2 - 10.1186/1471-2458-8-10
DO - 10.1186/1471-2458-8-10
M3 - Article
C2 - 18184437
AN - SCOPUS:40149087345
SN - 1471-2458
VL - 8
JO - BMC public health
JF - BMC public health
M1 - 10
ER -