The Missouri disability epidemiology and health project

Elena Andresen, Aurita Prince-Caldwell, Fevzi Akinci, Carol A. Brownson, Kristofer Hagglund, Jeannette Jackson-Thompson, Roger Crocker

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Introduction: Estimates of disability in this country are as high as 20%. State health departments need to provide the core activities to deal with this public health problem including assessment, policy development, and assurance. A collaboration among academic institutions and the Missouri Department of Health (MDOH) is a model for providing this core. Methods: A disability workgroup was established among bureaus of the MDOH and three universities. This group selected the disability domain of mobility impairments for initial work. Existing data from the Centers for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS) in Missouri and data from the 1990 Census were analyzed. Dissemination of the findings involved community and consumer participation via an advisory group and a public health-sponsored conference on disability. In addition, new data collection efforts are underway using the BRFSS. Education and training activities include both public health students and public health practitioners in learning the content and methodology associated with disability epidemiology. Results: Data analyses have identified rural geographic areas of the State with high levels of disability and a trend of increasing work disability since 1993. A selected key condition, arthritis, has been confirmed as having a high prevalence (28%) in Missouri. These data also demonstrate that there is a strong risk of limitations associated with arthritis [adjusted odds ratio (OR) 3.57; 95% confidence intervals 3.0, 4.2]. These results will be applied to program planning. Conclusions: The Missouri program is succeeding in providing both academic and public health practice partners with a productive experience that meets the needs of each.

Original languageEnglish (US)
Pages (from-to)63-71
Number of pages9
JournalAmerican Journal of Preventive Medicine
Volume16
Issue number3 SUPPL.
StatePublished - Apr 1999
Externally publishedYes

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Epidemiology
Behavioral Risk Factor Surveillance System
Health
Public Health
Arthritis
Public Health Students
Public Health Practice
Policy Making
Censuses
Centers for Disease Control and Prevention (U.S.)
Teaching
Odds Ratio
Learning
Confidence Intervals
Education
Community Participation

ASJC Scopus subject areas

  • Medicine(all)
  • Public Health, Environmental and Occupational Health

Cite this

Andresen, E., Prince-Caldwell, A., Akinci, F., Brownson, C. A., Hagglund, K., Jackson-Thompson, J., & Crocker, R. (1999). The Missouri disability epidemiology and health project. American Journal of Preventive Medicine, 16(3 SUPPL.), 63-71.

The Missouri disability epidemiology and health project. / Andresen, Elena; Prince-Caldwell, Aurita; Akinci, Fevzi; Brownson, Carol A.; Hagglund, Kristofer; Jackson-Thompson, Jeannette; Crocker, Roger.

In: American Journal of Preventive Medicine, Vol. 16, No. 3 SUPPL., 04.1999, p. 63-71.

Research output: Contribution to journalArticle

Andresen, E, Prince-Caldwell, A, Akinci, F, Brownson, CA, Hagglund, K, Jackson-Thompson, J & Crocker, R 1999, 'The Missouri disability epidemiology and health project', American Journal of Preventive Medicine, vol. 16, no. 3 SUPPL., pp. 63-71.
Andresen E, Prince-Caldwell A, Akinci F, Brownson CA, Hagglund K, Jackson-Thompson J et al. The Missouri disability epidemiology and health project. American Journal of Preventive Medicine. 1999 Apr;16(3 SUPPL.):63-71.
Andresen, Elena ; Prince-Caldwell, Aurita ; Akinci, Fevzi ; Brownson, Carol A. ; Hagglund, Kristofer ; Jackson-Thompson, Jeannette ; Crocker, Roger. / The Missouri disability epidemiology and health project. In: American Journal of Preventive Medicine. 1999 ; Vol. 16, No. 3 SUPPL. pp. 63-71.
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