Disability Prevalence Rates Research Articles

Disability crossover: Is there a Hispanic immigrant health advantage that reverses from working to old age?

Background: Hispanic immigrants have been found to be more likely to have a disability than US-born populations. Studies have primarily focused on populations aged 60 and older; little is known about immigrant disability at younger ages. Objective: Taking a broader perspective, we investigate whether Hispanic immigrants have lower disability rates in midlife; if so, at what ages this health advantage reverses; and the correlates of this pattern. Methods: Using American Community Survey 2010–2014 data, we estimate age-specific disability prevalence rates by gender, nativity, education, and migration age from age 40 to 80. We also present estimates by six types of disability. Results: Compared to non-Hispanic whites, disability prevalence among foreign-born Mexican women is lower until age 53 (men: 61) and greater after 59 (66). Similar patterns hold for other foreign-born Hispanics. Crossovers are observed in rates of ambulatory, cognitive, independent living, and self-care disability. Evidence of a steeper age–disability gradient among less-educated immigrants is found. Minimal differences are noted by migration age, challenging an acculturation explanation for the crossover. Contribution: The paper contributes to a better understanding of immigrant–native disability patterns in the United States. It is the first to systematically document a Hispanic immigrant health advantage in disability that reverses from working to old age. Hispanic immigrants (particularly foreign-born Mexican women), may face steeper risk trajectories, consistent with their greater concentration in low-skill manual occupations. We call for increased scholarly attention to this phenomenon.

Epidemiology of disability and participation in Morocco: Results from 2014 National household survey

According to the World Health Organization, Over a billion people are estimated to live with some form of disability. A good quality data on disability are essential to policy makers in order to establish tailored programs for persons with disabilities (PWDs) based on the specific needs of each category. In low- and middle-income countries, data on disability are very scarce. The aim of this study is to determine the prevalence of disability and participation in Adult Moroccan population, and its distribution according to socio-demographic characteristics and geographical regions. A national Survey was conducted in 2014, including a sample of 47,275 adult participants drawn from 16,044 households from urban and rural areas proportioned to population size. The sample's socio-demographic characteristics were collected in a face-to-face interview. Then it was screened for disability using the Washington Group Short Set of Questions on Disability. Overall disability prevalence among Moroccan adult population was 9.5%, with important geographical disparities. Older age, lower education rates, unemployment, being single, and living in rural areas, were associated with higher disability prevalence rates. Visual and motor deficiencies were the most common disability modalities, and the prevalence of moderate to extreme disability, that is associated with more significant functioning limitations, was 2.6%. The study was conducted and funded by the Moroccan government as part of a National action plan on Disability.

The National and Regional Prevalence Rates of Disability, Type, of Disability and Severity in Saudi Arabia-Analysis of 2016 Demographic Survey Data.

The prevalence of disability varies between countries ranging from less than 1% to up to 30% in some countries, thus, the estimated global disability prevalence is about 15%. However, it is unknown what the current estimate of disability and its types and severity are in Saudi Arabia. Thus, the objective of this study is to estimate national and regional prevalence rates of any disability, types of disability, and their severity among Saudi populations. Data on disability status were extracted from the national demographic survey conducted in 2016 as reported by the General Authority for Statistics, Saudi Arabia (N = 20,064,970). Prevalence rates per a population of 100,000 of any disability, type of disability, and its severity were calculated at the national level and in all 13 regions. Out of 20,064,970 Saudi citizens surveyed, 667,280 citizens reported disabilities, accounting for a prevalence rate of 3326 per a population of 100,000 (3.3%). Individuals aged 60 years and above (11,014) and males (3818) had a higher prevalence rate of disability compared with females (2813). The Tabuk region has the highest rate of reported disability, at 4.3%. The prevalence rates of extreme disabilities in mobility and sight were higher in Madinah (57,343) and Northern border (41,236) regions, respectively. In Saudi Arabia, more than half a million Saudi citizens (1 out of every 30 individuals) reported the presence of disability during the year 2016. A higher prevalence rate of disability was seen among those aged 60 years and above, and males. Targeted efforts are required at the national and regional levels to expand and improve rehabilitation and social services for all people with disabilities.

Problem behaviours and psychotropic medication use in intellectual disability: a multinational cross-sectional survey.

Problem behaviours (PBs) are a common cause for clinician contact in people with disorders of intellectual development and may be a common cause for the prescription of psychotropic medication. We aimed to use a large, multinational sample to define the prevalence of PBs, the associations with psychotropic medication use, and to assess for any potential 'diagnostic overshadowing' by the label of PBs in a population of people with disorders of intellectual development. A multinational, multi-setting, cross-sectional service evaluation and baseline audit was completed. Data were collected from UK hospitals, UK community settings, Sri Lanka and Hong Kong. A semi-structured questionnaire was completed by treating clinicians, capturing demographic details, prevalence rates of intellectual disability and psychotropic medication use, alongside psychiatric co-morbidity. A sample size of 358 was obtained, with 65% of included participants treated in an inpatient setting. Psychotropic use was prevalent (90%) in our sample, particularly antipsychotics (74%). The prevalence of PB was high (83%). There was no statistically significant association between psychotropic prescription and recorded psychiatric co-morbidity, suggesting prevalent 'off-label' use for PBs, or poor recording of psychiatric co-morbidity. There was some evidence of possible diagnostic overshadowing due to the PB classification. A higher dose of psychotropic medication was associated with aggression toward others (P=0.03). We found evidence of prevalent potential 'off-label' use for psychotropic medication, which may be due to PBs. We also found evidence of potential diagnostic-overshadowing, where symptoms of psychiatric co-morbidity may have been attributed to PBs. Our findings provide renewed importance, across borders and health systems, for clinicians to consider a holistic approach to treating PBs, and attempting to best understand the precipitants and predisposing factors before psychotropic prescribing.

Persons with disability, social deprivation and an emergency medical admission.

The community level of disability and social deprivation may result in an emergency hospitalisation; we have examined the annual admission incidence rate for emergency medical conditions in relation to the community prevalence of such factors. All emergency medical admissions (96,305 episodes in 50,612 patients) within the institution's catchment area were examined between 2002 and 2016. The frequency of disability, level of full-time carers and unemployment for the 74 electoral divisions of the catchment area was regressed against admission rates; incidence rate ratios (IRR) were calculated using truncated Poisson regression. Disability was present in 12.1% of the catchment area population (95% CI = 9.7-15.0). The annual admission incidence rates/1000 population across disability quintiles for the more affluent areas increased from Q1 7.6 (95% CI = 7.4-7.8) to Q5 27.3 (95% CI = 27.0-27.5) and for the more deprived area from Q1 16.6 (95% CI = 16.4, 16.8) to and Q5 40.4 (95% CI = 40.1-40.7). Disability status influenced the overall admission IRR (compared with Q1/Q3) for Q4/Q5 1.11 (95% CI = 1.09-1.13) showing an increased rate of hospitalisation for the more deprived areas. Community disability levels interacted with local area unemployment and frequency of full-time carers; as they increased, a linear relationship between disability and the admission rate incidence was demonstrated. Local catchment area disability prevalence rates in addition to social deprivation factors are an important determinant of the annual incidence rate of emergency medical admissions.

The Prevalence of Disabilities in the U.S. Farm Population

Abstract. Health limitations and disabilities among farmers, farmworkers, and farm family members may have implications on their day-to-day activities and well-being as well as the farm business, but little is known about the extent of these limitations and disabilities. Using the U.S. Census Bureau’s American Community Survey (ACS) Public Use Microdata Sample (PUMS) files from 2008 to 2016, the following questions were examined: what is the prevalence of disability in the overall farm population; what is the prevalence of health difficulties and disability among farmers, farmworkers, and farm family members; and do farmer and farmworker disability prevalence rates vary over time, by state, gender, or race/ethnicity. Finally, the effects of demographic factors were estimated on the likelihood that farmers and farmworkers might experience a disability. The findings of this study indicated that the disability rate in the farm population was 12.9%. On average, almost two out of ten farmers (19.2%) and nearly one out of ten farmworkers (9.0%) had a disability. One in 25 farm family children (4.2%, ages 6 to 17) and slightly more than two in 25 farm family adults (10.5%) had a disability. Keywords: Cognitive difficulty, Disability, Farm children, Farmer, Farm household, Farmworker, Hearing difficulty, Independent living difficulty, Physical difficulty, Self-care difficulty, Vision difficulty.

HUBUNGAN DUKUNGAN KELUARGA DAN PENGETAHUAN TERHADAP PERAWATAN DIRI PENDERITA KUSTA DI PUSKESMAS GRATI TAHUN 2016

Indonesia is the country with the third highest number of leprosy with 16131 patients in 2014 in disability prevalence rate of 6,82 per 1 million inhabitants (MoH RI,2014). East Java is the province with the most cases of leprosy in Indonesia (Ministry of Health, 2014). Pasuruan is one of the areas withhigh leprosy burden with the number of cases reached 175 cases and 16.57% of them have disabilities level 2 (DHO Pasuruan, 2015). Prevention of disability can be done with self-care measures. Factors that support the successful self-care of leprosy patients including the support of family and knowledge of leprosy patients. The purpose of this study to determine the relationship between family support and knowledge with self-care of lepers. This study using cross sectional study design. The sampling technique using simple random sampling and obtained a sample of 46 people. Data were collected by interview. Data analysis using Pearson correlation test. Showed no relationship between family supportwith self-care of leprosy patients with p value of 0.00 < 0.5 with correlation coefficient 0.690. There is a relationship between knowledge and self-care with a 0.00 p value < 0.05 with correlation coefficient 0.691. The need for an optimization program based self-care group families to improve family support,especially in terms of information support.Keywords: self-care of leprosy, family support, knowledge

Underrepresentation of adolescents with respiratory, mental health, and developmental disabilities using American Community Survey (ACS) questions

BackgroundDisability prevalence estimates are used to identify populations, establish priorities and allocate funding for a broad range of federal, state, and local initiatives. Increasingly, these estimates are based on a set of six questions developed and tested for use in the American Community Survey (ACS). A key assumption about the ACS disability screeners is that they sufficiently capture the entire population of people with disabilities, but some studies indicate that certain disability groups are underrepresented. ObjectivesThe objective of this study is to explore potential underrepresentation of certain disability groups identified by the ACS disability questions. MethodsWe compared disability prevalence rates from two data sources for adolescents with disabilities, aged 14 to 16, who receive Supplemental Security Income (SSI, n = 2051). The Social Security Administration (SSA) provided disability determination data for each adolescent, and adolescents (or proxy-rater) provided baseline self-report data about functional limitation based on the six ACS disability questions. ResultsApproximately 17% of the sample did not endorse any ACS questions. Excluding SSA categories with cell counts less than 10, the top five conditions not captured by ACS questions included respiratory conditions (38%), mood disorders (28%), other mental disorders (27%), schizophrenic and other psychotic disorders (27%) and developmental disorders (20%). ConclusionsOur findings suggest that people with mental health and developmental disabilities and those with respiratory conditions are among those groups under-represented by the ACS disability questions. Changes or additions to ACS questions should be considered to ensure that all disability groups are addressed in public health planning.

Socio-demographic differences of disability prevalence among the population aged 60 years and over in Bangladesh

ABSTRACTThis study aims to delineate the sociodemographic differences in disability prevalence across the population aged 60 years and over in Bangladesh, and to investigate the association of factors with reporting disability in later life. A microdata sample for those aged 60 years or over from the Census of Bangladesh 2011 was used where disability was assessed with a self-reported single response question. Logistic regression models were performed separately for men and women. Results reveal that the disability prevalence rate increased sharply with age, and it was higher among older women (5.2 per cent) compared to men (4.8 per cent). Physical and vision disabilities were the two categories with the highest prevalence of reported disabilities, with a higher prevalence of physical disability among men and vision disability among women. Being older, female, currently not in marital partnership, and having a lower educational attainment, not being employed, living alone, and residing in the rural areas were significantly associated with reporting disability in later life. The higher prevalence of disability among older women, those who are illiterate, and those residing in rural areas highlights the need for policies prioritising these groups. Special attention should also be given to those who are currently not in marital partnership, particularly women who are living alone.

A Cross-sectional Survey of Disability Attributed to Mental Disorders and Service Use in China.

Background:Mental disorders are strongly associated with disabilities. National survey on disability could provide a reliable basis for policymaking in care and rehabilitation of disabled persons. This study aimed to describe the disability prevalence rates attributed to mental disorders, their distribution by sociodemographic factors, and utilizations of service.Methods:This study is a secondary data analysis of the Second National Sample Survey on Disability in 2006. The disability and severity were assessed using the World Health Organization Disability Assessment Schedule 2.0. Mental disorders were diagnosed according to the International Statistical Classification of Diseases and Related Health Problems 10th Revision Classification of Mental and Behavioral Disorders. Using descriptive and analytic epidemiological methods, prevalence rates of disability attributed to mental disorders and service use were calculated.Results:Data of 2,526,145 respondents were analyzed. The disability prevalence rate attributed to mental disorders in China was 6.3‰, accounting for 9.9% of all disabled people. Regarding disability prevalence attributed to mental disorders, it showed that gender, residential area, marital status, education level, and economic area were related to the prevalence distributions. The proportions of mild disability were highest in the disabled people with onset age of 18–64 years, while the proportion of extremely severe disability was highest in the disabled people with onset age of 65 years and above. Only 58.6% of disabled people attributed to mental disorders used some of the services.Conclusions:There are statistical differences of disability prevalence attributed to mental disorders by people and region in China. Service use in disabled people with mental disorders is insufficient.

Spatial Variation in the Poverty Gap Between People With and Without Disabilities: Evidence from Vietnam

Poverty and disability are interrelated, but data that can disentangle to what extent one causes the other and vice versa is not available. However, data from Vietnam allows us to examine this interrelationship in a way not done previously. Using small area estimation techniques, we uncover three findings not yet found in the literature. First, disability prevalence rates vary significantly within a country even at the district level. Second, the poverty gap between people with and without disabilities also varies at the district level. And most importantly, the size of that gap lessens based on district characteristics that can be affected by policy. Districts with better health care and infrastructure, such as road and health services, show less of a link between disability and poverty, supporting the hypothesis that improvements in infrastructure and rehabilitation service can lessen the impact of disability on families with disabled members.

Making every Australian count: challenges for the National Disability Insurance Scheme (NDIS) and the equal inclusion of homeless Aboriginal and Torres Strait Islander Peoples with neurocognitive disability.

This article highlights the dearth of accurate evidence available to inform the National Disability Insurance Scheme (NDIS) regarding the extent and nature of neurocognitive disability amongst homeless Aboriginal and Torres Strait Islander people. Without accurate prevalence rates of neurocognitive disability, homeless Aboriginal and Torres Strait Islander people are in danger of not being counted by the NDIS and not receiving supports to which they are entitled. Addressing this knowledge gap is challenged by a range of factors, including: (1) the long-term effect of profound intergenerational disenfranchisement of Aboriginal and Torres Strait Islander people; (2) Aboriginal and Torres Strait Islander cultural perspectives around disability; (3) the generally unrecognised and poorly understood nature of neurocognitive disability; (4) the use of research methods that are not culturally safe; (5) research logistics; and (6) the absence of culturally appropriate assessment tools to identify prevalence. It is argued that an accurate evidence base that is informed by culturally safe research methods and assessment tools is needed to accurately guide the Commonwealth government and the National Disability Insurance Agency about the expected level of need for the NDIS. Research within this framework will contribute to the realisation of a truly inclusive NDIS.

FACTORS DETERMINING THE EMPLOYMENT OF DISABLED PERSONS WITH SIGNIFICANT HEALTH PROBLEMS

Disabled people with significant impairments of body functions, make up more than 10% in the structure of the total disability prevalence rates across the regions of Russia. Some of them may be included in the labor force with the considerable help of others in specially created circumstances, such as educational or medical-industrial workshops. The purpose of research is the study of the complex of biopsychosocial factors determining the labor activities of disabled persons of various ages with significant health problems. There were observed 128 people. There were investigated the peculiarities of employment of persons with disabilities working in the medical-industrial workshops in St. Petersburg and the Leningradskaya region. There was used the method of expert and rehabilitation diagnostics, aimed at the study of the functioning of persons with disabilities with the help of processes of health domains and health-related domains systematized according to the International Classification of Functioning, Disability and Health (ICF). There were revealed specific features of the functioning, activity and participation as well as affecting on them environment factors specific to working activity of «severe» psychiatric and ophthalmic disabled, as well as cases with disorders of the musculoskeletal system, capable of working in educational and medical-industrial workshops with the considerable help of other persons. In the course of the study there was determined the pronouncement of persistent disorders of mental and sensory functions and disorders of the musculoskeletal system, when people with such disabilities can be sent to the medical and educational-production workshops institutions of different departmental subordination.There were pointed out the barriers disrupting «severe» people with disabilities be employed, as well as to facilitate career and personal factors that providing a more effective integration of disabled people into the work. Involvement in the feasible work of the «severe» cases with disabilities prevent their discrimination, promote social and economic effectiveness of rehabilitation

Changes in Prevalence and Socioeconomic Factors of Psychiatric Disability among Children in China from 1987-2006: A Population Based Survey.

The prevalence and risk factors associated with psychiatric disability among Chinese children under 14 years of age has long been of interest. Data used in the study included two nationally representative population-based surveys from the first and second China National Sample Surveys on Disability, conducted in 1987 and 2006. Both surveys used multistage, stratified random cluster sampling, with probability proportion to size, to derive nationally representative samples. Age-standardized point prevalence of mental disability was estimated through direct standardization using the 2000 census-derived Chinese population as the standard. Associations between psychiatric disability in children and possible risk factors were examined by logistic regression. Age-standardized point prevalence of psychiatric disability in children increased sharply from 0.18% to 1.11% in the 20 years between surveys. In the logistic regression analysis, the children’s age and household size presented inverse associations with psychiatric disability in both surveys, although these associations were not all significant in 1987. Residential area, minority group status and gender of children were consistently associated with psychiatric disability in both surveys. To face the challenge of rising prevalence rates of psychiatric disability among children in China, the government should adopt more vigorous strategies to prevent it, especially for minority ethnicity children and those living in rural areas.

The Development of Speech-Language Pathology in Zambia: A Reflection on the Current Landscape and Two Contrasting Training Models

Functional approaches to disability measurement in Zambia reveals an overall disability prevalence rate of 13.4%, 4% of whom are recorded as having “speech impairment” (Zambia Federation of the Disabled [ZAFOD], 2006). Further, multidimensional poverty assessments indicate that 48.6% of Zambia's approximately 16 million citizens are impoverished. Currently, there are three internationally qualified speech-language pathologists (SLPs) providing services within Zambia's capital city, Lusaka. Given these statistics, it follows that a significant number of Zambian's, experiencing communication disability, are unable to access specialist assessment and support. Over the past decade, Zambia has seen two very different approaches to address this service gap—firstly, a larger scale top-down approach through the implementation of a formal master's degree program and more recently a smaller scale, bottom-up approach, building the capacity of existing professionals working in the field of communication disability. This article provides an overview of both programs and the context, unique to Zambia, in which they have developed. Authors describe the implementation challenges encountered and program successes leading to a discussion of the weakness and merits to both programs, in an attempt to draw lessons from which future efforts to support communication disability and SLP service development in Majority World contexts may benefit.

Trends in activities of daily living disability in a large sample of community-dwelling Chinese older adults in Hong Kong: an age-period-cohort analysis

BackgroundTo examine the trends in activities of daily living (ADL) disability in older Chinese adults in Hong Kong between 2001 and 2012.MethodsUsing data from the Elderly Health Centres (EHCs) of...

Compression of Morbidity and Mortality: New Perspectives

Compression of morbidity is a reduction over time in the total lifetime days of chronic disability, reflecting a balance between (1) morbidity incidence rates and (2) case-continuance rates, generated by case-fatality and case-recovery rates. Chronic disability includes limitations in activities of daily living and cognitive impairment, which can be covered by long-term-care insurance. Morbidity improvement can lead to a compression of morbidity if the reductions in age-specific prevalence rates are sufficiently large to overcome the increases in lifetime disability due to concurrent mortality improvements and progressively higher disability prevalence rates with increasing age. Compression of mortality is a reduction over time in the variance of age at death. Such reductions are generally accompanied by increases in the mean age at death; otherwise, for the variances to decrease, the death rates above the mean age at death would need to increase, and this has rarely been the case. Mortality improvement is a reduction over time in the age-specific death rates and a corresponding increase in the cumulative survival probabilities and age-specific residual life expectancies. Mortality improvement does not necessarily imply concurrent compression of mortality. This article reviews these concepts, describes how they are related, shows how they apply to changes in mortality over the past century and to changes in morbidity over the past 30 years, and discusses their implications for future changes in the United States. The major findings of the empirical analyses are the substantial slowdowns in the degree of mortality compression over the past half century and the unexpectedly large degree of morbidity compression that occurred over the morbidity/disability study period 1984–2004; evidence from other published sources suggests that morbidity compression may be continuing.

Distribution and Risk Factors of Disability Attributed to Personality Disorders: A National Cross-sectional Survey in China.

Background:Personality disorders can lead to some disability. However, little is known about the disability prevalence and function impairments. This study aimed to describe the disability prevalence attributed to personality disorders, its distribution, impairments of daily activities and social functions, and risk factors in China.Methods:Using a descriptive and analytic epidemiological method, data from the Second China National Sample Survey on Disability in 2006 were analyzed. The disability prevalence attributed to personality disorders, its distribution in different people and regions, and risk factors were statistically calculated.Results:Respondents included 1,909,205 adults. The disability prevalence rate attributed to personality disorders in China was 5.9/100,000. The disability rate attributed to personality disorders of males was higher than that of females (P = 0.012), while the rate of the unemployed was higher than that of the employed (P < 0.001). Furthermore, the rates of unmarried/divorced/widowed people and the illiterate population were higher than those of married and educated people (P < 0.001). Regarding the severity of disability attributable to personality disorders, mild disability accounted for a majority or 60% of the respondents. The data showed that disability mainly impaired respondents’ ability to engage in daily activities, get along with people, and participate in social situations. According to the case-control study, marriage, employment, and higher education were protective factors of disability.Conclusions:The prevalence of disability attributed to personality disorders is low in China and always leads to mild disability. The distribution of disability attributed to personality disorders also varies in the Chinese population.

Profile of disability in selected districts in Rwanda

Disability prevalence data are important to improve efforts to remove or minimize disabling barriers and provide services to allow people with disabilities to take part in community life. There is however a lack of reliable data on disability in the districts of Rwanda. This study aims to describe the profile of disability in terms of prevalence, age, gender distribution as well as activity limitation in Rwanda. A door-to-door survey was conducted in all the households in villages from three districts selected through a multi-stage sampling procedure. Identified persons were assessed for activity limitations using instruments developed from domains in the International Classification of Functioning, Disability and Health (ICF). Data were analysed descriptively and presented by district, age, gender, and activity limitation. Disability prevalence rates of 10.1% (Ruhango), 9.1% (Kayonza), and 6.0% (Nyagatare) were obtained. An overall average prevalence of disability in the three districts was 8.3%. The prevalence of disability was higher in adults than in children in all the three districts with Ruhango having 13.6% vs 7.0%; Kayonza,12.4% vs 6.4%; and Nyagatare, 8.9% vs 2.8%. The main activity limitations experienced by children with disability were sitting, seeing, and crawling, while adults with disabilities had difficulties mainly in seeing and walking. Persons identified with disability in this study from three districts in Rwanda have various activity limitations. The findings provide a useful resource for planning rehabilitation services and to direct future enquiry into the epidemiology of disability in other districts of Rwanda. Keywords: disability, prevalence, ICF, Rwanda

Association between seizures after ischemic stroke and stroke outcome: A systematic review and meta-analysis.

A systematic review and meta-analysis were performed to investigate a potential association between post-ischemic stroke seizures (PISS) and subsequent ischemic stroke (IS) outcome.A systematic search of two electronic databases (Medline and Embase) was conducted to identify studies that explored an association between PISS and IS outcome. The primary and secondary IS outcomes of interest were mortality and disability, respectively, with the latter defined as a score of 3 to 5 on the modified Rankin Scale.A total of 15 studies that were published between 1998 and 2015 with 926,492 participants were examined. The overall mortality rates for the patients with and without PISS were 34% (95% confidence interval [CI], 27-42%) and 18% (95% CI, 12-23%), respectively. The pooled relative ratio (RR) of mortality for the patients with PISS was 1.97 (95% CI, 1.48-2.61; I = 88.6%). The overall prevalence rates of disability in the patients with and without PISS were 60% (95% CI, 32-87%) and 41% (95% CI, 25-57%), respectively. Finally, the pooled RR of disability for the patients with PISS was 1.64 (95% CI, 1.32-2.02; I = 66.1%).PISS are significantly associated with higher risks of both mortality and disability. PISS indicate poorer prognoses in patients experiencing IS.