Application of a comprehensive disability measure: Disability prevalence among US veterans and non-veterans from the National Health Interview Survey Data from 2015 to 2018.
Disability
Measurement
Prevalence
US national health interview survey
Veterans
Journal
Preventive medicine
ISSN: 1096-0260
Titre abrégé: Prev Med
Pays: United States
ID NLM: 0322116
Informations de publication
Date de publication:
19 Jun 2024
19 Jun 2024
Historique:
received:
28
03
2024
revised:
17
06
2024
accepted:
18
06
2024
medline:
22
6
2024
pubmed:
22
6
2024
entrez:
21
6
2024
Statut:
aheadofprint
Résumé
Current measures of condition-specific disabilities or those capturing only severe limitations may underestimate disability prevalence, including among Veterans. To develop a comprehensive measure to characterize and compare disabilities among US Veterans and non-Veterans. Using 2015-2018 pooled cross-sectional National Health Interview Survey data, we compared the frequency and survey-weighted prevalence of non-mutually exclusive sensory, social, and physical disabilities by Veteran status. We developed a measure for and examined the frequency and survey-weighted prevalence of eight mutually exclusive disability categories-sensory only; physical only; social only; sensory and physical; social and sensory; physical and social; and sensory, social, and physical. Among 118,818 NHIS respondents, 11,943 were Veterans. Veterans had a greater prevalence than non-Veterans of non-mutually exclusive physical [52.01% vs. 34.68% (p < 0.001), respectively], sensory [44.47% vs. 21.79% (p < 0.001), respectively], and social [17.20% vs. 11.61% (p < 0.001), respectively] disabilities (after survey-weighting). The most frequently reported mutually exclusive disability categories for both Veterans and non-Veterans were sensory and physical (19.20% and 8.02%, respectively, p < 0.001) and physical only (16.24% and 15.69%, respectively, p = 0.216) (after survey-weighting). The least frequently reported mutually exclusive disability categories for both Veterans and non-Veterans were social only (0.31% and 0.44%, respectively, p = 0.136) and sensory and social (0.32% and 0.20%, respectively, 0.026) (after survey-weighting). Our disability metric demonstrates that Veterans have a higher disability prevalence than non-Veterans, and a higher prevalence than previously reported. Public policy and future research should consider this broader definition of disability to more fully account for the variable needs of people with disabilities.
Sections du résumé
BACKGROUND
BACKGROUND
Current measures of condition-specific disabilities or those capturing only severe limitations may underestimate disability prevalence, including among Veterans.
OBJECTIVES
OBJECTIVE
To develop a comprehensive measure to characterize and compare disabilities among US Veterans and non-Veterans.
METHODS
METHODS
Using 2015-2018 pooled cross-sectional National Health Interview Survey data, we compared the frequency and survey-weighted prevalence of non-mutually exclusive sensory, social, and physical disabilities by Veteran status. We developed a measure for and examined the frequency and survey-weighted prevalence of eight mutually exclusive disability categories-sensory only; physical only; social only; sensory and physical; social and sensory; physical and social; and sensory, social, and physical.
RESULTS
RESULTS
Among 118,818 NHIS respondents, 11,943 were Veterans. Veterans had a greater prevalence than non-Veterans of non-mutually exclusive physical [52.01% vs. 34.68% (p < 0.001), respectively], sensory [44.47% vs. 21.79% (p < 0.001), respectively], and social [17.20% vs. 11.61% (p < 0.001), respectively] disabilities (after survey-weighting). The most frequently reported mutually exclusive disability categories for both Veterans and non-Veterans were sensory and physical (19.20% and 8.02%, respectively, p < 0.001) and physical only (16.24% and 15.69%, respectively, p = 0.216) (after survey-weighting). The least frequently reported mutually exclusive disability categories for both Veterans and non-Veterans were social only (0.31% and 0.44%, respectively, p = 0.136) and sensory and social (0.32% and 0.20%, respectively, 0.026) (after survey-weighting).
CONCLUSIONS
CONCLUSIONS
Our disability metric demonstrates that Veterans have a higher disability prevalence than non-Veterans, and a higher prevalence than previously reported. Public policy and future research should consider this broader definition of disability to more fully account for the variable needs of people with disabilities.
Identifiants
pubmed: 38906274
pii: S0091-7435(24)00206-8
doi: 10.1016/j.ypmed.2024.108051
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
108051Informations de copyright
Copyright © 2024. Published by Elsevier Inc.