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美国行动不便的社区居住成年人的健康状况:常见健康问题。第一部分。

Health of community-dwelling adults with mobility limitations in the United States: prevalent health conditions. Part I.

作者信息

Rasch Elizabeth K, Hochberg Marc C, Magder Larry, Magaziner Jay, Altman Barbara M

机构信息

Rehabilitation Medicine Department, Clinical Research Center, National Institutes of Health, Bethesda, MD, USA.

出版信息

Arch Phys Med Rehabil. 2008 Feb;89(2):210-8. doi: 10.1016/j.apmr.2007.08.146.

Abstract

OBJECTIVE

To characterize the extent and types of prevalent health conditions among nationally representative groups of adults with mobility, nonmobility, and no limitations.

DESIGN

Data were collected during 5 rounds of household interviews from a probability subsample of households that represent the civilian, noninstitutionalized U.S. population. With some exceptions, round 1 variables were used for this analysis.

SETTING

Community.

PARTICIPANTS

Data were analyzed on the same respondents from the 1996 to 1997 Medical Expenditure Panel Survey (MEPS) and the 1995 National Health Interview Survey Disability Supplement. Respondents were categorized into 3 groups for analysis: those with mobility limitations, nonmobility limitations; and no limitations. The analytic sample included 13,897 MEPS adults (> or =18y).

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

Number, types, and prevalence of self-reported health conditions compared across groups.

RESULTS

On average, adults with mobility limitations had significantly more prevalent conditions (3.6) than those with nonmobility limitations (2.4), or no limitations (1.3). Greater comorbidity existed in the context of fewer personal resources and more than half of adults with mobility limitations were working age.

CONCLUSIONS

Determining factors that influence the health of adults with mobility limitations is a critical public health issue.

摘要

目的

描述在全国具有代表性的有行动能力、无行动能力和无限制的成年人群体中普遍存在的健康状况的程度和类型。

设计

数据来自对代表美国非机构化平民人口的家庭概率子样本进行的5轮家庭访谈。除某些例外情况外,本分析使用第一轮变量。

背景

社区。

参与者

对1996年至1997年医疗支出小组调查(MEPS)和1995年国家健康访谈调查残疾补充调查中的相同受访者的数据进行了分析。受访者被分为3组进行分析:有行动能力限制者、无行动能力限制者和无限制者。分析样本包括13897名MEPS成年人(≥18岁)。

干预措施

不适用。

主要观察指标

比较各组自我报告的健康状况的数量、类型和患病率。

结果

平均而言,有行动能力限制的成年人普遍存在的健康状况(3.6种)明显多于无行动能力限制的成年人(2.4种)或无限制的成年人(1.3种)。在个人资源较少的情况下合并症更多,且超过一半有行动能力限制的成年人处于工作年龄。

结论

确定影响有行动能力限制的成年人健康的因素是一个关键的公共卫生问题。

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