Department of Medicine and Oncology, University of Wisconsin, Madison, WI, USA.
Disabil Rehabil. 2011;33(4):343-51. doi: 10.3109/09638288.2010.490869. Epub 2010 Jun 4.
Health promotion and disease prevention among people with disabilities are often overlooked. The objective of this article is to determine if working age adults with disabilities differ in healthy behaviours from those without disabilities.
Behavioural Risk Factor Surveillance System data (2003) were used to assess healthy behaviours among 201,840 community dwelling working age adults.
People who reported activity limitation irrespective of assistive device use were more likely to be overweight and to smoke than people without a disability. The prevalence of heavy alcohol and insufficient fruit and vegetable consumption was significantly lower among those who used an assistive device irrespective of activity limitation compared to the No Disability Group. Adults in all disability groups were significantly more likely to report physical inactivity compared to the No Disability Group. Lower alcohol consumption and physical inactivity findings were accentuated when the disabled were not working.
There is evidence that people with a disability report poor lifestyle behaviours that increase disease risk and may need assistance with smoking cessation, weight loss and adoption of a physical activity routine. Screening for unhealthy behaviours and advice should be incorporated into routine health care visits for working age adults with disabilities.
促进残疾人健康和预防疾病往往被忽视。本文的目的是确定残疾的工作年龄成年人的健康行为是否与非残疾者不同。
使用行为危险因素监测系统数据（2003 年）评估了 201,840 名居住在社区的工作年龄成年人的健康行为。
无论是否使用辅助设备，报告活动受限的人比没有残疾的人更容易超重和吸烟。与无残疾组相比，无论活动受限与否，使用辅助设备的人重度饮酒和水果、蔬菜摄入不足的患病率明显较低。与无残疾组相比，所有残疾组的成年人报告身体活动不足的可能性都明显更高。当残疾人不工作时，饮酒量较低和身体活动不足的发现更加明显。
有证据表明，残疾人报告的生活方式行为不佳，增加了患病风险，可能需要帮助戒烟、减肥和进行身体活动。对不健康行为的筛查和建议应纳入残疾工作年龄成年人的常规医疗保健。
