Colorado Injury Control Research Center, Colorado State University, Fort Collins, Colorado, USA.
Inj Prev. 2010 Dec;16(6):411-5. doi: 10.1136/ip.2010.028522. Epub 2010 Sep 10.
People with disabilities have high rates of non-fatal injury; they are also likely to experience environmental factors as barriers to functioning and participation in society. The reasons for the higher injury rates among those with disabilities have not been explained.
To determine if problems with environmental factors influence the higher rates of injury among disabled compared with non-disabled.
Data from a population-based, random-digit dial cross-sectional telephone survey were analysed to evaluate whether environmental factors as measured by the Craig Hospital Inventory of Environmental Factors explained higher injury rates among those with disabilities compared with those without. A total of 2511 Colorado adults (1997 with no disability, 386 with moderate disability, and 128 with severe disability) were included in the sample. All rated their experience of environmental factors and reported injuries within the previous 12 months. Logistic regression analyses were conducted to evaluate whether environmental factors could be confounding factors in the association between disability and non-fatal injury.
Disability and environmental barriers were independently associated with higher rates of injury. Environmental factors did attenuate the increased odds of experiencing an injury among those with severe disabilities, but these people continued to have significantly higher rates of injury after adjustment for environmental factors. The natural environment, social attitudes and policies were ranked highly as problems by all injured persons.
Injury prevention efforts need to focus on reducing disability-related injuries and reducing environmental barriers for all.
残疾人的非致命性伤害率较高；他们也可能因环境因素而面临功能障碍和参与社会的障碍。导致残疾人群体更高伤害率的原因尚未得到解释。
确定环境因素问题是否会影响残疾人群体与非残疾人群体相比更高的伤害率。
对基于人群的、随机数字拨号横断面电话调查的数据进行分析，以评估克雷格医院环境因素清单所衡量的环境因素是否可以解释残疾人群体中更高的伤害率，而不是没有残疾的人群。共有 2511 名科罗拉多州成年人（1997 名无残疾，386 名中度残疾，128 名重度残疾）被纳入样本。所有参与者都对其环境因素体验进行了评分，并报告了过去 12 个月内的伤害情况。进行逻辑回归分析以评估环境因素是否可能是残疾与非致命性伤害之间关联的混杂因素。
残疾和环境障碍与更高的伤害率独立相关。环境因素确实减弱了严重残疾者受伤的几率，但在调整环境因素后，这些人受伤的比率仍然明显更高。所有受伤者都将自然环境、社会态度和政策列为主要问题。
预防伤害的工作需要集中精力减少与残疾相关的伤害，并减少所有人的环境障碍。
