Wolfe B L, Haveman R
University of Wisconsin-Madison.
Milbank Q. 1990;68(1):53-80.
Self-reported disability has increased in recent decades among working-age persons, while age-specified mortality rates conversely have fallen. Current Population Survey data permit defining a statistical measure of disability based on the presence of work limitations and/or receipt of disability transfers tied to health-constrained employment. The proportions of people meeting the definition graphically trace a hump-shaped pattern, rising from the 1960s to peaks in the mid to late 1970s, at which time downturns occur. Changes in impairment/pathology alone are unlikely to account for the observed pattern; more plausibly, the changes are due to individuals' propensity to report health problems as the reason for constrained work or to receive disability transfers.
近几十年来,在工作年龄人群中,自我报告的残疾情况有所增加,而按年龄划分的死亡率则相反有所下降。当前人口调查数据允许根据工作限制的存在和/或与健康受限就业相关的残疾转移收入来定义残疾的统计指标。符合该定义的人群比例呈现出驼峰状模式,从20世纪60年代开始上升,在70年代中后期达到峰值,随后出现下降。仅损伤/病理变化不太可能解释观察到的模式;更合理的解释是,这些变化是由于个人倾向于将健康问题报告为工作受限的原因或领取残疾转移收入。