University of Kansas, Research and Training Center on Independent Living, 1000 Sunnyside Ave., Suite 4089, Lawrence, KS 66045, USA.
Intellect Dev Disabil. 2011 Jun;49(3):141-54. doi: 10.1352/1934-9556-49.2.141.
Using a retrospective analysis of data from the 2006 Medical Expenditures Panel Survey (MEPS), we assessed the health status of working-age adults with cognitive limitations in comparison to adults with no disability (unweighted N = 27,116; weighted N = 240,343,457). Adults with cognitive limitations had a significantly higher prevalence of diabetes than did adults with no disability (19.4% vs. 3.8%, respectively) and a significantly higher prevalence of six other major chronic conditions. In addition, individuals with cognitive limitations and diabetes were significantly more likely to have multiple (four or more) chronic illnesses. The health disparities we found in this study demonstrate the need to improve disease prevention and education efforts for individuals with cognitive limitations and their health care providers.
利用 2006 年医疗支出面板调查(MEPS)的数据进行回顾性分析,我们评估了有认知障碍的劳动年龄成年人与无残疾成年人(未加权 N = 27116;加权 N = 240343457)的健康状况。与无残疾成年人相比,有认知障碍的成年人的糖尿病患病率显著更高(分别为 19.4%和 3.8%),且有六种其他主要慢性疾病的患病率也显著更高。此外,有认知障碍和糖尿病的个体更有可能患有多种(四种或更多)慢性疾病。我们在这项研究中发现的健康差距表明,需要改善认知障碍患者及其医疗保健提供者的疾病预防和教育工作。