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消除日益增长的残疾人群体在健康和医疗保健方面的差距。

Eliminating health and health care disparities among the growing population of people with disabilities.

机构信息

Mongan Institute for Health Policy at Massachusetts General Hospital, in Boston, Massachusetts, USA.

出版信息

Health Aff (Millwood). 2011 Oct;30(10):1947-54. doi: 10.1377/hlthaff.2011.0613.

Abstract

Fifty-four million people in the United States are now living with disabilities. That number will grow substantially in the next thirty years, as the "baby-boom" generation ages and many of today's children and young adults mature and experience complications related to overweight and obesity. This reality poses a major challenge to the health care and policy communities. People with disabilities confront disadvantages from social and environmental determinants of health, including lower educational levels, lower incomes, and higher unemployment, than people without disabilities. Those with disabilities are also much more likely to report being in fair or poor health; to use tobacco; to forgo physical activity; and to be overweight or obese. People with disabilities also experience health care disparities, such as lower rates of screening and more difficulty accessing services, compared to people without disabilities. Eliminating these multifaceted disadvantages among people with disabilities should be a critical national priority.

摘要

美国目前有 5400 万人患有残疾。在未来三十年,这个数字将大幅增长,因为“婴儿潮”一代逐渐老去,而如今的许多儿童和年轻人成年后,会经历与超重和肥胖相关的并发症。这一现实给医疗保健和政策界带来了重大挑战。与没有残疾的人相比,残疾人在健康的社会和环境决定因素方面面临着劣势,包括较低的教育水平、较低的收入和较高的失业率。残疾人也更有可能报告健康状况不佳或较差;使用烟草;放弃体育活动;超重或肥胖。与没有残疾的人相比,残疾人还存在医疗保健差距,例如筛查率较低,更难以获得服务。消除残疾人的这些多方面劣势应该是国家的一个关键优先事项。

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