Mann David R, Honeycutt Todd
Mathematica Policy Research, P.O. Box 2393, Princeton, NJ, 08543-2393, USA.
Demography. 2016 Jun;53(3):749-76. doi: 10.1007/s13524-016-0469-7.
Disability status-experiencing a functional limitation caused by a health condition-is dynamic throughout the life cycle, even during adolescence and young adulthood. We use data from the 1997 cohort of the National Longitudinal Survey of Youth to better understand these dynamics, examining how health condition and limitation statuses evolve during adolescence and young adulthood as well as how changes in these characteristics are related to survey nonresponse and attrition. Health condition and limitation dynamics are evident in our data: the proportion of sample members who reported having a limitation in their activities for any interview increased from approximately 12 % during the initial interview (when sample members were 12 to 17 years old) to almost 25 % 13 years later. Multivariate analyses revealed that women are more likely than men to report changes in health condition or limitation status. Those with mild limitations were relatively less likely than those without limitations or with severe limitations to experience changes in limitation status. Somewhat surprisingly, a survival analysis of survey participation outcomes found limited correlation among health conditions, limitations, and either missing a survey interview for the first time or permanently leaving the survey sample.
残疾状况——因健康状况导致的功能受限——在整个生命周期中都是动态变化的，即使在青少年期和青年期也是如此。我们使用来自《全国青年纵向调查》1997年队列的数据，以更好地理解这些动态变化，研究健康状况和受限状况在青少年期和青年期是如何演变的，以及这些特征的变化与调查无应答和样本流失之间的关系。健康状况和受限动态变化在我们的数据中很明显：在初次访谈（样本成员年龄在12至17岁时）中报告在任何访谈中活动受限的样本成员比例约为12%，13年后这一比例几乎增加到25%。多变量分析显示，女性比男性更有可能报告健康状况或受限状况的变化。与没有受限或有严重受限的人相比，轻度受限的人经历受限状况变化的可能性相对较小。有点令人惊讶的是，对调查参与结果的生存分析发现，健康状况、受限状况与首次错过调查访谈或永久退出调查样本之间的相关性有限。
