MMWR Morb Mortal Wkly Rep. 2016 Sep 30;65(38):1021-5. doi: 10.15585/mmwr.mm6538a1.
Nearly 40 million persons in the United States have a disability, as defined by responses to six questions recommended by the U.S. Department of Health and Human Services as the national standard for identifying disabilities in population-based health surveys (1). Although these questions have been used to estimate prevalence of functional disabilities overall, as well as types of functional disabilities (disability type), no study has yet investigated the characteristics of U.S. adults by number of disability types. Knowing the characteristics of persons living with multiple disability types is important for understanding the overall functional status of these persons. CDC analyzed data from the family component of the National Health Interview Survey (NHIS) for the years 2011-2014 to estimate the percentage of adults aged 18-64 years with one, two, three, or four or more disability types, by selected demographic and socioeconomic characteristics. Overall, 22.6 million (11.9%) working-age adults were found to have any disability, and in this population, most (12.8 million) persons had only one disability type. A generally consistent pattern between increasing indicators of low socioeconomic status and the number of disability types was observed. Understanding the demographic and socioeconomic characteristics of working-age adults with disabilities, including those with multiple disability types, might help to further the inclusion of persons with disabilities in public health programs and policies.
美国约有 4000 万人存在残疾,这是根据美国卫生与公众服务部推荐的六个问题的回答来定义的,这些问题被认为是在基于人群的健康调查中确定残疾的国家标准(1)。尽管这些问题已被用于估计总体功能残疾的流行率,以及各种类型的功能残疾(残疾类型),但尚未有研究调查过美国成年人按残疾类型数量的特征。了解患有多种残疾类型的人的特征对于了解这些人整体的功能状态很重要。疾病预防控制中心分析了 2011 年至 2014 年全国健康访谈调查(NHIS)家庭部分的数据,以按选定的人口统计学和社会经济特征估计 18-64 岁成年人中患有一种、两种、三种或四种或更多残疾类型的百分比。总体而言,发现有 2260 万(11.9%)处于工作年龄的成年人存在任何残疾,在这一人群中,大多数(1280 万人)只有一种残疾类型。在不断增加的低社会经济地位指标和残疾类型数量之间观察到了一个大致一致的模式。了解残疾工作年龄成年人的人口统计学和社会经济特征,包括那些患有多种残疾类型的人,可能有助于进一步将残疾人纳入公共卫生计划和政策。