Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, CDC.
MMWR Morb Mortal Wkly Rep. 2018 Aug 17;67(32):882-887. doi: 10.15585/mmwr.mm6732a3.
Persons with disabilities face greater barriers to health care than do those without disabilities (1). To identify characteristics of noninstitutionalized adults with six specific disability types (hearing, vision, cognition, mobility, self-care, and independent living),* and to assess disability-specific disparities in health care access, CDC analyzed 2016 Behavioral Risk Factor Surveillance System (BRFSS) data. The prevalences of disability overall and by disability type, and access to health care by disability type, were estimated. Analyses were stratified by three age groups: 18-44 years (young adults), 45-64 years (middle-aged adults), and ≥65 years (older adults). Among young adults, cognitive disability (10.6%) was the most prevalent type. Mobility disability was most prevalent among middle-aged (18.1%) and older adults (26.9%). Generally, disability prevalences were higher among women, American Indians/Alaska Natives (AI/AN), adults with income below the federal poverty level (FPL), and persons in the South U.S. Census region. Disability-specific disparities in health care access were prevalent, particularly among young and middle-aged adults. These data might inform public health programs of the sociodemographic characteristics and disparities in health care access associated with age and specific disability types and guide efforts to improve access to care for persons with disabilities.
残疾人在获得医疗保健方面面临的障碍比非残疾人更大(1)。为了确定具有六种特定残疾类型(听力、视力、认知、行动能力、自理和独立生活)的非机构化成年人的特征,并评估残疾特定的医疗保健获取方面的差异,CDC 分析了 2016 年行为风险因素监测系统(BRFSS)的数据。总体残疾和按残疾类型的残疾患病率,以及按残疾类型获得医疗保健的情况进行了估计。分析按三个年龄组分层:18-44 岁(年轻人),45-64 岁(中年人)和≥65 岁(老年人)。在年轻人中,认知障碍(10.6%)是最常见的类型。行动能力障碍在中年(18.1%)和老年人(26.9%)中最为普遍。通常,残疾患病率在女性、美洲印第安人/阿拉斯加原住民(AI/AN)、收入低于联邦贫困线(FPL)的成年人以及美国南部人口普查区的成年人中更高。残疾特定的医疗保健获取方面存在差异,尤其是在年轻和中年成年人中。这些数据可能会为公共卫生计划提供与年龄和特定残疾类型相关的社会人口特征和医疗保健获取方面的差异信息,并指导为残疾人改善获得医疗保健的努力。