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推进美国残疾人士健康公平,减少健康差距。

Advancing Health Equity And Reducing Health Disparities For People With Disabilities In The United States.

机构信息

Monika Mitra (

Linda Long-Bellil, University of Massachusetts, Worcester, Massachusetts.

出版信息

Health Aff (Millwood). 2022 Oct;41(10):1379-1386. doi: 10.1377/hlthaff.2022.00499.

Abstract

Definitions of have evolved over time. Consistent with the biopsychosocial model used by the World Health Organization, we conceptualize disability as an interaction between a person's functional impairments or chronic health conditions and the physical and social environment. Having a disability is not synonymous with poor health, and maintaining and improving health is equally important for both people with and people without disabilities. In this article we review estimates of disability prevalence in the US and present evidence of differences in prevalence by race, ethnicity, and sexual orientation; health disparities by disability status and type of disability; and health disparities for people whose disability intersects with other forms of marginalization. We suggest policy changes to advance equity, reduce disparities, and enhance the health and well-being of all Americans with disabilities.

摘要

的定义随着时间的推移而演变。我们遵循世界卫生组织使用的生物-心理-社会模式,将残疾概念化为个人的功能障碍或慢性健康状况与物理和社会环境之间的相互作用。残疾并不等同于健康状况不佳,保持和改善健康对于残疾人和非残疾人同样重要。在本文中,我们回顾了美国残疾流行率的估计,并提供了证据表明残疾流行率因种族、族裔和性取向而存在差异;因残疾状况和残疾类型而存在健康差异;以及残疾与其他形式边缘化交叉的人的健康差异。我们建议进行政策变革,以促进公平,减少差距,并增进所有美国残疾人士的健康和福祉。

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