Scott D. Landes (
Health Aff (Millwood). 2024 Aug;43(8):1128-1136. doi: 10.1377/hlthaff.2023.01197.
After years of advocacy by the disability community and allied organizations, on September 26, 2023, the National Institute on Minority Health and Health Disparities (NIMHD) designated disabled people as a health disparities population in the US. During its deliberations, the NIMHD emphasized that there was not sufficient empirical evidence on health disparities between disabled and nondisabled adults. My study addressed this gap by examining 2008-19 data from the National Health Interview Survey Linked Mortality Files on people ages eighteen and older to identify, categorize, and quantify disparities in mortality risk among disabled and nondisabled adults. The risk of mortality during the study period was 1.9 times higher overall for disabled compared with nondisabled adults. The risk increased with the number of reported disabilities and varied by disability category. These findings underscore the need to improve access to high-quality, evidence-based health care among disabled people. To gain a full understanding of the scope of disparity and the interventions needed to mitigate it, it is critical to develop more equitable and inclusive measures of disability and ableism for use in population health surveys.
经过残疾群体和相关组织多年的倡导,2023 年 9 月 26 日,美国国立少数民族健康与健康差异研究所(NIMHD)将残疾人指定为美国的健康差异群体。在审议过程中,NIMHD 强调,关于残疾人和非残疾人成年人之间的健康差异,没有足够的经验证据。我的研究通过检查 2008-19 年来自全国健康访谈调查与死亡率关联档案的 18 岁及以上人群的数据,来解决这一差距,以确定、分类和量化残疾和非残疾成年人之间的死亡率风险差异。与非残疾人成年人相比,残疾人在研究期间的总体死亡率高出 1.9 倍。风险随着报告的残疾数量的增加而增加,并因残疾类别而异。这些发现强调了需要改善残疾人获得高质量、基于证据的医疗保健的机会。为了充分了解差异的范围和需要采取的干预措施来减轻差异,必须制定更公平和包容的残疾和能力主义衡量标准,以便在人口健康调查中使用。