Saito Takashi, Imahashi Kumiko, Yamaki Chikako
Department of Social Rehabilitation, Research Institute of National Rehabilitation Center for Persons with Disabilities, 4-1 Namiki, Tokorozawa 359-8555, Japan.
Institute for Cancer Control, National Cancer Center, 5-1-1 Tsukiji, Chuou 104-0045, Japan.
Int J Environ Res Public Health. 2024 Dec 10;21(12):1643. doi: 10.3390/ijerph21121643.
A Japanese national representative survey-the comprehensive survey of living conditions (CSLC)-included the Washington Group Short Set (WGSS) in 2022. This study aimed to characterize the WGSS in comparison to an existing disability measure (EDM), regarding the difference between disability prevalence defined by these two measures and the factors attributable to disagreements between them. A cross-sectional analysis using secondary data from the CSLC ( = 32,212) was conducted. The disability prevalences and their ratios (WGSS to EDM) were computed overall and by demographic sub-groups. Binomial logistic regression analyses were performed to explore factors relating to disagreements that functioned to relatively lower/increase the prevalence defined by the WGSS. Consequently, the prevalences defined by the WGSS and EDM were 10.7% (95% confidence interval (CI): 10.4-11.1) and 13.1% (95%CI: 12.7-13.5), respectively. The ratios by the sub-groups were around 0.80-0.90, with the exception of the age-defined sub-group, whose ratios were 0.63 (older sub-group) to 1.23 (child sub-group). Age was the only independent factor associated with two types of disagreements: older age (odds ratios: 1.23-1.80) was associated with disagreement functioning to relatively lower the prevalence defined by the WGSS, and similarly, younger age (ORs: 1.42-2.79) increased the figure. The WGSS may be characterized as being less susceptible to the influence of aging compared to the EDM.
一项日本全国代表性调查——生活状况综合调查（CSLC）——在2022年纳入了华盛顿小组简表（WGSS）。本研究旨在通过与现有残疾衡量标准（EDM）进行比较，描述WGSS的特征，涉及这两种衡量标准所定义的残疾患病率差异以及导致它们之间存在分歧的因素。使用来自CSLC的二手数据（n = 32212）进行了横断面分析。总体上以及按人口亚组计算了残疾患病率及其比率（WGSS与EDM之比）。进行了二项逻辑回归分析，以探索与分歧相关的因素，这些因素会使WGSS所定义的患病率相对降低/增加。结果，WGSS和EDM所定义的患病率分别为10.7%（95%置信区间（CI）：10.4 - 11.1）和13.1%（95%CI：12.7 - 13.5）。除了按年龄定义的亚组外，各亚组的比率在0.80 - 0.90左右，该亚组的比率为0.63（老年亚组）至1.23（儿童亚组）。年龄是与两种分歧类型相关的唯一独立因素：较高年龄（优势比：1.23 - 1.80）与使WGSS所定义的患病率相对降低的分歧相关，同样，较低年龄（优势比：1.42 - 2.79）会增加该数值。与EDM相比，WGSS的特点可能是受衰老影响较小。
