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Disparities in Health-Risk Behaviors, Preventive Health Care Utilizations, and Chronic Health Conditions for People With Disabilities: The Korean National Health and Nutrition Examination Survey

Cited 13 time in Web of Science Cited 12 time in Scopus
Authors
Ko, Ki Dong; Lee, Ka Yeon; Cho, Belong; Park, Min Sun; Son, Ki Young; Ha, Jung Hwa; Park, Sang Min
Issue Date
2011-08
Publisher
WB Saunders
Citation
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION Vol.92 No.8, pp. 1230-1237
Keywords
복합학ComplicationsDisabled personsHealth behaviorHealthcare disparitiesPreventive health servicesRehabilitation
Abstract
Ko KD, Lee KY, Cho B, Park MS, Son KY, Ha JH, Park SM. Disparities in health-risk behaviors, preventive health care utilizations, and chronic health conditions for people with disabilities: the Korean National Health and Nutrition Examination Survey. Arch Phys Med Rehabil 2011;92:1230-7.Objective: To examine how disability status is related with health disparities in South Korea.Design: The study compared 3 indicators of health (health-risk behaviors, preventive health care utilizations, and chronic health conditions) according to the presence of disabilities using the Third Korean National Health and Nutrition Examination Survey, 2005 (KNHANES III).Setting: We obtained data from the KNHANES III, which is the third nationwide representative study using a stratified, multistage probability sampling design.Participants: Subjects (N=5475) aged 20 years or older were included in the study; persons with disabilities (n=218) and persons without disabilities (n=5257).Interventions: Not applicable.Main Outcome Measures: Nonconditional multiple logistic regression and adjusted mean were used to identify health disparities in health-risk behaviors, preventive health care utilizations, and chronic health conditions.Results: Subjects with disabilities were more likely to be physically inactive (adjusted odds ratio [AOR]=3.06; 95% confidence interval [CI], 1.71-5.48 for no physical activity; AOR=1.70; 95% CI, 1.19-2.43 for insufficient physical activity) than those without disabilities. Women aged 40 years or older with disabilities were less likely to receive cervical cancer screening services (AOR=0.52; 95% CI, 0.27-0.98). Adults with disabilities had higher proportion of osteoporosis (AOR=2.41; 95% CI, 1.50-3.88), underweight (AOR=2.14; 95% CI, 1.07-4.28), suicidal thoughts (AOR=1.86; 95% CI, 1.35-2.56), and had impaired quality of life (95% CI of adjusted mean, 60.89-65.35 compared to 69.95-70.84 in adults without disabilities).Conclusions: There exists substantial disability-related health disparities in South Korea. People with disabilities may be the underserved subpopulation demonstrating health disparities. The findings in this study underscore the continued needs in order to reduce health problems and disparities for people with disabilities.
ISSN
0003-9993
Language
English
URI
http://hdl.handle.net/10371/81821
DOI
https://doi.org/10.1016/j.apmr.2011.03.004
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)Journal Papers (저널논문_의학과)
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