scholarly journals Estimates of prevalence, demographic characteristics and social factors among people with disabilities in the USA: a cross-survey comparison

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e017828 ◽  
Author(s):  
Eric Andrew Lauer ◽  
Andrew J Houtenville
Keyword(s):  
Health Insurance ◽  
Social Factors ◽  
Context Effects ◽  
College Education ◽  
People With Disabilities ◽  
Demographic Characteristics ◽  
Secondary Outcome ◽  
National Surveys ◽  
Prevalence Estimates ◽  
The Usa

ObjectiveA national priority for disability research in the USA is the standardised identification of people with disabilities in surveillance efforts. Mandated by federal statute, six dichotomous difficulty-focused questions were implemented in national surveys to identify people with disabilities. The aim of this study was to assess the prevalence, demographic characteristics and social factors among people with disabilities based on these six questions using multiple national surveys in the USA.SettingAmerican Community Survey (ACS), Current Population Survey Annual Social and Economic Supplement (CPS-ASEC), National Health Interview Survey (NHIS) and the Survey of Income and Program Participation (SIPP).ParticipantsCivilian, non-institutionalised US residents aged 18 and over from the 2009 to 2014 ACS, 2009 to 2014 CPS-ASEC, 2009 to 2014 NHIS and 2008 SIPP waves 3, 7 and 10.Primary and secondary outcome measuresDisability was assessed using six standardised questions asking people about hearing, vision, cognition, ambulatory, self-care and independent living disabilities. Social factors were assessed with questions asking people to report their education, employment status, family size, health and marital status, health insurance and income.ResultsRisk ratios and demographic distributions for people with disabilities were consistent across survey. People with disabilities were at decreased risk of having college education, employment, families with three or more people, excellent or very good self-reported health and a spouse. People with disabilities were also consistently at greater risk of having health insurance and living below the poverty line. Estimates of disability prevalence varied between surveys from 2009 to 2014 (range 11.76%–17.08%).ConclusionReplicating the existing literature, we found the estimation of disparities and inequity people with disabilities experience to be consistent across survey. Although there was a range of prevalence estimates, demographic factors for people with disabilities were consistent across surveys. Variations in prevalence estimates can be explained by survey context effects.

scholarly journals Is the public supportive and willing to pay for a national assistive reproductive therapies programme? Results from a multicountry survey

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e044986
Author(s):  
Chris Skedgel ◽  
Eleanor Ralphs ◽  
Elaine Finn ◽  
Jennifer A Whitty ◽  
Marie Markert ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Online Survey ◽  
Medical Condition ◽  
Public Attitudes ◽  
Fertility Treatment ◽  
Secondary Outcome ◽  
Secondary Outcome Measure ◽  
Additional Contribution ◽  
The Public ◽  
The Usa

ObjectivesTo understand attitudes towards infertility and willingness to pay (WTP) towards a publicly funded national assistive reproductive therapies (ART) programme.DesignAttitudes survey with dichotomous and open-ended WTP questions.SettingOnline survey administered in the USA, UK, Spain, Norway, Sweden, Finland, Denmark and China.Participants7945 respondents, analysed by country. Nordic respondents were pooled into a regionally representative sample.Primary and secondary outcome measuresPrimary outcome measures were proportion of sample agreeing with different infertility-related and ART-related value statements and supporting a monthly contribution to fund a national ART programme, expressed in local currency. Secondary outcome measure was maximum WTP.ResultsAcross the nationally representative samples, 75.5% of all respondents agreed with infertility as a medical condition and 82.3% and 83.7% with ART eligibility for anyone who has difficulty having a baby or a medical problem preventing them from having a baby, respectively. 56.4% of respondents supported a defined monthly contribution and 73.9% supported at least some additional contribution to fund a national ART programme. Overall, converting to euros, median maximum WTP was €3.00 and mean was €15.47 (95% CI 14.23 to 16.72) per month. Maximum WTP was highest in China and the USA and lowest in the European samples.ConclusionsThis large, multicountry survey extends our understanding of public attitudes towards infertility and fertility treatment beyond Europe. It finds evidence that a majority of the public in all sampled countries/regions views infertility as a treatable medical condition and supports the idea that all infertile individuals should have access to treatments that improve the chance of conception. There was also strong agreement with the idea that the desire for children is a basic human need. WTP questions showed that a majority of respondents supported a monthly contribution to fund a national ART programme, although there is some evidence of an acquiescence bias that may overstate support among specific samples.

Prostate-specific antigen testing in the disabled population: A cross-sectional analysis of the Health Information National Trends Survey (HINTS).

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e17000-e17000
Author(s):  
Joon Yau Leong ◽  
Ruben Pinkhasov ◽  
Thenappan Chandrasekar ◽  
Oleg Shapiro ◽  
Michael Daneshvar ◽  
...  
Keyword(s):  
Health Insurance ◽  
Health Information ◽  
Prostate Specific Antigen ◽  
Healthcare Provider ◽  
Specific Antigen ◽  
Cross Sectional ◽  
Psa Screening ◽  
Psa Testing ◽  
The Usa ◽  
National Trends

e17000 Background: Disabled patients are a unique minority population that may have lower literacy levels and difficulty communicating with physicians. Furthermore, their knowledge for cancer prevention recommendations is unknown. Herein, we aim to compare prostate-specific antigen (PSA) testing rates and associated predictors among disabled men and non-disabled men in the USA. Methods: We performed a cross-sectional study utilizing the Health Information National Trends Survey (HINTS) to analyze factors predicting PSA testing rates in men with disabilities (disabled, deaf, blind). Multivariable logistic regression models were used to determine clinically significant predictors of PSA testing in men with disabilities compared to that of the healthy cohort. Results: A total of 782 (14.6%) disabled men were compared to 4,569 (85.4%) non-disabled men. Disabled men were older with a mean age of 65.0 ± 14.2 vs. 55.0 ± 15.9 years (p < 0.001). On multivariable analysis, after adjusting for all available confounders including race, age, geographical region, survey year, marital status, health insurance, healthcare provider, amongst others, men with any disability were less likely to undergo PSA screening (OR 0.772, 95% CI 0.623-0.956, p = 0.018). Variables associated with increased PSA screening rates included age, having a healthcare provider or health insurance, and living with a partner. Although prostate cancer detection rates were shown to be higher among disabled men, this did not reach statistical significance. Conclusions: Our data suggests that significant inequalities in PSA screening exist among men with disabilities in the USA, with disabled men, especially the deaf and the blind, being less likely to be offered PSA screening. There is a clear need to implement strategies to reduce existing gaps in the care of disabled men and strive to reach equality in PSA screening in this unique population.

Experiences of Karen refugees with traditional and western medicine in the USA

2018 ◽  
Vol 14 (4) ◽  
pp. 387-399
Author(s):  
Natalie R. Wodniak
Keyword(s):  
New York ◽  
Health Insurance ◽  
Traditional Medicine ◽  
Traditional Practices ◽  
Content Type ◽  
Large Populations ◽  
The Usa ◽  
English Speaking ◽  
Karen Refugees ◽  
Us Cities

Purpose The purpose of this paper is to further understand the medical experiences of Karen refugees who have been resettled to the USA. It examines the use of traditional medicine throughout the transition from Burma to the USA, as well as refugees’ experiences in the American healthcare system. This study aims to identify shortcomings in refugees’ access to preferred methods of healthcare. Design/methodology/approach Interviews were conducted with 39 Karen refugees in 3 US cities with large populations of refugees from Burma – Fort Wayne, Indiana; Amarillo, Texas; and Buffalo, New York. Participants were asked questions about their healthcare experiences in Burma and the USA, their use of traditional medicine in both countries and their satisfaction with medical care in the USA. Findings Nearly all interviewees reported using traditional medicine in Burma, but only six felt able to continue to use traditional methods in the USA. Most participants had positive experiences with healthcare in America, but 15 expressed dissatisfaction with obtaining health insurance and confusion over its coverage. Findings also indicate that refugees do not feel that traditional practices are accepted in the USA. Research limitations/implications Due to the language barrier, a phone interpreter was used for non-English-speaking participants, which may have affected proper understanding or clarity of answers. Practical implications This study brings to attention the need to improve refugee healthcare by encouraging traditional practices and assisting refugees with obtaining health insurance. Originality/value This paper identifies the importance of analyzing the accessibility of various forms of healthcare, including traditional medicine, to refugees in the USA.

Evaluations of the Effects of Sweden's Spanking Ban on Physical Child Abuse Rates: A Literature Review

1999 ◽  
Vol 85 (2) ◽  
pp. 381-392 ◽  
Author(s):  
Robert E. Larzelere ◽  
Byron Johnson
Keyword(s):  
Child Abuse ◽  
The United States ◽  
Mortality Rates ◽  
Physical Punishment ◽  
Journal Articles ◽  
Physical Child Abuse ◽  
National Surveys ◽  
Social Experiments ◽  
Pertinent Data ◽  
The Usa

Sweden's 1979 law banning corporal punishment by parents was welcomed by many as a needed policy to help reduce physical abuse of children. This study reviews the published empirical evidence relevant to that goal. Only seven journal articles with pertinent data were located. One study reported that the rate of physical child abuse was 49% higher in Sweden than in the USA, comparing its 1980 Swedish national survey with the average rates from two national surveys in the United States in 1975 and 1985. In contrast, a 1981 retrospective survey of university students suggested that the Swedish abuse rate had been 79% less than the American rate prior to the Swedish spanking ban. Some unpublished evidence suggests that Swedish rates of physical child abuse have remained high, although child abuse mortality rates have stayed low there. A recent Swedish report suggested that the spanking ban has made little change in problematic forms of physical punishment. The conclusion calls for more timely and rigorous evaluations of similar social experiments in the future.

Health, disability, and life insurance experiences of working-age persons with multiple sclerosis

2007 ◽  
Vol 13 (4) ◽  
pp. 534-546 ◽  
Author(s):  
LI Iezzoni ◽  
L. Ngo
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Health Insurance ◽  
Life Insurance ◽  
College Education ◽  
Employment Decisions ◽  
Public Programs ◽  
Considerable Difficulty ◽  
Telephone Interviews ◽  
Working Age

Working-age Americans with multiple sclerosis (MS) may face considerable financial insecurities when they become unable to work and lack the health, disability, and life insurance typically offered through employers. In order to estimate the rates of having these insurance policies, as well as how insurance status affects reports of financial stress, we conducted half-hour telephone interviews with 983 working-age persons across the US, who reported being diagnosed with MS. The interviews occurred from May through November 2005, and among the sampled individuals contacted and confirmed eligible, 93.2% completed the interview. The study population was largely female (78.9%), Caucasian (86.4%), married (68.6%), with at least some college education (71.5%), and unemployed (60.2%). Overall, 96.3% had some health insurance (40.3% with public health insurance, primarily Medicare), 56.7% had long-term disability insurance (36.4% with public programs), and 68.3% had life insurance. Notably, 27.4% indicated that, since being diagnosed with MS, health insurance concerns had significantly affected employment decisions. In addition, 16.4% reported considerable difficulty paying for health care, 27.4% put off or postponed seeking needed health care because of costs, and 22.3% delayed filling prescriptions, skipped medication doses, or split pills because of costs. Overall, 26.6% reported considerable worries about affording even basic necessities, such as food, utilities, and housing. Multiple Sclerosis 2007; 13: 534-546. http://msj.sagepub.com

scholarly journals DEMOGRAPHIC CHARACTERISTICS, PROFESSIONAL STATUS AND QUALIFICATION OF DENTAL TECHNICIANS IN BULGARIA

2021 ◽  
Vol 2 (68) ◽  
pp. 14-19
Author(s):  
M. Varneva
Keyword(s):  
College Education ◽  
Demographic Characteristics ◽  
Professional Status ◽  
The European Union ◽  
Private Initiative ◽  
Dental Technician ◽  
Regional Colleges ◽  
Municipal Ownership ◽  
Men Managers ◽  
The Right

The profession of "dental technician" appeared relatively late. The first dental technicians were trained by dentists and worked for them. Gradually, they separated as master owners of the studios and began to hire and train apprentices and journeymen. This time has long been forgotten. After 1997, a dental technician became a person who acquired the right to practice the profession after three years of college education. At the end of the 19th and the beginning of the 20th century, the profession began with private initiative, passed through state and municipal ownership of dental laboratories, in order to return, for the most part, back to private initiative. Our goal is to study and present demographic characteristics, professional status and qualifications of practitioners in the specialty. To achieve this goal, we studied literature sources, regulations and conducted a sociological survey involving 360 dental technicians. The respondents are from 25 regional colleges of the Bulgarian Association of Dental Technicians, from which we received permission to hold it. We found that the class is relatively aging, which is in line with the demographic problems in our country and in the countries of the European Union. The profession is dominated by men, managers of dental laboratories, who for the most part are registered as Independent Medical and Technical Laboratories. A relatively large number of dental technicians periodically attend postgraduate courses to meet the  ever-increasing demands of dentists and patients.

scholarly journals Special Health Insurance as an Inclusive Social Protection Program for People with Disabilities

2021 ◽  
Vol 9 (1) ◽  
pp. 71
Author(s):  
Kafa Abdallah Kafaa
Keyword(s):  
Health Insurance ◽  
Program Implementation ◽  
Best Practice ◽  
Social Protection ◽  
People With Disabilities ◽  
Study Approach ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Social Protection Program ◽  
Special Health

The article illustrated the intervention of government within poverty alleviation through inclusive social protection for People With Disabilities. By studying Special Health Insurance program in the Special Region of Yogyakarta, it assumes that the existence of the program has occurred from a rights-based perspective in inclusive health configuration. It is based on the case study approach that aimed to explain the Special Health Insurance program implementation to extend coverage to all People With Disabilities. The main result provided the Special Health Insurance-integrated scheme program can be more inclusively and accessible for People With Disabilities than former social protection programs in Indonesia. It has finally provided the best practice for the social protection program as a social policy tool focusing on disability.

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