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The Missouri Disability Epidemiology and Health Project.

E M Andresen1, A Prince-Caldwell, F Akinci

  • 1Department of Community Health, Saint Louis University School of Public Health, MO 63108, USA.

American Journal of Preventive Medicine
|April 13, 1999
PubMed
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State health departments address public health disability issues through core activities. A collaboration in Missouri identified high disability rates, particularly in rural areas, and a significant arthritis prevalence impacting mobility.

Area of Science:

  • Public Health
  • Epidemiology
  • Disability Studies

Background:

  • Disability affects up to 20% of the population, necessitating core public health activities like assessment, policy development, and assurance.
  • State health departments require effective models to address public health challenges related to disability.
  • A collaborative initiative between academic institutions and the Missouri Department of Health (MDOH) serves as a model for addressing disability.

Purpose of the Study:

  • To establish a collaborative model for addressing disability as a public health issue.
  • To assess disability prevalence and identify high-risk populations within Missouri.
  • To integrate academic expertise with public health practice for disability research and intervention.

Main Methods:

Related Experiment Videos

  • A disability workgroup was formed, comprising MDOH bureaus and three universities.
  • Mobility impairments were selected as the initial focus domain for the workgroup.
  • Data from the Behavioral Risk Factor Surveillance System (BRFSS) and the 1990 Census were analyzed; community participation and new data collection efforts were incorporated.

    • Main Results:

    • Analysis revealed rural areas with high disability prevalence and an increasing trend in work disability since 1993.
    • Arthritis was identified as a key condition with a 28% prevalence in Missouri.
    • Arthritis significantly increases the risk of functional limitations (adjusted OR 3.57).

    Conclusions:

    • The collaborative program effectively meets the needs of both academic and public health practice partners.
    • Findings will inform program planning and interventions for disability in Missouri.
    • The initiative demonstrates a successful partnership model for public health practice and research.