对残疾自我识别和功能性措施的比较分析
Stephanie Rennane1, Zachary A Morris2
1RAND, 1200 S. Hayes Street, Arlington, VA, 22206, United States.
Disability and health journal
|November 14, 2025
概括
将自我识别问题添加到残疾调查中,可以显著增加被识别为残疾的人数. 这种综合方法更好地识别出具有最大健康需求的个体.
科学领域:
- 公共卫生 公共卫生
- 调查方法 调查方法
- 关于残疾人的研究.
背景情况:
- 在调查中的残疾测量通常依赖于功能限制问题,而不是自我识别.
- 自我识别为残疾人的特征及其与功能限制识别的特征的比较并未得到充分理解.
研究的目的:
- 通过功能和自我识别措施来比较残疾的流行率和特征.
- 评估这些不同的残疾人群体之间的重叠.
- 评估将自我识别添加到功能性问题的影响.
主要方法:
- 利用了2023年全国代表性的调查数据.
- 对人口,健康,功能和财务特征进行了两种类型的比较.
- 采用多变量回归来识别自我识别的预测因素.
主要成果:
- 与华盛顿小组短组 (WG-SS) 单独相比,自我识别问题使残疾人人数增加了一倍,与美国社区调查六号 (ACS-6) 单独相比,增加了30%.
- 自我识别的个人不太可能是女性或西班牙裔/拉丁裔,身体健康状况更差,并且更有可能是LGBTQIA +,而不是那些仅通过功能性措施识别的人.
- 通过自我识别和功能测量来识别的个人表现出最糟糕的健康状况和更高的参与残疾计划.
结论:
- 将自我识别问题与功能性问题相结合,扩大了残疾患病率估计.
- 功能性和自我识别问题的结合改善了对具有最高需求的子组的识别.
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