Presentations on Leading Health Indicators for People
with Disabilities
The Disability and Health Team examined data for the
leading health indicators in the 1998 Behavioral Risk Factor Surveillance
System. The following abstracts reflect the staff's work
presented at the March 2001 Behavioral Risk Factor Surveillance System 18th
annual Conference held in Atlanta, Georgia.
Poster presentation
Title: An analysis of the BRFSS
and available data on the Healthy People 2010 Leading Health
Indicators for people with and without disabilities
Topic: Program Planning and Health
Promotion – Use of the BRFSS in developing health promotion programs and
policies
Author(s):
Sinclair,
Lisa B., M.P.H., CDC, Disability and Health
Campbell,
Vincent A., Ph.D., CDC, Disability and Health
Abstract:
The CDC, Disability and
Health Branch undertook an analysis of the 1999 BRFSS core and optional
module questions to determine if data are available to evaluate
disparities between people with and without disability with regard to ten
Healthy People 2010 Leading Health Indicators (LHIs), physical activity,
overweight, tobacco use, substance use, sexual behavior, mental health,
injury, environmental quality, immunization, and health care Access.
The sample size was noted for people with disabilities in
preparation for the statistical analysis.
Results: The BRFSS lacks any items related to Environmental Quality and few
related to Injury and Violence. Thirty-seven
BRFSS items adequately or partially addressing nine of the 10 LHIs were
identified in the core and optional modules.
People with disabilities were captured in
nine states (AL, AR, DC, IA, KS, NY, NC, RI, SC) that administered
optional modules.
Given these limitations, state-level BRFSS data were not available
for all LHIs or for people with disabilities in all 50 states for
the 37 LHI-related items. Conclusion:
Despite these limitations, these results constitute
a small data set useful for
evaluating the health behaviors of people
with disabilities. In 2001,
two items
that will largely identify people with disabilities
are included as emerging core
questions. The retention of these
questions in the core is imperative to facilitate data
collection for people with disabilities in
all states and territories that use the BRFSS.
Oral presentation
Title:
Behavioral risk factors among people with and without disabilities related
to the Healthy People 2010 (HP2010) Leading Health Indicators (LHIs).
Topic: Program
Planning and Health Promotion – Use of the BRFSS in developing health
promotion programs and policies
Author(s):
Campbell, Vincent A., Ph.D.,
CDC, NCEH, Disability and Health
Sinclair, Lisa B., M.P.H., CDC, NCEH, Disability and
Health
Abstract:
A comparative analysis was
conducted for behavioral risk factors among people with and without
disabilities related to the Healthy People 2010 (HP2010) Leading Health
Indicators (LHIs). Methods:
The 1999 BRFSS core does not identify people with disabilities.
However, data were available from optional modules conducted in nine
states (AL, AR, DC, IA, KS, NY, NC, RI, SC).
Because the optional modules provided less than adequate sample
sizes for people with disabilities, analyses were possible for only 21 of
the 37 BRFSS LHI-related items. Environmental Quality LHI was not addressed
in the 1999 BRFSS. Results: Within these limitations, the results suggest
that people with disabilities are more likely to be obese and engage in
exercise less frequently than people without disabilities but were more
likely to have had immunizations (influenza and pneumococcus).
No significant patterns of disparity were noted in responsible
sexual behavior or use of alcohol and tobacco.
However, people with disabilities were more likely to drink and
drive. People with
disabilities were more likely to have health coverage but also to have put
off medical care because of cost; and have more poor mental health days.
Conclusion: The
inability to identify people with disabilities in the core precludes data
analyses for all thirty-seven BRFSS LHI-related items in all 50 states for
this population. The retention of two items
in the 2001 BRFSS core that identify people with disabilities
is imperative to facilitate data
collection for people with disabilities in
all states and territories that use the BRFSS.
For
more information, contact Lisa Sinclair, MPH at 770/488-7667.
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