ARTHRITIS DISABILITY: MULTIPLICITY AND ACCOMMODATIONS

关节炎致残：多重性和适应性

• 批准号: 6200207
• 负责人: LOIS M VERBRUGGE
• 金额: $ 13.64万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-22 至 2003-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6200207
• 关键词: arthritis; assistive device /technology; behavioral /social science research tag; clinical research; community; comorbidity; disabling disease; environmental adaptation; epidemiology; functional ability; gender difference; human data; person with disability; racial /ethnic difference; social adjustment; social model

DESCRIPTION (adapted from the investigator's abstract): This project studies multiplicity of disabilities and scope of accommodations among US adults with arthritis disability. The conceptual framework for the analyses is the disablement process, which relates person and environment factors to disability and participation outcomes. The data source is the National Health Interview Survey Disability Supplement (NHIS-D) conducted in 1994-95 for the US community-dwelling population. Both the NHIS-D baseline interview (Phase I-all household members) and follow-up interview (Phase II: persons with disability) are used. Arthritis disability is defined as having one or more disabilities attributed to arthritis. Two spans of ICS codes for arthritis are used: Arthritis and Other Rheumatic Conditions (Broad coverage of joint and connective tissue conditions) and Arthritis (Subgroup of osteo, rheumatoid and axial arthritis). Disabilities and accommodations in various domains (Personal care, household management, home, work, transportation) are covered. Descriptive analyses provide national-level estimates of disabilities, buffers, and barriers for arthritis-disabled persons versus persons with disabilities due to other conditions. Multivariate models of social participation are estimated with sociodemographic, disability, and accommodations predictors. Two outcomes are studied: nonproductive main activity (an objective feature) and disability identity (subjective). Cross-sectional and longitudinal models are estimated. We hypothesize that participation is facilitated by buffers, but hampered by barriers and extensive disability. Results of the project will be disseminated not only in journal publications, but also in presentations to public health and medical professions. The project has two distinctive contributions: (1) Multiplicity: disability and accommodations are described in compact whole-persons ways. (2) Accommodations: buffers that enhance and barriers that inhibit the involvement of arthritis-disabled persons in their community are identified. Buffers and barriers are modifiable factors, so the results will give sound clues about accommodations that can be vigorously promoted to help arthritis-disabled persons.

描述（根据调查员的摘要改编）：该项目研究 美国成年人中的残疾多重和住宿范围 关节炎障碍。分析的概念框架是 残疾过程，将人和环境因素与残疾有关 和参与结果。数据源是国家健康访谈 美国1994 - 95年对美国进行的调查障碍补充剂（NHIS-D） 社区居民人口。 NHIS-D基线访谈都 家庭成员）和后续采访（第二阶段：残疾人） 使用。关节炎障碍定义为有一个或多个残疾 归因于关节炎。使用了两种ICS的关节炎代码： 关节炎和其他风湿病（关节的广泛覆盖范围 结缔组织条件）和关节炎（骨，类风湿和 轴向关节炎）。各个领域的残疾和住宿（个人 涵盖了护理，家庭管理，家庭，工作，交通）。 描述性分析提供了国家级别的残疾，缓冲区， 与残疾人与残疾人的障碍 由于其他条件。社会参与的多元模型是 用社会人口统计学，残疾和适应性预测指标估计。二 研究结果：非生产性主要活动（目标特征）和 残疾身份（主观）。横截面和纵向模型是 估计的。我们假设参与是通过缓冲区促进的，但是 受到障碍和广泛的残疾的阻碍。该项目的结果将是 不仅在期刊出版物中传播 公共卫生和医学专业。该项目有两个独特的 贡献：（1）多样性：在 紧凑的全-塞子方式。 （2）住宿：增强和 抑制关节炎的人参与的障碍 确定社区。缓冲区和障碍是可修改的因素，因此 结果将为可以剧烈的住宿提供良好的线索 促进以帮助关节炎的人。