ARTHRITIS DISABILITY: MULTIPLICITY AND ACCOMMODATIONS

关节炎致残：多重性和适应性

• 批准号: 6388243
• 负责人: LOIS M VERBRUGGE
• 金额: $ 27.18万
• 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/6388243
• 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（改编自研究者的摘要）：该项目研究 美国成年人的残疾多样性和适应范围 关节炎残疾。分析的概念框架是 残疾过程，将人和环境因素与残疾联系起来 和参与结果。数据来源为国家健康访谈 1994-95 年为美国进行的残疾补充调查 (NHIS-D) 社区居住人口。 NHIS-D 基线访谈（第一阶段 - 所有 家庭成员）和后续访谈（第二阶段：残疾人） 被使用。关节炎残疾被定义为患有一种或多种残疾 归因于关节炎。使用两种关节炎 ICS 代码： 关节炎和其他风湿病（广泛覆盖关节和 结缔组织疾病）和关节炎（骨关节炎、类风湿关节炎和关节炎） 中轴关节炎）。各个领域的残疾和便利（个人 涵盖照顾、家庭管理、家庭、工作、交通）。 描述性分析提供了国家层面的残疾、缓冲、 关节炎残疾人与残疾人之间的障碍 由于其他条件。社会参与的多元模型是 根据社会人口统计、残疾和住宿预测因素进行估计。二 研究结果：非生产性主要活动（客观特征）和 残疾身份（主观）。横截面和纵向模型是 估计的。我们假设缓冲促进了参与，但是 受到障碍和广泛残疾的阻碍。该项目的结果将是 不仅在期刊出版物中传播，而且在演讲中传播 公共卫生和医疗专业。该项目有两个特色 贡献： (1) 多重性：残疾和住宿在 紧凑的全人方式。 (2) 住宿：增强和改善的缓冲 阻碍关节炎残疾人参与其活动的障碍 社区被识别。缓冲区和障碍是可修改的因素，因此 结果将为住宿提供合理的线索，可以大力进行 促进帮助关节炎残疾人。