Disparities in Health Habits among Minorities with Disabilities: Implications for Public Health Policy and Practice

Objectives: To examine disparities in healthy nutrition, sedentary lifestyle, and weight control among minorities with moderate/severe disabilities. To consider the implications of these disparities among minorities with disabilities for public health policy and practice

Methods: Using bivariate and multivariate procedures, we analyzed new data from the 2005 National Health Interview Survey Sample Adult files on measures of body mass index, sedentary activity, and daily nutrition habits for more than 31,000 adults age 18 years and older. Minorities included all adults from racial/ethnic groups other than non-Hispanic whites. We defined disability as having one or more functional limitations.

Results: Compared with whites, minorities with moderate/severe disabilities were more likely than whites to be obese (48.6% v. 40.6%), sedentary (62.4% v. 60.0%), to (daily) consume French fries (7.4% v. 4.7%), pastries (7.6% v. 6.9%), sugared fruit drinks (16.0% v. 9.6%), and sodas (26.5% v. 23.5%). They were significantly less likely (p<.001) to take vitamins, eat whole grain breads, salads, fruits and vegetables, and drink milk on a daily basis.

Conclusions/Implications: Without healthy nutrition, minority adults with disabilities may develop additional health problems that can lead to further disablement and health decline. Public health policy makers should create and implement community-based programs that address both minority and disability barriers to living healthy lifestyles.