Disparities in adverse preconception risk factors between women with and without disabilities
Methods: 2009-10 Behavioral Risk Factor Surveillance System (n=115,361) data were analyzed to estimate the prevalence of these factors among nonpregnant women with and without disabilities.
Results: Disability prevalence was 13.7%. Approximately 75% of disabled women reported 1+ factors with 15% reporting 3+ risk factors. Almost 40% of women with disabilities were obese (38.2%, 95%CI 36.8-39.4) compared to 23.1% of nondisabled women (95%CI, 22.6-23.6) and 35% reported mental distress compared to 9.8% of nondisabled women(95%CI, 9.5-10.1). Disability-related disparities in smoking and diabetes were also found. In addition, Black non-Hispanic women with disabilities were more likely to obese (54.5%, 95%CI 50.5-58.4), have diabetes (16.1, 95%CI 13.5-18.6) and report mental distress (39.2%, 95%CI 35.4-42.9) compared to white, non-Hispanic disabled women (34.7%, 11.1%, 34.3% respectively). Hispanic women with disabilities were more likely to be obese (41.8%, 95%CI 37.6-46%) compared to white non-Hispanic disabled women.
Conclusion: These findings suggest women with disabilities are at a high risk for multiple preconception risk factors. Increasing research and attention is needed to improve preconception care for women with disabilities, particularly racial/ethnic minority women with disabilities.
Learning Areas:Public health or related research
Demonstrate disparities in preconception risk factors between women with and without disabilities. Document prevalence of obesity, mental distress, alcohol use, smoking and diabetes among nonpregnant women with disabilities, ages 18-44. Analyze disparities in preconception care among racial and ethnic minority women with disabilities.
Keyword(s): Prenatal Care, Disability
Qualified on the content I am responsible for because: I am a principal investigator for an NIH grant on health needs and barriers to perinatal care for women with disabilities. My research interests include health inequities between people with disabilities and the general population, the epidemiology of secondary conditions among persons with disabilities, and issues related to health of women with disabilities around the time of pregnancy.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.