142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

298313
Assistive Technology and Veterans with Severe Disabilities: Examining the Relationships among Race, Personal Factors, Medical Support, Income Support and Use

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 2:30 PM - 2:50 PM

Reginald Alston, Ph.D. , Kinesiology and Community Health, University of Illinois, Champaign, IL
Allen Lewis, Ph.D. , Department of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA
Shondra Loggins Clay, Ph.D. , Counseling Center, University of Illinois at Urbana-Champaign, Champaign, IL
Purpose: Examine the relationship among assistive technology (AT), race, and other demographic characteristics (e.g., gender, educational attainment, and employment status), medical coverage, as well as government support for veterans with severe disabilities.

 Methods:  Data were analyzed from the Rehabilitation Services Administration (RSA) 911 dataset collected in the U.S. in 2012.  Descriptive and multivariate analyses were performed.   

 Results:  Among veterans with severe disabilities, factors that increased AT usage for EAs and AAs were employment, medical coverage (e.g., access to private insurance and Medicare), government support (e.g., SSI or SSDI), and having a sensory type of disability.  Having a mental disability was associated with decreased use of AT for EAs and AAs. Whereas European Americans (EAs) had more factors associated with a decreased likelihood of using AT, African Americans (AAs) had more factors associated with an increased likelihood.  For EA veterans with severe disabilities, receiving Medicaid, veteran benefits, and Workers’ Compensation were associated with a decreased likelihood of using AT.  AA veterans with severe disabilities were 60% less likely to use AT compared to EAs.

 Conclusions: Racial differences between AAs and EAs were observed based on gender, education, employment status, medical coverage, and government support. AAs were generally less likely to use AT; however, greater exposure to resources such as employment, insurance, and government income support partially explained the differential AT use between EAs and AAs.  Future policies and research should address these racial disparities in veterans with severe disabilities to promote equitable AT use and healthy functioning.

Learning Areas:

Advocacy for health and health education
Diversity and culture
Public health or related education
Public health or related public policy
Public health or related research

Learning Objectives:
Identify the relationship among assistive technology and veterans with severe disabilities. Discuss disparities, including racial and socioeconomic differences as it relates to assistive technology and veterans with severe disabilities.

Keyword(s): Disabilities, Veterans' Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal investigator on several peer-reviewed research articles pertaining to the topic and I have previously taught in the area.
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.