Online Program

335799
Self-Rated Health Status of Young Adults with Disabilities in the United States


Tuesday, November 3, 2015

Sue Chienshy Lin, PhD MS, Bureau of Primary Health Care, U.S. Department of Health and Human Services, Health Resources and Services Administration, Rockville, MD
Background/Significance: The health of young adults with disabilities (YADs) is especially vulnerable as they mature and transition from pediatric to adult health care systems, develop health-related habits, and potentially engage in risky behaviors during this critical time. Positive health status attained during this developmental period will translate into significant health cost savings and reductions in risk for developing chronic diseases in later adulthood.

Objective/Purpose: The study examines the longitudinal relationship between self-rated health and sociodemographic factors among YADs.

Method: Using from the National Longitudinal Transition Study 2 (NLTS2), we conducted bivariate and multinomial logistic regression analysis to ascertain the association between self-rated health and sociodemographic factors of race/ethnicity, gender, household income, educational attainment and insurance status for YADs.

Results: Analysis yielded the following findings: 1) 36.2% of Hispanic YADs reported fair/poor health versus 10.8% Non-Hispanic White and 16.6% Non-Hispanic Black (p-value = <.0001); 2) 16.7% of YADs with household income $25,000 or less reported fair/poor health versus 4.4% of those reporting more than $50,000 (p-value = 0.01); 3) 14.3% of YADs not covered by any health insurance reported fair/poor health versus 21.7% reporting receipt of any kind of health insurance (p-value = 0.26).

Discussion and Conclusion: The identification of sociodemographic risk factors will inform policymakers and public health practitioners on targeting the delivery of efficacious, timely, and cost-effective health promotion interventions for YADs

Learning Areas:

Epidemiology
Public health or related public policy

Learning Objectives:
Describe disparities in health status among young adults with disabilities Identify sociodemographic factors associated with health status of young adults with disabilities

Keyword(s): Disabilities, Health Disparities/Inequities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Sue is currently a Senior Advisor in the Bureau of Primary Health Care (BPHC), at the Health Resources and Services Administration (HRSA) and formerly an Extramural Research Program Officer at the Maternal and Child Health Bureau (MCHB) at HRSA with grantee portfolio in children with developmental disabilities. Prior to HRSA, she has worked at the national and state level on research, education, and service in public health and disabilities across the life span.
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.