Literature DB >> 18226644

Health of community-dwelling adults with mobility limitations in the United States: incidence of secondary health conditions. Part II.

Elizabeth K Rasch1, Larry Magder, Marc C Hochberg, Jay Magaziner, Barbara M Altman.   

Abstract

OBJECTIVE: To compare incident health conditions that occurred over a 2-year period in nationally representative groups of adults with mobility, nonmobility, and no limitations.
DESIGN: Data were collected prospectively from a probability subsample of households that represent the civilian, noninstitutionalized U.S. population.
SETTING: Five rounds of household interviews were conducted over 2 years. PARTICIPANTS: Data were analyzed on the same respondents from the 1996-1997 Medical Expenditure Panel Survey (MEPS) and the 1995 National Health Interview Survey Disability Supplement. Respondents were categorized into 3 groups for analysis; those with mobility limitations, nonmobility limitations, and no limitations. The analytic sample included 12,302 MEPS adults (>/=18y).
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Number, types, and 2-year incidence of self-reported health conditions compared across groups.
RESULTS: The mean number of incident conditions (95% confidence intervals [CIs]) over the 2-year period was greatest in adults with mobility limitations (mean, 4.7; 95% CI, 4.4-4.9) compared with those with nonmobility limitations (mean, 3.9; 95% CI, 3.7-4.2) or no limitations (mean, 2.6; 95% CI, 2.5-2.7). Incident conditions affected most major body systems.
CONCLUSIONS: Because secondary conditions are potentially preventable, determining factors that influence their occurrence is an important public health issue requiring specific action.

Entities:  

Mesh:

Year:  2008        PMID: 18226644     DOI: 10.1016/j.apmr.2007.08.159

Source DB:  PubMed          Journal:  Arch Phys Med Rehabil        ISSN: 0003-9993            Impact factor:   3.966


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