Socioeconomic Status

Forgoing physician visits because of cost: a source of health disparities for elderly people with disabilities?

OBJECTIVE:  To examine disparities in having a usual source of care and forgoing physician visits because of cost between elderly people (age > or =65y) with and without disabilities after consecutively controlling for predisposing, enabling, and perceived and evaluated health need factors using the Andersen behavioral model, and to identify the determinants of such disparities.… Read More »»

Disproportionality and Learning Disabilities: Parsing Apart Race, Socioeconomic Status, and Language.

The disproportionate identification of learning disabilities among certain sociodemographic subgroups, typically groups that are already disadvantaged, is perceived as a persistent problem within the education system. The academic and social experiences of students who are misidentified with a learning disability may be severely restricted, whereas students with a learning disability who are never identified are… Read More »»

Poverty, socio-economic position, social capital and the health of children and adolescents with intellectual disabilities in Britain: a replication.

Background When compared with their nonintellectually disabled peers, people with intellectual disabilities (IDs) have poorer health and are more likely to be exposed to poverty during childhood. Given that exposure to child poverty has been linked to poorer health outcomes, we attempted to estimate the extent to which the health inequalities faced by children and… Read More »»

Housing assets and the socio-economic determinants of health and disability in old age.

The influence of socio-economic determinants among the elderly is a complex subject. Although they rely on pension income, the wealth that they have accumulated over their lifetime (primarily housing assets), jointly with housing-related determinants, could have a more significant effect on health production. Hence, owning a house has more potential than income for reducing health… Read More »»

Socioeconomic disadvantage, social participation and networks and the self-rated health of English men and women with mild and moderate intellectual disabilities: cross sectional survey.

BACKGROUND: Extremely high rates of mortality and morbidity have been reported among people with intellectual disabilities. Virtually no research has addressed the potential social determinants of health status within this very vulnerable population. METHOD: Cross-sectional survey of self-reported health status and indicators of socioeconomic disadvantage and social connectedness in 1273 English adults with mild or… Read More »»

Sociodemographic risk factors for autism in a US metropolitan area.

The present study examined the association between autism and sociodemographic factors, overall and in subgroups of children with autism with and without mental retardation (Autism/MR and Autism/No MR, respectively); the association was further examined in subanalyses by child’s source of ascertainment to assess the presence of ascertainment bias. In the main analyses, one marker of… Read More »»

Contribution of socioeconomic position to health inequalities of British children and adolescents with intellectual disabilities.

We examined the contribution of socioeconomic position to the health and mental health status of children and adolescents with intellectual disabilities in a sample of 10,438 British children. Intellectual disability was a significant risk factor for poorer general health, OR = 4.5, emotional disorders, OR = 2.0, and conduct disorders, OR = 7.7. Between-group differences… Read More »»

Exercise training for African Americans with disabilities residing in difficult social environments.

Objective: To examine the feasibility, efficacy, and safety of a structured 12-week exercise training program for a predominantly African-American group of adults with multiple health conditions who reside in difficult social environments. Methods: A total of 37 females and 7 males (mean age, 54.1 years) participated in an exercise training regimen 3 days per week… Read More »»

Changing the chronic care system to meet people’s needs.

Persons who are likely to be the heaviest users of medical and supportive care services—those with chronic illnesses, disabilities, and functional limitations—are often forced to navigate a system that requires them to perform most of the coordination functions themselves and is generally not organized around their needs. In 1996 an estimated 128 million Americans had… Read More »»

Consumer and surrogate preferences for a cash option versus traditional services: Florida adults with developmental disabilities.

As long-term service expenditures have risen, policymakers have sought ways to control costs while maintaining consumer satisfaction. Concurrently, there is increasing interest in the disability community in consumer direction. The Cash and Counseling Demonstration and Evaluation (CCDE) seeks to increase consumer direction and control costs by offering a cash allowance and information services to persons… Read More »»