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Social Risk Factors Are Associated With Disability Prevalence - Results From 17 States in the 2017 Behavioral Risk Factor Surveillance System.

Publication ,  Journal Article
Sharpe, JA; Miller, R; Cook, CE; Hastings, SN; Rethorn, TJ; Allen, KD; Rethorn, ZD
Published in: Am J Health Promot
May 2023

PURPOSE: Determine the association between incremental increases in the number of social risk factors and the prevalence of any disability and disability type. DESIGN: The cross-sectional analysis was conducted using 2017 Behavioral Risk Factor Surveillance System data from states whose surveys included items about social risk factors. SETTING: Respondents from 17 US states. SUBJECTS: Respondents included 136 432 adults. MEASURES: Dichotomized social risk factors included food, housing, and financial insecurity, unsafe neighborhood, and healthcare access hardship. ANALYSIS: Weighted χ2 and logistic regression analyses adjusted for demographic characteristics, measures of socioeconomic position, and comorbid health conditions were used to examine differences in the prevalence of disability by social risk factor and via a social risk index created by summing the social risk factors. RESULTS: Compared to those reporting 0 social risk factors, respondents reporting ≥4 had more than thrice the odds of reporting a cognition ((adjusted odds ratio [AOR]=3.37; 95%CI [2.75-4.13]), independent living (AOR=3.24 [2.52-4.15]), self-care (AOR=3.33 [2.55-4.34]), or any disability (AOR=3.90 [3.24-4.70]); more than twice the odds of reporting a vision (AOR=2.61 [1.93-3.52]) or mobility (AOR=2.72 [2.16-3.41]) disability; and more than 1.5 times the odds of reporting a hearing disability (AOR=1.59 [1.22-2.07]). CONCLUSIONS: Incremental increases in the number of social risk factors were independently associated with higher odds of disability. Intervention efforts should address the social context of US adults with disabilities to improve health outcomes.

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Published In

Am J Health Promot

DOI

EISSN

2168-6602

Publication Date

May 2023

Volume

37

Issue

4

Start / End Page

453 / 463

Location

United States

Related Subject Headings

  • United States
  • Risk Factors
  • Public Health
  • Prevalence
  • Humans
  • Disabled Persons
  • Cross-Sectional Studies
  • Behavioral Risk Factor Surveillance System
  • Adult
  • 4206 Public health
 

Citation

APA
Chicago
ICMJE
MLA
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Sharpe, J. A., Miller, R., Cook, C. E., Hastings, S. N., Rethorn, T. J., Allen, K. D., & Rethorn, Z. D. (2023). Social Risk Factors Are Associated With Disability Prevalence - Results From 17 States in the 2017 Behavioral Risk Factor Surveillance System. Am J Health Promot, 37(4), 453–463. https://doi.org/10.1177/08901171221132390
Sharpe, Jason A., Rachel Miller, Chad E. Cook, Susan N. Hastings, Timothy J. Rethorn, Kelli D. Allen, and Zachary D. Rethorn. “Social Risk Factors Are Associated With Disability Prevalence - Results From 17 States in the 2017 Behavioral Risk Factor Surveillance System.Am J Health Promot 37, no. 4 (May 2023): 453–63. https://doi.org/10.1177/08901171221132390.
Sharpe JA, Miller R, Cook CE, Hastings SN, Rethorn TJ, Allen KD, et al. Social Risk Factors Are Associated With Disability Prevalence - Results From 17 States in the 2017 Behavioral Risk Factor Surveillance System. Am J Health Promot. 2023 May;37(4):453–63.
Sharpe, Jason A., et al. “Social Risk Factors Are Associated With Disability Prevalence - Results From 17 States in the 2017 Behavioral Risk Factor Surveillance System.Am J Health Promot, vol. 37, no. 4, May 2023, pp. 453–63. Pubmed, doi:10.1177/08901171221132390.
Sharpe JA, Miller R, Cook CE, Hastings SN, Rethorn TJ, Allen KD, Rethorn ZD. Social Risk Factors Are Associated With Disability Prevalence - Results From 17 States in the 2017 Behavioral Risk Factor Surveillance System. Am J Health Promot. 2023 May;37(4):453–463.
Journal cover image

Published In

Am J Health Promot

DOI

EISSN

2168-6602

Publication Date

May 2023

Volume

37

Issue

4

Start / End Page

453 / 463

Location

United States

Related Subject Headings

  • United States
  • Risk Factors
  • Public Health
  • Prevalence
  • Humans
  • Disabled Persons
  • Cross-Sectional Studies
  • Behavioral Risk Factor Surveillance System
  • Adult
  • 4206 Public health