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    Employment as a Health Determinant for Working-age, Dually-eligible People with Disabilities

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    Hall Kurth Hunt 2013.pdf (221.0Kb)
    Issue Date
    2013-04
    Author
    Hall, Jean P.
    Kurth, Noelle K.
    Hunt, Suzanne L.
    Publisher
    Disability and Health Journal
    Type
    Article
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    Abstract
    Background: Individuals with disabilities are a health disparity population with high rates of risk factors, lower overall health status, and greater health care costs. The interacting effect of employment, health and disability has not been reported in the research. Objective: This study examined the relationship of employment to health and quality of life among people with disabilities. Methods: Self-reported survey data and secondary claims data analyses of 810 Kansans ages 18 to 64 with disabilities who were dually-eligible for Medicare and Medicaid; 49% were employed, with 94% working less than 40 hours per week. Statistical analyses included ANOVA for differences between the employed and unemployed groups’ health status, risk scores, and disease burdens; chi-square analyses for differences in prevalence of health risk behaviors and differences in quality of life by employment status; and logistic regression with health status measures to determine factors associated with higher than average physical and mental health status. Results: Findings indicated participants with any level of paid employment had significantly lower rates of smoking and better quality of life; self-reported health status was significantly higher, while per person per month Medicaid expenditures were less. Employment, even at low levels, was associated with better health and health behaviors as well as lower costs. Participants reported being discouraged from working by medical professionals and federal disability policies. Conclusions: Although cause-effect cannot be established from this study, findings strongly support changes to provider practices and federal disability policy to support employment at all levels for people with disabilities.
    URI
    http://hdl.handle.net/1808/11286
    DOI
    https://doi.org/10.1016/j.dhjo.2012.11.001
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    • Center for Research on Learning Scholarly Works [125]
    • Institute for Health and Disability Policy Studies [12]
    Citation
    Jean P. Hall, Noelle K. Kurth, Suzanne L. Hunt, Employment as a health determinant for working-age, dually-eligible people with disabilities, Disability and Health Journal, Volume 6, Issue 2, April 2013, Pages 100-106, ISSN 1936-6574, http://dx.doi.org/10.1016/j.dhjo.2012.11.001. (http://www.sciencedirect.com/science/article/pii/S1936657412001264) Keywords: Disability; Employment; Health disparity; Dual-eligible

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    KU Libraries
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    Lawrence, KS 66045
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    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

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