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dc.contributor.authorHall, Jean P.
dc.contributor.authorKurth, Noelle K.
dc.contributor.authorIpsen, Catherine
dc.contributor.authorMyers, Andrew
dc.contributor.authorGoddard, Kelsey
dc.date.accessioned2022-10-12T20:38:14Z
dc.date.available2022-10-12T20:38:14Z
dc.date.issued2022-10
dc.identifier.citationJean P. Hall, Noelle K. Kurth, Catherine Ipsen, Andrew Myers, and Kelsey Goddard. Comparing Measures Of Functional Difficulty With Self-Identified Disability: Implications For Health Policy. Health Affairs 2022 41:10, 1433-1441en_US
dc.identifier.urihttp://hdl.handle.net/1808/33596
dc.description.abstractThe Affordable Care Act mandated data collection standards to identify people with disabilities in federal surveys to better understand and address health disparities within this population. Most federal surveys use six questions from the American Community Survey (ACS-6) to identify people with disabilities, whereas many international surveys use the six-item Washington Group Short Set (WG-SS). The National Survey on Health and Disability (NSHD), which focuses on working-age adults ages 18–64, uses both question sets and contains other disability questions. We compared ACS-6 and WG-SS responses with self-reported disability types. The ACS-6 and WG-SS failed to identify 20 percent and 43 percent, respectively, of respondents who reported disabilities in response to other NSHD questions (a broader WG-SS version missed 4.4 percent of respondents). The ACS-6 and the WG-SS performed especially poorly in capturing respondents with psychiatric disabilities or chronic health conditions. Researchers and policy makers must augment or strengthen federal disability questions to improve the accuracy of disability prevalence counts, understanding of health disparities, and planning of appropriate services for a diverse and growing population.en_US
dc.publisherProject HOPEen_US
dc.rightsCopyright Project HOPE—The People-to-People Health Foundation, Inc. For personal use only. All rights reserved. Reuse permissions at HealthAffairs.org. This open access article is distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license.en_US
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.subjectDisabilityen_US
dc.subjectChronic diseaseen_US
dc.subjectMental disorderen_US
dc.subjectHealth conditionsen_US
dc.subjectPopulationsen_US
dc.subjectHealth disparitiesen_US
dc.subjectPublic healthen_US
dc.subjectResearchersen_US
dc.subjectMental healthen_US
dc.titleComparing Measures Of Functional Difficulty With Self-Identified Disability: Implications For Health Policyen_US
dc.typeArticleen_US
kusw.kuauthorHall, Jean P.
kusw.kuauthorKurth, Noelle K.
kusw.kuauthorGoddard, Kelsey
kusw.kudepartmentLife Span Instituteen_US
kusw.kudepartmentInstitute for Health and Disability Policy Studiesen_US
dc.identifier.doi10.1377/hlthaff.2022.00395en_US
kusw.oaversionScholarly/refereed, publisher versionen_US
kusw.oapolicyThis item meets KU Open Access policy criteria.en_US
dc.rights.accessrightsopenAccessen_US


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Copyright Project HOPE—The People-to-People Health Foundation, Inc. For personal use only. All rights reserved. Reuse permissions at HealthAffairs.org. This open access article is distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license.
Except where otherwise noted, this item's license is described as: Copyright Project HOPE—The People-to-People Health Foundation, Inc. For personal use only. All rights reserved. Reuse permissions at HealthAffairs.org. This open access article is distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license.