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Number of deaths, crude mortality rate, and age-standardized mortality rate according to disability type from the 10-year combined data between 2008 and 2017.
Source publication
People with disabilities have a higher mortality risk than non-disabled people. However, mortality patterns and life expectancy according to disability types are under-researched. This study investigated the sociodemographic characteristics and compared mortality and life expectancy among people with disabilities according to disability type in Kor...
Contexts in source publication
Context 1
... particular note, more than 60% of people with intellectual disabilities (61.6%), mental disabilities (75.9%), and epilepsy disorder (60.8%) were in the lowest 20% of income. Table 2 presents the disability type-specific numbers of deaths, crude mortality rate, and age-standardized mortality rate. Of a total of 2,628,599 deaths for the 10 years between 2008 and 2017, 25.1% (N = 660,299) occurred in disabled people, a 5-fold greater proportion compared with the proportion of disabled population (5.1%) among the total population. ...Context 2
... least a 2-fold higher probability of mortality was found for each disability type. People with respiratory impairment, hepatic impairment, and intestinal or urinary fistula had a 10-fold higher age-standardized mortality rate than non-disabled people (Table 2). Table 3 presents the PMRs of the disabled population based on the proportional mortality of the non-disabled population. ...Similar publications
Background Stroke is a major cause of disability worldwide and a neurological emergency. Intravenous thrombolysis and mechanical thrombectomy are effective in the reperfusion of the parenchyma in distress, but the impossibility to determine the exact time of onset was an important cause of exclusion from treatment until a few years ago.
Objectives...
Citations
... The systematic review yielded 3731 articles, of which 60 full texts were screened, and 24 studies were identified as eligible for inclusion ( figure 1) 24 Bahk et al (2022) 47 Bento et al (2021) 44 Björkenstam et al (2014) 25 Confortin et al (2020) 39 Contador et al (2019) 38 Damián et al (2021) 40 Dugravot et al (2020) 41 Ferreira et al (2016) 32 Flaherty et al (2011) 21 Forman-Hoffman et al (2015) 28 Gomez-Olive et al (2014) 26 Gray et al (2016) 33 Hennessy et al (2015) 29 Karlsson et al (2007) 18 Kim et al (2016) 34 Landi et al (2010) 19 Langballe et al (2022) 48 Majer et al (2011) 20 Millard et al (2015) 30 Nascimento et al (2018) 37 Park et al (2017) 36 Prynn et al (2020) 42 Son et al (2020) 43 Souza et al (2021) 45 Stineman et al (2012) 22 St John et al (2014) 27 Tiainen et al (2013) 23 Wu et al (2016) 35 Yang et al (2021) 46 Zheng et al (2015) Higher risk of mortality Lower risk of mortality were consistent with these patterns, although only one of 11 studies was not from a high-income setting. The majority of studies on all-cause mortality were cohort studies (25 [81%] of 31 studies) whereas for the causespecific analyses, the data were obtained mostly through linkage to electronic health records (nine [82%] of 11 studies). ...
... Healthcare and social support should be developed to assist individuals in recovering from psychological concerns regarding their disability-related life course, ranging from disability onset to longterm adaptation (Kariuki et al., 2011). A comprehensive set of continuum interventions including counseling and support groups will encourage disabled people to achieve success in returning to daily life and seek necessary measures in a timely manner (e.g., the use of rehabilitation aids appliances; Bahk et al., 2022;Lucas, 2007). Men's psychological health is more vulnerable to the onset and longterm progression of disability, so special consideration should be given to meeting their needs. ...
Purpose: This study examines (a) whether disability registration has anticipatory, immediate, and delayed effects on depressive symptoms and (b) how these effects differ by gender. Research Method/Design: Using data from the Korea Welfare Panel Study spanning over 16 waves between 2005 and 2020, this study employed the individual-level fixed effects models to estimate the trajectories of depressive symptoms before and after the registration of physical disability, for a cohort of 20,054 individuals. Furthermore, gender-stratified fixed effects models were used to examine gender differences. Results: Compared to the preregistration reference period (i.e., 4 or more years before disability registration), there was a sustained rise in depressive symptoms leading up to the year of registration, indicating the presence of anticipatory effects. After disability registration, depressive symptoms consistently remained at a statistically higher level than during the initial reference period, with a gradual return to the baseline level of depressive symptoms over time. These anticipatory, immediate, and delayed effects of disability registration were notably more pronounced among men than women. Conclusion/Implications: To develop more effective mental health interventions for people with disability, policymakers should consider gendered trajectories of depressive symptoms before and after disability registration.
... In a few countries, LE and HALE studies among PWDs and NDs have been conducting [10]. A few of those studies compared disability type and severity [13][14][15][16][17][18]: In the United States, LE in cerebral palsy [13], LE and HALE of patients with Alzheimer's disease [14], and LE of 1-year survivors of traumatic brain injury [15] were reported; In Japan, Chiu CT et al. [16] examined the influence of strokes on a disabled or disability-free life for elderly using life expectancy; In Korea, Bahk J et al. [17] described the proportional mortality ratio and calculated life expectancy according to disability type; In England, Jagger C et al. [18] investigated how various HALE have changed between 1991 and 2011; In Brazil, Belon AP et al. [19] examined HALE among elderly using a self-reported functional disability. Most of those studies follow the general life table that does not reflect the disability type or cover the total PWDs. ...
... In a few countries, LE and HALE studies among PWDs and NDs have been conducting [10]. A few of those studies compared disability type and severity [13][14][15][16][17][18]: In the United States, LE in cerebral palsy [13], LE and HALE of patients with Alzheimer's disease [14], and LE of 1-year survivors of traumatic brain injury [15] were reported; In Japan, Chiu CT et al. [16] examined the influence of strokes on a disabled or disability-free life for elderly using life expectancy; In Korea, Bahk J et al. [17] described the proportional mortality ratio and calculated life expectancy according to disability type; In England, Jagger C et al. [18] investigated how various HALE have changed between 1991 and 2011; In Brazil, Belon AP et al. [19] examined HALE among elderly using a self-reported functional disability. Most of those studies follow the general life table that does not reflect the disability type or cover the total PWDs. ...
... Differences were observed among the disability types. Compared with previous studies that calculated LE using NHIS in Korea, the LE of PWDs with hearing disabilities was similar at 75.1 (our result was 77.5 years) and 81.3 (our result was 83.1 years) years for males and females, respectively; those of respiratory disability were also similar at 20.7 (our result was 23.3 years) and 17.1 (our result was 18.7 years) years for males and females, respectively [17]. The average age (65.8 years) and age at death (80.3 years) of PWDs with hearing disabilities were higher than those of PWDs with other disabilities; therefore, the LE tended to be estimated as high [33]. ...
Background
Conducting a distinct comparison between the life expectancy (LE) and healthy life expectancy (HALE) of people with disabilities (PWDs) and the general population is necessary due to the various environmental and health conditions they encounter. Therefore, this study aimed to develop the life table for PWDs and calculate those of LE and HALE based on sex, severity, and disability types among the registered Korean PWDs.
Methods
We used aggregated data of registered PWDs from the Korea National Rehabilitation Center database between 2014 and 2018. Overall, 345,595 deaths were included among 12,627,428 registered PWDs. First, we calculated the LE for total PWDs and non-disabled people using a standard life table, extending the old age mortality among nine models. Subsequently, we calculated the LE for each type of disability using the relationship between the mortality of total PWDs and those of each type of disability. Finally, HALE was calculated using the Sullivan method for three types as follows: disability-free and perceived health (PH) using the National Survey, and hospitalized for ≥ 7 days using the Korea National Health Insurance System (NHIS) database.
Results
The calculated LE/HALE–NHIS (years) at registration in males and females were 81.32/73.32 and 87.38/75.58, 68.54/58.98 and 71.43/59.24, 73.87/65.43 and 78.25/67.51, and 61.53/50.48 and 62.41/49.72 years among non-disabled, total PWDs, mild disabled, and severe disabled, respectively. LE/HALE-NHIS was lowest and highest in respiratory dysfunction and hearing disabilities, respectively.
Conclusions
Males with disabilities had shorter LE and HALE at registration than females, except for those with severe disabilities, and there were variabilities in the LE based on the disability types.
... The physical disability of the disabled is a significant cause that prevents them from improving their QOL (Chaudhary et al., 2019). Other country studies found that the mortality rate of PWD was one time higher than those without disabilities (Bahk et al., 2022), and people with multiple disabilities had the highest mortality rate (Forman-Hoffman et al., 2015). As a special vulnerable and marginalized group, the QOL of disabled people deserves our attention. ...
Objective
The quality of life of people with disabilities is of great significance to social stability and development. Increasing the quality of life among the disabled has become a worldwide topic. This study aims to examine the relationship between the big five personality and quality of life and the mediating effects of social support indicators in people with disabilities.
Methods
This was a cross-sectional study with 358 people with disabilities (193 women and 165 men). A questionnaire was utilized to measure big five personality, social support, and quality of life variables. Pearson’s correlation analysis and structural equation modeling were used to examine the relation among big five personality, social support, and quality of life.
Results
QOL was positively correlated with social support (r = 0.402, p < 0.001), extraversion (r = 0.324, p < 0.001), agreeableness (r = 0.474, p < 0.001), conscientiousness (r = 0.482, p < 0.001), and openness (r = 0.498, p < 0.001). QOL was negatively correlated with neuroticism (r = −0.186, p < 0.001). The mediating effect of social support on the relationship between neuroticism and the quality of life of people with disabilities was not significant. Social support significantly mediated the relationship between extraversion, agreeableness, conscientiousness, openness, and quality of life. Overall, positive personality traits (extraversion, agreeableness, conscientiousness, and openness) in the Big Five Personality of people with disabilities could increase their quality of life by Perceiving social support. But social support could not significantly mediate the relationship between neuroticism and the quality of life of people with disabilities.
Conclusion
These new findings suggest that combining individual factors (personality) and environmental factors (social support) can better improve the quality of life of people with disabilities.
... These tendencies were particularly significant in study participants with severe disability. Our findings provide further evidence that disparities in mortality may exist according to disability status in older patients with CRC, although the fact that individuals with disabilities tend to have a generally shorter life expectancy than those without disabilities should be concurrently taken into consideration when interpreting the study results [21]. ...
Background:
Although investigating patterns of cancer mortality is important in understanding the effect of cancer on population health, knowledge regarding mortality in cancer patients with disability is scarce. This study examined the association between disability status and all-cause mortality in older patients with colorectal cancer.
Methods:
Data were obtained from the 2008-2019 National Health Insurance Service claims data. The study population included patients with colorectal cancer aged 60 years or above. The outcome measure was all-cause 5-year and overall mortality. A survival analysis was performed using the Cox proportional hazards model to analyze the association between all-cause mortality and disability status. Subgroup analysis was conducted based on disability severity.
Results:
The study population consisted of 6340 patients, and disability was reported in 15.8% of the included individuals. Participants with disability had a higher risk of both all-cause 5-year (hazard ratio (HR) 1.21, 95% confidence interval (95% CI) 1.07-1.37) and overall mortality (HR 1.15, 95% CI 1.03-1.28). These findings were particularly significant in individuals with severe rather than mild disability.
Conclusion:
Older colorectal cancer patients with disabilities showed a higher risk of overall and 5-year all-cause mortality, which was evident in individuals with severe disabilities. The findings indicated disparities in mortality according to disability status. Further, we suggest that policies that can mediate such disparities must be strengthened.
Background: In Austria, due to its history, only relatively little research on the topic of intellectual disabilities and dementia has been conducted to date. The present study thus aims to explore the challenges and tasks currently facing formal care- givers, together with assessing their wishes for further development.
Methods: Ten semi-structured interviews were held with formal caregivers. Inter- views were transcribed and analysed by means of structured qualitative content analysis.
Results: Caregivers must deal with conflicts between residents, and with increasing demands for care and emotional support. Education and training on dementia and intellectual disability are mostly of high quality, but still remain insufficient. Care- givers would like to see suitable adaptation of care premises, smaller groups, more staff and better training on dementia and intellectual disability.
Conclusion: To ensure quality care and ‘ageing in place’, caregivers and providers need to pay greater attention to dementia-related changes when planning and adapt- ing services.
