Hälsa på lika villkor? - Statens folkhälsoinstitut
Hälsa på lika villkor? - Statens folkhälsoinstitut Hälsa på lika villkor? - Statens folkhälsoinstitut
Summary halsa på lika villkor? 11 According to the Swedish National Institute of Public Health’s public health surveys of 2005-2007, approximately 1.5 million people aged 16 to 84 years had one or more disabilities. In the 16 to 64 age group, slightly more than one million and in the 65 to 84 age group years slightly more than 0.5 million had one or more disabilities. Disability increases with age and persons with disabilities more often have little education and a worse financial situation than the rest of the population. There were also significantly fewer who worked professionally among those with a disability than in the rest of the population. A large part of the collective illness was among persons with a disability. When those with hearing impairments, visual impairments or motor disabilities were compared with each other and the entire group with disabilities, it turned out that illness almost consistently was largest among those with motor disabilities. In many cases, illness has a direct relationship with disability, but a large proportion of illness has a relationship with known determinants such as financial insecurity, discrimination and lack of access. Health can be improved The question is if health is worse than it should be among those with disabilities. Can health be improved? It appears to be so that the risk (odds ratio) of poor health decreases by 37 percent for men and 29 percent for women when age, level of education, lacking cash margins, sedentary leisure time, daily smoking, obesity, insulting personal treat ment and social participation are made control variables. This means that health can be improved among persons with disabilities by improving their financial conditions, reducing insulting treatment (discrimination), increasing social participation and changing certain habits. Poor health ten times more common Having poor health was ten times more common among those with disabilities than in the rest of the population. The proportion of those with poor health was largest among men and women with motor disabilities, with 43 percent of the men and 32 percent of the women reporting a poor general state of health. Diabetes, asthma and high blood pressure were more common among persons with disabilities than in the rest of the population. Severe pain in the motor organs was also significantly more common among those with disabilities than in the rest of the population. Severe pain was most common among men and women with motor dis abilities. Tinnitus, incontinence and stomach-intestinal ailments were also more common among men and women with disabilities than in the rest of the population. Tinnitus was most common among those with hearing impairments. Incontinence and stomach-intestinal ailments were most common among persons with motor disabilities. Mental illness almost three times more common Headaches, severe difficulties with fatigue and severe sleeping difficulties were signifi cantly more common among persons with disabilities than in the rest of the population. These ailments were most common among persons with motor disabilities. The proportion with severe difficulties of nervousness, worry or anxiety and diminished mental well-being were significantly greater among men and women with disabilities than in the rest of the population. The proportion with these ailments was largest among men and women with disabilities that also lacked cash margins.
12 halsa på lika villkor? It was significantly more common to have felt much stress among men and women with disabilities than in the rest of the population. The proportion of those under stress was largest among men and women with motor disabilities. Suicidal thoughts were more common among men and women with disabilities than in the rest of the population. Suicidal thoughts were most common among men and women with motor disabilities. It was significantly more common to have tried to commit suicide among men and women aged 16 to 64 years with disabilities than in the rest of the population. Suicide attempts were most common among men with motor disabilities. Contacts with healthcare Men and women with disabilities had contact with healthcare services more often than the rest of the population had. It was more common, both among younger and older persons with disabilities, to have visited a doctor in hospital, a local medical care centre, etc., a district nurse, physiotherapist and to have been in hospital on an inpatient basis than the rest of the population. Among women and men aged 16 to 64 years, it was significantly more common to have visited a counsellor or psychologist among those with disabilities than in the rest of the population. Pharmaceuticals A larger proportion of men and women with disabilities had in the past three months used medicine for gastric ulcers/gastritis, diabetes medicine, medicine to lower blood pressure, sleeping medicine/ sleep inducers, antidepressants, sedatives/ataractic medi cine, prescription and over the counter analgesics and medicine to lower cholesterol compared with those in the rest of the population, among both younger and older persons. Dental health significantly worse Poor dental health was significantly more common among men and women with disabilities than in the rest of the population. Poor dental health was most common among persons with disabilities who lacked cash margins. In this group, 39 percent of the men and 31 percent of the women had poor dental health compared with 10 percent of the men and 8 percent of the women in the rest of the population. It was also more common to have foregone visiting a dentist among men and women with disabilities than in the rest of the population. Men and women with motor disabilities had to the largest extent foregone dental checkups despite need. Obesity most common among women with motor disabilities Obesity was more common among men and women with disabilities than in the rest of the population, except among men aged 65 to 84 years. Obesity was most common among women with motor disabilities among which 32 percent suffered from obesity. Obesity was more common among women with little education than among those with more extensive education, as well as among those with disabilities than in the rest of the population. Men and women who lacked cash margins also suffered from obesity to a greater extent than those who had cash margins, as well as among those with disabilities than in the rest of the population. Sedentary leisure time was significantly more common among men and women with disabilities than in the rest of the population. Sedentary leisure time was most common among men and women with motor disabilities.
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12 halsa <strong>på</strong> <strong>lika</strong> <strong>villkor</strong>?<br />
It was significantly more common to have felt much stress among men and women with disabilities<br />
than in the rest of the population. The proportion of those under stress was largest among men<br />
and women with motor disabilities.<br />
Suicidal thoughts were more common among men and women with disabilities than in the rest<br />
of the population. Suicidal thoughts were most common among men and women with motor disabilities.<br />
It was significantly more common to have tried to commit suicide among men and women<br />
aged 16 to 64 years with disabilities than in the rest of the population. Suicide attempts were most<br />
common among men with motor disabilities.<br />
Contacts with healthcare<br />
Men and women with disabilities had contact with healthcare services more often than the rest of<br />
the population had. It was more common, both among younger and older persons with disabilities,<br />
to have visited a doctor in hospital, a local medical care centre, etc., a district nurse, physiotherapist<br />
and to have been in hospital on an inpatient basis than the rest of the population. Among women and<br />
men aged 16 to 64 years, it was significantly more common to have visited a counsellor or psychologist<br />
among those with disabilities than in the rest of the population.<br />
Pharmaceuticals<br />
A larger proportion of men and women with disabilities had in the past three months used medicine<br />
for gastric ulcers/gastritis, diabetes medicine, medicine to lower blood pressure, sleeping medicine/<br />
sleep inducers, antidepressants, sedatives/ataractic medi cine, prescription and over the counter analgesics<br />
and medicine to lower cholesterol compared with those in the rest of the population, among<br />
both younger and older persons.<br />
Dental health significantly worse<br />
Poor dental health was significantly more common among men and women with disabilities than<br />
in the rest of the population. Poor dental health was most common among persons with disabilities<br />
who lacked cash margins. In this group, 39 percent of the men and 31 percent of the women had<br />
poor dental health compared with 10 percent of the men and 8 percent of the women in the rest of<br />
the population.<br />
It was also more common to have foregone visiting a dentist among men and women with disabilities<br />
than in the rest of the population. Men and women with motor disabilities had to the largest<br />
extent foregone dental checkups despite need.<br />
Obesity most common among women with motor disabilities<br />
Obesity was more common among men and women with disabilities than in the rest of the population,<br />
except among men aged 65 to 84 years. Obesity was most common among women with motor<br />
disabilities among which 32 percent suffered from obesity. Obesity was more common among women<br />
with little education than among those with more extensive education, as well as among those<br />
with disabilities than in the rest of the population. Men and women who lacked cash margins also<br />
suffered from obesity to a greater extent than those who had cash margins, as well as among those<br />
with disabilities than in the rest of the population.<br />
Sedentary leisure time was significantly more common among men and women with disabilities<br />
than in the rest of the population. Sedentary leisure time was most common among men and women<br />
with motor disabilities.
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