V Spilchuk, R House, R Nisenbaum, D L Holness
Evaluation of an occupational medicine patient consultation note assessment tool
Occupational medicine (Oxford, England)
adults disabilities often worse health outcomes peers without disabilities education key determinant health little research available health disparities across education levels among adults disabilities developing countries therefore examined association health outcomes education among adults disabilities shanghai china used health examination records 42715 adults disabilities shanghai 2014 five health outcomes including two diseases fatty liver hemorrhoids three risk factors overweight body mass index 24 high blood glucose high blood lipid evaluated descriptive statistics pearsons chisquare test used assess differences participants demographic disability characteristics pearsons chisquare test fishers exact test conducted compare prevalence health outcome among different education levels finally logistic regression analyses conducted explore association education health outcomes adjusting sociodemographic characteristics people elementary school lower degree highest prevalence overweight 521 high blood glucose 208 lowest prevalence hemorrhoids 186 fatty liver 389 observed significant differences association education health outcomes across disability types example physically disabled adults higher education related higher odds hemorrhoids p 0001 however significant disparities hemorrhoids across education levels among adults intellectual disabilities compared people without disabilities adults disabilities shanghai relatively poor health association education health outcomes differed according health condition disability type reduce prevalence rate overweight high blood glucose among people disabilities tailored health promotion initiatives must developed people lower education levels contrast specific attention paid prevention hemorrhoids fatty liver among moreeducated people disabilities study provides important evidence targeting educational groups specific disability types health promotion intervention