TY  - JOUR
PY  - 2017//
TI  - Disparities in mortality by disability: an 11-year follow-up study of 1 million individuals
JO  - International journal of public health
A1  - Park, Jung Min
A1  - Oh, Ukchan
A1  - Roh, Beop-Rae
A1  - Moon, Yeongmin
SP  - 989
EP  - 996
VL  - 62
IS  - 9
N2  - OBJECTIVES: This longitudinal study examines to what extent the risk of mortality-all-cause, natural death, suicide, and unintentional injury mortality-differs by types and severity of disabilities as well as disability status. <br><br>METHODS: Data were the National Sample Cohort of 1,025,340 individuals in South Korea followed from 2002 to 2013. Cox regression with time-variant variables was used to estimate the hazard ratio of mortality by disability. <br><br>RESULTS: Individuals with disabilities had a higher risk of mortality compared to those without (HR 1.84, 95% CI 1.80-1.88 for natural death; HR 1.83, 95% CI 1.64-2.03 for suicide; HR 1.54, 95% CI 1.38-1.71 for unintentional injury). All types of disability were associated with an increased risk of natural death. Individuals with mental disability were the highest risk group for suicide (HR 7.14, 95% CI 5.31-9.60). People defined as having severe disability had an elevated risk for all categories of mortality. <br><br>CONCLUSIONS: Disabilities are important markers of high risk of mortality. <br><br>FINDINGS call for actions to reduce mortality risk of people with disabilities, including preventing suicidal behaviors of those with mental disability.<p />  <p>Language: en</p>
LA  - en
SN  - 1661-8556
UR  - http://dx.doi.org/10.1007/s00038-017-0966-5
ID  - ref1
ER  -