The relationship between employment and health and health care among working-age adults with and without disabilities in the United States

The relationship between employment and health and health care among working-age adults with and without disabilities in the United States

Source: The relationship between employment and health and health care among working-age adults with and without disabilities in the United States: Disability and Rehabilitation: Vol 0, No 0

Purpose: To better understand the relationship between employment and health and health care for people with disabilities in the United States (US).

Methods: We pooled US Medical Expenditure Panel Survey (2004–2010) data to examine health status, and access to health care among working-age adults, comparing people with physical disabilities or multiple disabilities to people without disabilities, based on their employment status. Logistic regression and least squares regression were conducted, controlling for sociodemographics, health insurance (when not the outcome), multiple chronic conditions, and need for assistance.

Results: Employment was inversely related to access to care, insurance, and obesity. Yet, people with disabilities employed in the past year reported better general and mental health than their peers with the same disabilities who were not employed. Those who were employed were more likely to have delayed/forgone necessary care, across disability groups. Part-time employment, especially for people with multiple limitations, was associated with better health and health care outcomes than full-time employment.

Conclusion: Findings highlight the importance of addressing employment-related causes of delayed or foregone receipt of necessary care (e.g., flex-time for attending appointments) that exist for all workers, especially those with physical or multiple disabilities.

  • Implications for rehabilitation
  • These findings demonstrate that rehabilitation professionals who are seeking to support employment for persons with physical limitations need to ensure that overall health concerns are adequately addressed, both for those seeking employment and for those who are currently employed.

  • Assisting clients in prioritizing health equally with employment can ensure that both areas receive sufficient attention.

  • Engaging with employers to develop innovative practices to improve health, health behaviors and access to care for employees with disabilities can decrease turnover, increase productivity, and ensure longer job tenure.

Mobile Accommodation Solution

The free Mobile Accommodation Solution (MAS) app is designed to streamline the disability accommodation process. The MAS app serves as a first-generation mobile case management tool to help employers, service providers, and individuals effectively address accommodation requests in the workplace.

Source: JAN Training Downloads

The app will support talent management, human resources, and/or accommodation staff to create inclusive workplaces by facilitating the process of accommodating applicants, candidates, and employees. The app will also support service providers to help people with disabilities better manage the accommodation process. In addition, the app will enable people with disabilities to develop an accommodation request letter, send the request, and track the progress of the request.

County-Level Disability Prevalence and Employment Statistics Compendium | Now Available

These reports complement and provide greater depth to the topics found in the Annual Disability Statistics Compendium and Annual Disability Statistics Supplement. Each report provides statistics on the prevalence and employment of people with and without disabilities for each county in any given state in the US. Reports include a background and interpretive text specific to each state and are intended for advocates, policy-makers, and researchers to support programs and services for people with disabilities.

Source: County Reports | Annual Disability Statistics Compendium

 

Y Living Center – YMCA of Greater San Antonio

Source: Y Living Center – YMCA of Greater San Antonio

In partnership with The ARC of San Antonio, Health Matters™ is a program designed for adults with intellectual and developmental disabilities and their caregivers who want to become better informed about their own health, nutrition, and fitness.

Child Exercising
  • 12-week program that will meet three times a week
  • 1.5 hours per session (45 minutes of education & 45 minutes of physical activity)
  • Topics Include: Nutrition, Creating an Exercise Plan, Friendship & Support
 For more information contact the Y Living Center at (210)404-0135. 

The Arc Awarded Grant from Anthem Foundation for Health and Fitness for All Project

Source: The Arc Awarded Grant from Anthem Foundation for Health and Fitness for All Project | The Arc Blog

Grant will support programming in Kentucky, Texas and Wisconsin

Washington, DC – The Arc is pleased to announce it has received nearly $88,000 of funding from the Anthem Foundation, the philanthropic arm of Anthem, Inc., to support the Health and Fitness for All project. The project’s training curriculum was developed by the University of Illinois at Chicago, and provides overall structured information on how to organize and start a tailored physical activity and health education program for people with intellectual and developmental disabilities (I/DD). The award will be used to conduct this health project at nine chapters certified in the HealthMatters curriculum at The Arc in Kentucky, Texas, and Wisconsin.

In 2016, The Arc received comparable funding for this initiative from the Anthem Foundation. The program resulted in roughly half of participants reporting a healthy blood pressure, along with 71% of participants revealing increased knowledge of healthy foods and healthy behaviors. Drawing on a very successful first year, the nine chapters will implement the 12-week program with a drive to increase results to approximately 225 participants at the following locations: The Arc of Kentucky, The Arc of Central Kentucky, The Arc of Barren County (KY), The Pointe Arc in Northern Kentucky, The Arc of San Antonio (TX), The Arc of Wisconsin, The Arc Greater Columbia County (WI), The Arc of Racine County, Inc. (WI) and The Arc Fond du Lac (WI).

“Leading a healthy lifestyle is difficult for everyone, including people with I/DD. The Arc is fortunate to have the generous support of the Anthem Foundation so we can continue to provide education and resources that will help people with I/DD make healthier decisions in their daily lives,” said Peter Berns, CEO of The Arc. According to the Centers for Disease Control, adults with disabilities have a 58% higher rate of obesity than adults without disabilities due to certain challenges individuals face with I/DD related to eating healthy, maintaining weight and being physically active. Nonetheless, since 2012, The Arc has continued to reach over 700 participants with the use of the HealthMatters curriculum and provided those with I/DD the tools and resources needed to lead healthier lives.

“We’re pleased to team with The Arc to continue to support their efforts to ensure all individuals, regardless of their abilities, have access to information that encourages a healthier lifestyle,” said Craig Samitt, MD, chief clinical officer at Anthem, Inc. “The results of their program are further evidence of the value they bring to the communities they serve to help create a healthier generations of Americans.”

The Arc advocates for and serves people with intellectual and developmental disabilities (I/DD), including Down syndrome, autism, Fetal Alcohol Spectrum Disorders, cerebral palsy and other diagnoses. The Arc has a network of more than 665 chapters across the country promoting and protecting the human rights of people with I/DD and actively supporting their full inclusion and participation in the community throughout their lifetimes and without regard to diagnosis.

About Anthem Foundation

The Anthem Foundation is the philanthropic arm of Anthem, Inc. and through charitable contributions and programs, the Foundation promotes the inherent commitment of Anthem, Inc. to enhance the health and well-being of individuals and families in communities that Anthem, Inc. and its affiliated health plans serve. The Foundation focuses its funding on strategic initiatives that address and provide innovative solutions to health care challenges, as well as promoting the Healthy Generations Program, a multi-generational initiative that targets specific disease states and medical conditions. These disease states and medical conditions include: prenatal care in the first trimester, low birth weight babies, cardiac morbidity rates, long term activities that decrease obesity and increase physical activity, diabetes prevalence in adult populations, adult pneumococcal and influenza vaccinations and smoking cessation. The Foundation also coordinates the company’s year-round Associate Giving program which provides a 50 percent match of associates’ pledges, as well as its Volunteer Time Off and Dollars for Doers community service programs. To learn more about the Anthem Foundation, please visit http://www.anthem.foundation and its blog at http://anthemfoundation.tumblr.com.

Bike Share Intervention: Improving Wellness & Community Access

Download Bike Share Program Manual

At The Collaborative, we love biking! Many of us are active cyclists who peddle our path to fun and fitness. As biking grows in popularity, we want to do our part to encourage consumers to give it a try. In this effort, The Temple University Collaborative recently led four bike pilot programs for consumers of mental healthcare services in Philadelphia. Providers, consumers, bikeshare representatives, and bike advocacy groups worked with us to develop and run groups. Everyone seemed as excited as us throughout the process.

Each program consisted of six classes led during a three-week period. Participants learned laws and safe riding practices. Then they planned and participated in group rides using Indego Bikeshare Bikes. Participants reported that they enjoyed the classes, learned how to bike safely, found new things to do in their communities during group rides, and enhanced social connections with other bike group members. One group of consumers even advocated for a weekly bike group which has since been included in ongoing programming at their agency.

In an effort to encourage agencies to run similar programming, we’ve developed the Biking & Serious Mental Illness manual which outlines the classes we led and shares what we learned through running these programs.

Know the Science

Source: National Center for Complementary and Integrative Health (NCCIH) – Know the Science

Why is it important to know the science of health? Simply put, because there is a lot of misinformation out there—from anecdotes disguised as evidence to excessive claims made by supplement manufacturers to TV doctors touting the latest “miracle cure.”

On this page you’ll find tools to help you better understand complex scientific topics that relate to health research so that you can be discerning about what you hear and read and make well-informed decisions about your health. Know the Science features a variety of materials including interactive modules, quizzes, and videos to provide engaging, straightforward content. Learn more about how the Know the Science initiative got started.

So, what are you waiting for? Dive in, and get to know the science.

Interactive Modules

Take our module on making sense of health research

Know the Science: 9 Questions To Help You Make Sense of Health Research

Understanding the basics of scientific studies to help you make better health decisions.

Take our module on understanding health news

Know the Science: The Facts About Health News Stories

Find out how to tell if a news story is reliable or has missing, misleading, or conflicting information.

City Health Dashboard

Empowering cities to create thriving communities:  Explore health in your city

Source: https://www.cityhealthdashboard.com/

Learn how other communities have successfully woven health into their decision-making around issues such as education, access to affordable housing, and unemployment. This section includes new articles on how cities are using the Dashboard, posts from the City Health Dashboard team, and feature stories that show how cities are building healthier communities.

Metrics Background

The City Health Dashboard allows you to see where the nation’s 500 largest cities stand on 36 key measures of health and factors affecting health across five areas: Health Behaviors, Social and Economic Factors, Physical Environment, Health Outcomes, and Clinical Care. These categories align with those used in the County Health Rankings & Roadmaps, a well-known program that provides health data at the county level. Data come from federal, state, and other datasets with rigorous standards for collection and analysis. The Dashboard team chose these measures, with guidance from a City Advisory Committee, because cities can act on them, they were collected within the last four years, they are updated regularly, and they are backed by evidence. Below, you will find information on each metric including a metric description, data source, years of data, how the measure is calculated, and a link to more information.

Expansion of Successful Online Population Health Resource Will Give More U.S. Cities Access to Key Health Data

Hundreds of United States cities will be able to identify their most pressing health needs more accurately—thanks to a nationwide expansion of the City Health Dashboard, an innovative health data visualization tool.

Created by the Department of Population Health at NYU Langone Medical Center and the Robert F. Wagner School of Public Service at NYU, in partnership with the National Resource Network, the City Health Dashboard launched earlier this yearin four cities. It will expand to 500 additional cities over the next two years through a $3.4 million grant from the Robert Wood Johnson Foundation—with the ultimate goal of becoming a central health improvement planning resource for U.S. cities with populations of 70,000 or more, or one-third of the U.S. population.

Users of the City Health Dashboard have the ability to view their city’s performance in 26 key measures of health, like obesity and primary care physician coverage; and drivers of health status, such as housing affordability, high school graduation rate, food access, and opioid deaths. For many of the measures, data can be accessed at the neighborhood level.

Marc Gourevitch, MD, MPH, chair of the Department of Population Health at NYU Langone and the program’s principal architect, points out that the City Health Dashboard responds to increased interest by cities in data on benchmark measures of health, health determinants, and equity. Currently most data of this scope has only been available at the county level—posing challenges to urban health improvement efforts.

“There is an old adage: ‘what gets measured is what gets done,” Dr. Gourevitch says. “Community leaders want accurate, actionable, and precise data to advance initiatives that improve health, bring down costs, and focus on community wellbeing. We’re excited to be at the vanguard of providing this important information to cities across the country.”

How the City Health Dashboard Works

The City Health Dashboard places in the hands of city leaders and community organizations a responsive and highly reliable web interface with regularly refreshed health-related data—overseen by a team of epidemiologists, population health and urban policy experts, and geographic information system specialists.

Data presented by the City Health Dashboard are drawn from federal and state governments and other organizations that apply rigorous methodology to data collection, including the U.S. Census Bureau, the Centers for Disease Control and Prevention, and the Environmental Protection Agency.

“In our work with cities across the nation, we’ve learned that their governments want to improve the physical health of their residents as well as the fiscal health of their municipalities,” says David Eichenthal, executive director of National Resource Network. “Nationally scaling this resource will help place health at the center of local agenda-setting, improve efficiencies, save city-level expenses, and address the need for comparable data at the local level.”

The expanded City Health Dashboard will offer enhanced technical support features to cities more actively engaged in data-driven policy-making. All cities will have access to features to compare peer cities and neighborhoods, tools for tracking performance, and resources to deep-dive into more advanced microdata interfacing.

The four pilot cities—Flint, Michigan; Kansas City, Kansas; Providence, Rhode Island; and Waco, Texas—are already incorporating the City Health Dashboard into their efforts to improve health. For example, Prosper Waco, a nonprofit organization, is using the site to help determine its inner city’s need for services related to high teen birth rate.

Says Dr. Gourevitch: “We hope the site will serve as a platform for cities to share and gather knowledge to improve outcomes on some of the most pressing health challenges our society faces.”