Twenty-year trends in the prevalence of disability in China.

Objective To evaluate changes in the age-adjusted prevalence of disability in transitional China from 1987 to 2006. Methods Data from nationally representative surveys conducted in 1987 and 2006 were used to calculate age-adjusted disability prevalence rates by applying appropriate sample weights an...

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Published in:Bulletin of the World Health Organization Vol. 89; no. 11; pp. 788 - 798
Main Authors: Zheng, Xiaoying, Chen, Gong, Song, Xinming, Liu, Jufen, Yan, Lijing, Du, Wei, Pang, Lihua, Zhang, Lei, Wu, Jilei, Zhang, Bingzi, Zhang, Jun
Format: research tables/charts Journal Article
Published: World Health Organization Nov2011
Online Access:View this record in EBSCOhost
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      dt: Nov2011
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        atl: Twenty-year trends in the prevalence of disability in China.
      aug:
        au:
          Zheng, Xiaoying
          Chen, Gong
          Song, Xinming
          Liu, Jufen
          Yan, Lijing
          Du, Wei
          Pang, Lihua
          Zhang, Lei
          Wu, Jilei
          Zhang, Bingzi
          Zhang, Jun
        affil: Institute of Population Research/WHO Collaborating Centre on Reproductive Health and Population Science, Peking University, Beijing 100871, China
      sug:
        subj:
          Persons with Disabilities Evaluation
          Age Factors
          Funding Source
          Human
          China
          Infant
          Child, Preschool
          Child
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Male
          Female
          Descriptive Statistics
          Confidence Intervals
          Surveys
          Interviews
          Data Analysis, Statistical
          Data Analysis Software
          P-Value
          Self Report
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Objective To evaluate changes in the age-adjusted prevalence of disability in transitional China from 1987 to 2006. Methods Data from nationally representative surveys conducted in 1987 and 2006 were used to calculate age-adjusted disability prevalence rates by applying appropriate sample weights and directly adjusting to the age distribution of the 1990 Chinese population. Trends were assessed in terms of average annual percentage change. Findings The estimated number of disabled people in China in 1987 and 2006 was 52.7 and 84.6 million, respectively, corresponding to a weighted prevalence of 4.9% and 6.5%. The age-adjusted prevalence of disability decreased by an average of 0.5% per year (average annual percentage change, AAPC: -0.5%; 95% confidence interval, CI: -0.7 to -0.4) during 1987-2006. However, it increased by an average of 0.3% (AAPC: 0.3%; 95% CI: 0.1 to 0.5) per year in males and by an average of 1.0% (AAPC: 1.0%; 95% CI: 0.8 to 1.2) per year among rural residents, whereas among females it showed an average annual decrease of 1.5% (AAPC: -1.5%; 95% CI:-1.7 to-1.3) and among urban residents, an average annual decrease of 3.9% (AAPC: -3.9%; 95% CI: -4.3 to -3.5). Despite significant declining trends for hearing and speech, intellectual and visual disabilities, the annual age-adjusted prevalence of physical and mental disabilities increased by an average of 11.2% (AAPC: 11.2%; 95% CI: 10.5 to 11.9) and 13.3% (AAPC: 13.3%; 95% CI: 10.7 to 16.2), respectively. Conclusion In China, the age-adjusted prevalence of disability has declined since 1987, with inconsistencies dependent on the type of disability. These findings call for continuing and specific efforts to prevent disabilities in China.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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