Estimates of prevalence, demographic characteristics and social factors among people with disabilities in the USA: a cross-survey comparison

Objective: A national priority for disability research in the USA is the standardised identification of people with disabilities in surveillance efforts. Mandated by federal statute, six dichotomous difficulty-focused questions were implemented in national surveys to identify people with disabilities. The aim of this study was to assess the prevalence, demographic characteristics and social factors among people with disabilities based on these six questions using multiple national surveys in the USA. Setting: American Community Survey (ACS), Current Population Survey Annual Social and Economic Supplement (CPS-ASEC), National Health Interview Survey (NHIS) and the Survey of Income and Program Participation (SIPP). Participants: Civilian, non-institutionalised US residents aged 18 and over from the 2009 to 2014 ACS, 2009 to 2014 CPS-ASEC, 2009 to 2014 NHIS and 2008 SIPP waves 3, 7 and 10. Primary and secondary outcome measures: Disability was assessed using six standardised questions asking people about hearing, vision, cognition, ambulatory, self-care and independent living disabilities. Social factors were assessed with questions asking people to report their education, employment status, family size, health and marital status, health insurance and income. Results: Risk ratios and demographic distributions for people with disabilities were consistent across survey. People with disabilities were at decreased risk of having college education, employment, families with three or more people, excellent or very good self-reported health and a spouse. People with disabilities were also consistently at greater risk of having health insurance and living below the poverty line. Estimates of disability prevalence varied between surveys from 2009 to 2014 (range 11.76%–17.08%). Conclusion: Replicating the existing literature, we found the estimation of disparities and inequity people with disabilities experience to be consistent across survey. Although there was a range of prevalence estimates, demographic factors for people with disabilities were consistent across surveys. Variations in prevalence estimates can be explained by survey context effects

Annual Compendium of Disability Statistics: 2015

Statistics are a powerful tool—in research, policymaking, program evaluation, and advocacy. They are used to frame the issues, monitor current circumstances and progress, judge the effectiveness of policies and programs, make projections about the future, and predict the costs of potential policy changes. In the United States, statistics about the population with disabilities and about the government programs that serve people with disabilities—disability statistics—are often difficult to find. Numerous government agencies generate and publish disability statistics, and as a result, disability statistics are scattered and buried in documents and websites all across the federal government. The Annual Disability Statistics Compendium is a publication of statistics about people with disabilities and about the government programs which serve them. It is modeled after the Statistical Abstracts of the United States, published yearly by the U.S. Department of Commerce. The Compendium is designed to serve as a summary of government statistics

The stellar content of brightest cluster galaxies

We present near-infrared K-band spectroscopy of 21 elliptical or cD Brightest Cluster Galaxies (BCGs), for which we have measured the strength of the 2.293 micron CO stellar absorption feature. We find that the strength of this feature is remarkably uniform among these galaxies, with a smaller scatter in equivalent width than for the normal elliptical population in the field or clusters. The scatter for BCGs is 0.156 nm, compared with 0.240 nm for Coma cluster ellipticals, 0.337 nm for ellipticals from a variety of other clusters, and 0.422 nm for field ellipticals. We interpret this homogeneity as being due to a greater age, or more uniform history, of star formation in BCGs than in other ellipticals; only a small fraction of the scatter can be due to metallicity variations, even in the BCGs. Notwithstanding the small scatter, correlations are found between CO strength and various galaxy properties, including R-band absolute magnitude, which could improve the precision of these galaxies as distance indicators in measurements of cosmological parameters and velocity flows.Comment: 7 pages, 8 figures, accepted for publication by MNRA

Public Health Workforce Shortages Imperil Nation's Health

Examines from a community-based perspective the scope of the shortages in the public health workforce; contributing factors such as inadequate funding, salaries, and benefits; and strategies for training, recruiting, and retaining public health workers

General Hospitals, Specialty Hospitals and Financially Vulnerable Patients

Examines whether specialty hospitals draw well-insured patients away from general and safety-net hospitals, reducing their ability to cross-subsidize less profitable services and uncompensated care, in three cities. Notes challenges and implications

Luminosity Function of Faint Globular Clusters in M87

We present the luminosity function to very faint magnitudes for the globular clusters in M87, based on a 30 orbit \textit{Hubble Space Telescope (HST)} WFPC2 imaging program. The very deep images and corresponding improved false source rejection allow us to probe the mass function further beyond the turnover than has been done before. We compare our luminosity function to those that have been observed in the past, and confirm the similarity of the turnover luminosity between M87 and the Milky Way. We also find with high statistical significance that the M87 luminosity function is broader than that of the Milky Way. We discuss how determining the mass function of the cluster system to low masses can constrain theoretical models of the dynamical evolution of globular cluster systems. Our mass function is consistent with the dependence of mass loss on the initial cluster mass given by classical evaporation, and somewhat inconsistent with newer proposals that have a shallower mass dependence. In addition, the rate of mass loss is consistent with standard evaporation models, and not with the much higher rates proposed by some recent studies of very young cluster systems. We also find that the mass-size relation has very little slope, indicating that there is almost no increase in the size of a cluster with increasing mass.Comment: 22 pages, 5 figures, Accepted for publication in Ap

Identifying Barriers and Supports to Breastfeeding in the Workplace Experienced by Mothers in the New Hampshire Special Supplemental Nutrition Program for Women, Infants, and Children Utilizing the Total Worker Health Framework

Variations in the barriers and contributors to breastfeeding across industries have not been well characterized for vulnerable populations such as mothers participating in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Our study used the Total Worker Health Framework to characterize workplace factors acting as barriers and/or contributors to breastfeeding among women participating in the New Hampshire WIC. Surveys were collected from WIC mothers (n = 682), which asked about employment, industry, and workplace accommodation and supports related to breastfeeding in the workplace. We found workplace policy factors supporting breastfeeding (i.e., having paid maternity leave, other maternity leave, and a breastfeeding policy) varied by industry. Women in specific service-oriented industries (i.e., accommodation and retail) reported the lowest rates of breastfeeding initiation and workplace supports for breastfeeding and pumping. Further, how a woman hoped to feed and having a private pumping space at work were significantly associated with industry, breastfeeding initiation, and breastfeeding duration. A substantial portion of women reported being not sure about their workplace environment, policies, and culture related to breastfeeding. Additional studies with larger sample sizes of women participating in WIC are needed to further characterize the barriers to breastfeeding associated with specific industries

Massachusetts Health Reform: High Costs and Expanding Expectations May Weaken Employer Support

Examines how, as a result of the state's health reform, improved access to the individual insurance market and increased employer responsibility may reduce employers' motivation and ability to provide coverage. Considers implications