title: Disparities in health-risk behaviors, preventive health care utilizations, and chronic health conditions for people with disabilities: the Korean National Health and Nutrition Examination Survey.
abstract: OBJECTIVE
  To examine how disability status is related with health disparities in South Korea.
  
  
  METHODS
  The study compared 3 indicators of health (health-risk behaviors, preventive health care utilizations, and chronic health conditions) according to the presence of disabilities using the Third Korean National Health and Nutrition Examination Survey, 2005 (KNHANES III).
  
  
  METHODS
  We obtained data from the KNHANES III, which is the third nationwide representative study using a stratified, multistage probability sampling design.
  
  
  METHODS
  Subjects (N=5475) aged 20 years or older were included in the study; persons with disabilities (n=218) and persons without disabilities (n=5257).
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Nonconditional multiple logistic regression and adjusted mean were used to identify health disparities in health-risk behaviors, preventive health care utilizations, and chronic health conditions.
  
  
  RESULTS
  Subjects with disabilities were more likely to be physically inactive (adjusted odds ratio [AOR]=3.06; 95% confidence interval [CI], 1.71-5.48 for no physical activity; AOR=1.70; 95% CI, 1.19-2.43 for insufficient physical activity) than those without disabilities. Women aged 40 years or older with disabilities were less likely to receive cervical cancer screening services (AOR=0.52; 95% CI, 0.27-0.98). Adults with disabilities had higher proportion of osteoporosis (AOR=2.41; 95% CI, 1.50-3.88), underweight (AOR=2.14; 95% CI, 1.07-4.28), suicidal thoughts (AOR=1.86; 95% CI, 1.35-2.56), and had impaired quality of life (95% CI of adjusted mean, 60.89-65.35 compared to 69.95-70.84 in adults without disabilities).
  
  
  CONCLUSIONS
  There exists substantial disability-related health disparities in South Korea. People with disabilities may be the underserved subpopulation demonstrating health disparities. The findings in this study underscore the continued needs in order to reduce health problems and disparities for people with disabilities.
authors.affiliation: Department of Family Medicine, Seoul National University Hospital, Seoul National University College of Medicine, South Korea.
authors.forename: Ki Dong
authors.initials: KD
authors.lastname: Ko
authors.forename: Ka Yeon
authors.initials: KY
authors.lastname: Lee
authors.forename: Belong
authors.initials: B
authors.lastname: Cho
authors.forename: Min Sun
authors.initials: MS
authors.lastname: Park
authors.forename: Ki Young
authors.initials: KY
authors.lastname: Son
authors.forename: Jung Hwa
authors.initials: JH
authors.lastname: Ha
authors.forename: Sang Min
authors.initials: SM
authors.lastname: Park
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D054624:Health Status Disparities; D006305:Health Status Indicators; D006306:Health Surveys; D054625:Healthcare Disparities; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011314:Preventive Health Services / Q000706:statistics & numerical data*; D056910:Republic of Korea; D012309:Risk-Taking