An epidemiology of disability among adults in the United States.

Nagi, Saad Z.

doi:10.2307/3349677

Cited by 1,431Aging, Health, and DisabilityMedical Practices and RehabilitationRetirement, Disability, and Employment

An epidemiology of disability among adults in the United States.

Nagi, Saad Z.·1976·The Milbank Memorial Fund Quarterly. Health and Society

DOI 10.2307/3349677

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Abstract

This paper presents the findings of an epidemiological analysis of disability among adults in the noninstitutionalized continental United States population. Data were collected through interviews with a probability sample of persons 18 and over, yielding 6,493 completed schedules comprising 80.3 percent of the sample. Distinctions were made among concepts and indicators of pathology, impairment, individual performance, and social performance. Central to the analysis were two dimensions of individual performance (physical and emotional) and two dimensions of disability in social performance (work and independent living). A number of socio-demographic characteristics were included in the analysis. The results show the relative contributions of pathology and impairment to performance on the individual level, and the relative contributions of all of these factors on social performance, that is, the two dimensions of disability. Through pathology, impairment, performance at the individual level, and the socio-demographic characteristics, it was possible to account for 38 percent of the variance in work disability and 74 percent of dependence-independence in community living. Further explanations are given for variance in work disability. Estimates of the size of populations reporting varying types and severities of disability are also presented.

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The National Health Interview Survey is the main federal source of health information for the US civilian, noninstitutionalized population.
“the principal federal source of health information on the US civilian, noninstitutionalized population”
From Trends in Differences in Health Status and Health Care Access and Affordability by Race and Ethnicity in the United States, 1999–2018 (2021) · cites this paper as [8]
The NHIS survey design is a complex multistage area probability sample that adjusts for nonresponse and supports nationally representative estimates, including for underrepresented groups.
“The survey uses a complex multistage area probability design that accounts for nonresponse and allows for nationally representative estimates, including among underrepresented groups.”
From Trends in Differences in Health Status and Health Care Access and Affordability by Race and Ethnicity in the United States, 1999–2018 (2021) · cites this paper as [8]

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Authors: Nagi, S. Z.
Corresponding author: Nagi, Saad Z.
Venue: The Milbank Memorial Fund Quarterly. Health and Society
Publisher: JSTOR
Published: 1976
Volume: 54
Issue: 4
Pages: 439
ISSN: 0160-1997 (ISSN-L)
DOI: 10.2307/3349677
OpenAlex: W174299725
Cited by: 1,431
References: 9
Citations by year: 2026: 8 · 2025: 19 · 2024: 22 · 2023: 19 · 2022: 24 · 2021: 43 · 2020: 32 · 2019: 40 · 2018: 33 · 2017: 35 · 2016: 51 · 2015: 59 · 2014: 53 · 2013: 39 · 2012: 52
FWCI: 0.78
Type: journal article
Language: en
Open access: closed
Locations: The Milbank Memorial Fund Quarterly Health and Society (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Social Sciences › Demography › Retirement, Disability, and Employment
Keywords: disability epidemiology, adults, work disability, independent living, social performance, physical performance, emotional performance, impairment, pathology, sociodemographic factors, disability severity, disability prevalence, United States
MeSH terms: Activities of Daily Living, Adolescent, Adult, Age Factors, Aged, Dependency, Psychological, Educational Status, Epidemiologic Methods, Ethnicity, Female, Persons with Disabilities, Health Status Indicators, Humans, Income, Male, Marriage, Middle Aged, Sex Factors, United States, Work Capacity Evaluation

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An epidemiology of disability among adults in the United States.

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