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Conditions Causing Disability and Current Pregnancy Among US Women With Chronic Physical Disabilities

Bibliographic Data

ID9099660
AuthorsLisa I Iezzoni (0000-0002-1416-5039, Massachusetts General Hospital, corresponding author), Jun Yu (0000-0003-1922-7283, MGH Institute of Health Professions, corresponding author), Amy J Wint (0000-0002-4330-5643, MGH Institute of Health Professions, corresponding author), Suzanne C Smeltzer (0000-0002-1970-2243, Villanova University), Jeffery L Ecker
Year2014
Volume52
Issue1
Pages20-25
Publication date2014-01-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000015
PMID24220686
PMCIDPMC3893693
OpenAlexW1968519829
LanguageEN
Citations received2
References cited23

BACKGROUND: Growing numbers of reproductive-age US women with chronic physical disabilities (CPD) are becoming pregnant. Little is known about the health conditions causing their CPD. OBJECTIVES: To identify health conditions causing CPD among reproductive-age women and specifically among currently pregnant women. RESEARCH DESIGN: Cross-sectional, nationally representative National Health Interview Survey data from 2006 to 2011. SUBJECTS: A total of 6043 civilian, noninstitutionalized women aged 18-49 with CPD. MEASURES: National Health Interview Survey asks about various movement difficulties and their underlying causes and about current pregnancy. We used responses from 8 movement difficulty and other questions to identify women with mobility difficulties caused by chronic physical health conditions. RESULTS: Among women with CPD, 2.0% report current pregnancy, with pregnancy rates falling monotonically as CPD severity rises. Regardless of pregnancy, 20.8% report 2 causes for their CPD, and 12.7% report 3+ causes; the most common causes are arthritis, back or neck problems, and other musculoskeletal conditions. Compared with nonpregnant women, currently pregnant women report fewer causal conditions: 15.8% report 2 causes and 8.0% 3+ causes; back or neck problems are reported most frequently, followed by musculoskeletal problems and arthritis. Multivariable logistic regression analyses predicting current pregnancy controlling for age category and individual common causes of CPD found that no cause was significantly associated with higher or lower adjusted odds of pregnancy. CONCLUSION: Almost one quarter of currently pregnant women with CPD report more than one cause for their disability. Further research will needed to examine how obstetrical needs vary for depending on the cause of a pregnant woman's disability

Cross-sectional study · Environmental health · Family planning · Logistic regression · National Health and Nutrition Examination Survey · National Health Interview Survey · Odds · Population · Pregnancy · Unintended pregnancy · Demography · Disability Rights and Representation · Gestational Diabetes Research and Management · Medicine · Pregnancy-related medical research

  • Associations between Disability and Infertility among U.S. Reproductive-Aged Women

    Open Access•Sandie Ha, Valerie Martínez•International Journal of…•2021

  • Health Risk Factors and Mental Health Among US Women with and without Chronic Physical Disabilities by Whether Women are Currently Pregnant

    Open Access•Lisa I Iezzoni, Jun Yu et al.•Maternal and Child Health Journal•2014

  • Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood

    Open Access•J J Reilly, J Kelly•International Journal of Obesity•2011

  • Effect of Body Mass Index on pregnancy outcomes in nulliparous women delivering singleton babies

    Open Access•Sohinee Bhattacharya, Doris M Campbell et al.•BMC Public Health•2007

  • Prevalence of Current Pregnancy Among US Women With and Without Chronic Physical Disabilities

    Lisa I Iezzoni, Jun Yu et al.•Medical Care•2013

Citations per year0.17
Citation span2014 - 2021 (8)
Highly citedNo

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