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Disability in America: Toward a National Agenda for Prevention (1991)
Institute of Medicine (IOM)

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. "2 Magnitude and Dimensions of Disability in the United States." Disability in America: Toward a National Agenda for Prevention. Washington, DC: The National Academies Press, 1991.

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Disability in America: Toward a National Agenda for Prevention

TABLE 2-2 Alternative Estimates of Work Limitation Among Persons Ages 18 to 64: United States

Survey

Any Work Limit

Unable to Work

Numbers (in thousands)

 

 

National Health Interview Survey (1983-85)

14,347

7,785

Survey of Income and Program Participation (1984)

17,950

8,025

Current Population Survey (1985)a

13,336

6,893

Disability benefit recipients (1984)

4,400

Percent of population group

 

 

National Health Interview Survey (1983-85)

10.1

5.5

Survey of Income and Program Participation (1984)

12.5

5.6

Current Population Survey (1985)a

8.8

4.5

Disability benefit recipients (1984)

3.1

Notes: Disability Benefit Recipients: Social Security Disability Insurance, Supplemental Security Income, or Veterans Administration benefits.

a Ages 16-64.

SOURCES: LaPlante, 1988; U.S. Department of Health and Human Services, 1989d; calculated from Haber, 1990, and U.S. Bureau of the Census, 1988.

On the basis of functional limitations, the SIPP estimated that 39.5 million people, 17 percent of the noninstitutionalized population, had some degree of disability. (In Figure 2-3, this number is the sum of all numbers in boxes labeled "limitations in functioning," i.e., 2,326 + 9,677 + 8,422 + 3,443 + 118 + 11,310 + 4,157). Another example is work limitations, where the number of persons in the population ages 18-64 with any work limitation totals 17.95 million people (i.e., 8,442 + 3,443 + 549 + 5,515).

Table 2-1 shows that the SIPP produced a lower estimate of disability among children than the NHIS. Some of the difference may be due to different types of questions. The SIPP asks a general question on whether any children have limitations, and only with a positive response does it go on to ask which children, up to a total of three. The NHIS includes an individualized inquiry on the presence of activity limitation for each child in the household. For younger adults, the two surveys produce comparable results. At older ages, however, the SIPP shows much higher rates of disability than the NHIS. For people 65 and over, the SIPP rate is half again as high as the NHIS rate. The more extensive questions in the SIPP on the ability to perform specific functions may provide a greater opportunity for respondents to identify limitations.

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