{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T10:33:31Z","timestamp":1791110011155,"version":"4.1.0"},"reference-count":23,"publisher":"American Public Health Association","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[1981,5]]},"abstract":"<jats:p> According to data published by the United States National Center for Health Statistics, disability reported among the US population has increased substantially during the years 1966 to 1976. Among younger age groups, the increase in activity limitation involves visual and hearing impairments as well as asthma. In the middle age group (45-64), four causes increased in both sexes (diabetes, musculoskeletal disorders, hypertension, and diseases of the circulatory system other than hypertension and heart conditions); one cause affected men only (heart conditions) and one women only (malignant neoplasms). In the 65 and over age group, diabetes and circulatory diseases (excluding heart conditions and hypertension) increased significantly. Although the US population increased by 10 per cent, the number of persons permanently limited in their activities because of health conditions increased by 37 per cent with a much larger proportion of those disabled claiming to be unable to carry on their main activity. Changes in health survey procedures and changes in standards used by respondents to rate their health status are not believed to account for these findings. Factors which could have contributed to this trend include environmental deterioration and improved social benefits easing retirement and providing better access to the health care system. Planning agencies need to recognize the relationships of the health care system to disability as well as to mortality. <\/jats:p>","DOI":"10.2105\/ajph.71.5.464","type":"journal-article","created":{"date-parts":[[2008,11,27]],"date-time":"2008-11-27T05:16:35Z","timestamp":1227762995000},"page":"464-471","source":"Crossref","is-referenced-by-count":132,"title":["Disability trends in the United States population 1966-76: analysis of reported causes."],"prefix":"10.2105","volume":"71","author":[{"given":"A","family":"Colvez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Blanchet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"key":"p_1","unstructured":"National Center for Health Statistics (NCHS): Vital statistics Report, Final Mortality Statistics, 1977. U.S. DHEW Pub. No. (PHS) 79-1120, Vol. 28, No. I Supplement May 11, 1979."},{"key":"p_2","unstructured":"Dubos R: Mirage of Health, Utopia, Progress and Biological Change. New York: Harper and Brothers, 1961."},{"key":"p_3","unstructured":"Wood PHN, Badley EM: An epidemiological appraisal of disablement. IN: Bennet AE (ed): Recent Advances in Community Medicine. Edinburgh: Churchill Livinstone, 1978."},{"key":"p_4","unstructured":"Harris Al, Cox E, Smith CR: Handicapped and impaired in Great Britain. Part I. HMSO London: Office of Population Censuses and Surveys, 1971."},{"key":"p_5","first-page":"79","volume":"30","author":"Isaacs B","year":"1976","journal-title":"Brit J Prev Soc Med"},{"key":"p_6","unstructured":"Sullivan F: Disability components for an index of health. USDHEW, NCHS, Series 2, No 42, 1971."},{"key":"p_7","unstructured":"Ableson J: The measurement of disability in the Canada Health Survey. Working paper series #77-2 prepared for presentation at the third meeting of OECD Social indicators program, Ottawa June 1977. Department of National Health and Welfare and Statistics Canada, Ottawa, 1977."},{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/1.4.319"},{"key":"p_9","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/1.4.361"},{"key":"p_10","unstructured":"McKinlay SM, McKinlay JB: Examining trends in the nation's health. Presented at the American Public Health Association 107th Annual Meeting New York City, Nov. 1979."},{"key":"p_11","unstructured":"Sullivan F: Conceptual problems in developing an index of health. USDHEW, NCHS Series 2, NO. 17, 1966."},{"key":"p_12","unstructured":"National Center for Health Statistics (NCHS): Data from the National Health Interview Survey. Series 10, from 1966 to 1978-see details in Appendix \"C\"."},{"key":"p_13","unstructured":"USDHEW: Health-United States: DHEW Pub. No. (PHS) 78-1232, Dec. 1978."},{"key":"p_14","unstructured":"National Center for Health Statistics (NCHS): National Health Interview Survey Procedures 1957-1974, DHEW Pub. No. (HRA) 75-1311, Series 1, No. 11, Apr. 1975."},{"key":"p_15","unstructured":"National Center for Health Statistics (NCHS): Interviewing Methods in the National Health Interview Survey: DHEW Pub. No. (HSM)-72-1048, Series 2, No. 48 Apr. 1972."},{"key":"p_16","doi-asserted-by":"publisher","DOI":"10.2190\/X5H6-TC5W-D36T-K7KY"},{"key":"p_17","unstructured":"U.S. Department of Health, Education, and Welfare: Health-United States 1979. DHEW Pub. No. (PHS) 80-1232, 1980."},{"key":"p_18","doi-asserted-by":"publisher","DOI":"10.1126\/science.370980"},{"key":"p_19","unstructured":"Illich I: Medical Nemesis-The Expropriation of Health. 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