Comparing Estimates from the ACS and WG Question Sets

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Presentation transcript:

Comparing Estimates from the ACS and WG Question Sets Eric A Lauer Institute on Disability University of New Hampshire

Background National surveys are considering changes to the annual inclusion of standardized disability identifiers These question sets include the Washington Group Short Set (WGSS) and American Community Survey (ACS) identifiers There has been limited research to understand and compare these questions in disability research.

ACS & WG Question Topics Hearing Deaf or difficulty hearing (even with hearing aids)? Vision Blind or difficulty seeing (even when wearing glasses)? Cognition Difficulty remembering, concentrating, or making decisions? Ambulation Difficulty walking or climbing stairs? Self-care Difficulty bathing or dressing?

Development Goals Question sets developed with goals that include: Policy relevance Lengths appropriate for censuses Comparable across populations Development narratives recognize: General disability measurement Not comprehensive disability assessment Not identifying “true” disabled population (if one exists) Limited by data collection processes

Methods 2010-2015 National Health Interview Survey data ACS responses (yes) versus Washington Group responses (a lot of difficulty and cannot do) Prevalence and 95% confidence intervals were estimated Exploratory Null Hypotheses: Disability type prevalence would be consistent for people reporting disabilities Demographic and social factors would be consistent for people reporting disabilities Disability prevalence by type and for multiple disabilities

Percentage of people with Disabilities by Question Type and Set

Percentage of Disability Types among People with Any Disability

Percentages of Disability Types among People with Multiple Disabilities

Percentages of Social Factors among People with Multiple Disabilities

Discussion Prevalence estimates vary significantly WG coding (a lot of difficulty or cannot do) Demographic distributions consistent between question sets Multiple disability estimates consistent from ACS and WGSS ACS and WGSS questions can be used to study similar hypotheses Multivariate analyses recommended

Thank You Eric A. Lauer, MPH, PhD Project Director Institute on Disability University of New Hampshire Durham, NH 03824 eric.lauer@unh.edu