Rights statement: This is the author’s version of a work that was accepted for publication in Public Health. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Public Health, 185, 2020 DOI: 10.1016/j.puhe.2020.04.038
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Available under license: CC BY-NC-ND
Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Exposure to discrimination and subsequent changes in self-rated health: prospective evidence from the UK's Life Opportunities Survey
AU - Emerson, E.
AU - Milner, A.
AU - Aitken, Z.
AU - Vaughan, C.
AU - Llewellyn, G.
AU - Kavanagh, Anne M.
N1 - This is the author’s version of a work that was accepted for publication in Public Health. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Public Health, 185, 2020 DOI: 10.1016/j.puhe.2020.04.038
PY - 2020/8/1
Y1 - 2020/8/1
N2 - Objectives: We sought to estimate risk of poor self-rated health (SRH) following exposure to disability-related and other forms of overt discrimination in a cohort of working age adults. Study design: The study design is a population-based cohort survey. Methods: Secondary analysis of data collected in Waves 1 and 2 of the UK's Life Opportunities Survey which at Wave 2 involved the participation of 12,789 working age adults. Adjusted prevalence rate ratios were used to estimate the impact of exposure to disability and non-disability discrimination on two measures of SRH at Wave 2, controlling for SRH status at Wave 1. Results: Exposure to disability discrimination in the previous year was reported by 3.9% of working age British adults. Other forms of discrimination were reported less frequently (age: 3.7%, ethnicity: 2.5%, gender: 1.6%, religion: 0.8%, sexual orientation: 0.4%). In all analyses, there were stronger associations between exposure to disability discrimination and poor SRH at Wave 2 when compared with exposure to other forms of discrimination. Conclusions: Disability discrimination represents a violation of human rights. It is also likely to be a major contributor to the health inequities experienced by working age adults with disability.
AB - Objectives: We sought to estimate risk of poor self-rated health (SRH) following exposure to disability-related and other forms of overt discrimination in a cohort of working age adults. Study design: The study design is a population-based cohort survey. Methods: Secondary analysis of data collected in Waves 1 and 2 of the UK's Life Opportunities Survey which at Wave 2 involved the participation of 12,789 working age adults. Adjusted prevalence rate ratios were used to estimate the impact of exposure to disability and non-disability discrimination on two measures of SRH at Wave 2, controlling for SRH status at Wave 1. Results: Exposure to disability discrimination in the previous year was reported by 3.9% of working age British adults. Other forms of discrimination were reported less frequently (age: 3.7%, ethnicity: 2.5%, gender: 1.6%, religion: 0.8%, sexual orientation: 0.4%). In all analyses, there were stronger associations between exposure to disability discrimination and poor SRH at Wave 2 when compared with exposure to other forms of discrimination. Conclusions: Disability discrimination represents a violation of human rights. It is also likely to be a major contributor to the health inequities experienced by working age adults with disability.
KW - Disability
KW - Discrimination
KW - Self-rated health
KW - Working age adults
KW - adult
KW - disability
KW - health risk
KW - human rights
KW - article
KW - British citizen
KW - cohort analysis
KW - controlled study
KW - disability discrimination
KW - ethnicity
KW - female
KW - gender
KW - health status
KW - human
KW - human experiment
KW - major clinical study
KW - male
KW - prevalence
KW - religion
KW - risk assessment
KW - secondary analysis
KW - sexual orientation
KW - United Kingdom
U2 - 10.1016/j.puhe.2020.04.038
DO - 10.1016/j.puhe.2020.04.038
M3 - Journal article
VL - 185
SP - 176
EP - 181
JO - Public Health
JF - Public Health
SN - 0033-3506
ER -