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Changing Disability Status and Changes in Health, Participation Restrictions and Activity Limitations in Denmark: Does the Choice of Measure Matter? Cover

Changing Disability Status and Changes in Health, Participation Restrictions and Activity Limitations in Denmark: Does the Choice of Measure Matter?

Open Access
|Jan 2025

Figures & Tables

Table 1

Overview of disability status groups.

DISABILITY STATUS GROUP20162020
Never:No DisabilityNo Disability
Consistent:DisabilityDisability
Emerging (changing):No DisabilityDisability
Declining (changing):DisabilityNo Disability
Table 2

Descriptive statistics.

VARIABLENPERCENTAGE
Disability status changes for the WG-SS, 2016–2020
    Never (no → no)8,76782.8
    Changing: Declining (yes → no)5615.2
    Changing: Emerging (no → yes)7146.7
    Consistent (yes → yes)5535.2
Disability status changes for GALI, 2016–2020
    Never (no → no)9,62591.0
    Changing: Declining (yes → no)3663.5
    Changing: Emerging (no → yes)4214.0
    Consistent (yes → yes)1651.6
Female5,95656.3
Age in 2020 (years)
    20–246756.4
    25–341,23211.6
    35–441,71016.2
    45–543,08329.1
    55–643,88636.7
Danish-born10,04094.8
Immigrants (first and second generation)5465.2
Self-reported health status change in the last 3 years
    Better1,62315.3
    Same6,26959.3
    Worse2,68525.4
Registry-based health status change
    No disability-related hospital contacts, 2017–20209,28487.7
    Disability-related hospital contact(s), 2017–20201,30212.3
Participation restrictions, 2017–2020
    Restricted (employed or in education <2 years)1,13510.7
    Not restricted (employed or in education ≥2 years)9,45189.3
Activity limitation (Experienced limitations in access to buildings)
    Both 2016 and 20202472.3
    Only 20166045.7
    Only 20205985.7
    Neither year9,11286.3

[i] Note: 10,586 individual respondents in total. The number of respondents is lower for some of the variables.

Table 3

Descriptive results, WG-SS, by disability status group.

VARIABLENEVERDECLININGEMERGINGCONSISTENT
Female55.461.761.257.3
Ref.****Ns.
Age (years)
    20–3418.816.914.710.8
    35–4416.813.211.814.5
    45–5429.128.529.429.5
    55–6435.341.444.145.2
Ref.*******
Origin
    Danish born95.294.993.091.0
    Immigrants, descendants4.85.17.09.0
Ref.Ns.*****
Participation restriction
    Restricted8.020.918.134.9
    Not restricted92.079.181.965.1
Ref.*********
Self-reported health status change
    Better15.619.811.112.1
    Same63.344.740.234.4
    Worse21.135.548.753.5
Ref.*********
Registry-based health
    No contact91.276.074.162.0
    At least one contact8.824.025.938.0
Ref.*********
Activity limitation
    Both years1.33.54.115.9
    2016 only5.38.26.39.2
    2020 only4.66.613.011.9
    Never88.881.876.662.9
Ref.*********
Observations8,767551714553

[i] Note: 10.585 individual respondents in total. The number of respondents is lower for some of the variables. The significance tests relate to the difference between the reference group (Never) and respectively ‘declining,’ ‘emerging’ and ‘consistent.’ *p < 0.05, **p < 0.01, ***p < 0.001.

Table 4

Descriptive results, GALI, by disability status group.

VARIABLENEVERDECLININGEMERGINGCONSISTENT
Female55.960.162.253.9
Ref.Ns.*Ns.
Age (years)
    20–3418.415.314.39.1
    35–4416.213.717.119.4
    45–5428.934.429.229.7
    55–6436.536.639.441.8
Ref.Ns.Ns.*
Origin
    Danish born94.895.995.792.7
    Immigrants and descendants5.24.14.37.3
Ref....
Participation restriction
    Restricted8.926.221.455.8
    Not restricted91.173.878.644.2
Ref.*********
Self-reported health status change
    Better15.329.08.19.1
    Same62.338.922.622.4
    Worse22.532.169.468.5
Ref.*********
Registry based health
    No contact89.674.368.454.5
    At least one contact10.425.731.645.5
Ref.*********
Activity limitation
    Both years1.67.75.926.7
    2016 only5.49.97.89.7
    2020 only5.07.913.318.2
    Never88.074.572.945.5
Ref.*********
Observations9,625366421165

[i] Note: 10.577 individual respondents in total. The number of respondents is lower for some of the variables. The significance tests relate to the difference between the reference group (Never) and respectively ‘declining,’ ‘emerging’ and ‘consistent.’ *p < 0.05, **p < 0.01, ***p < 0.001.

Table 5

Regression results—association between emerging disability and changes in registry-based or self-reported health, participation and activity limitations.

(1)(2)(3)(4)
WG-SS—EMERGING VS. NEVERGALI—EMERGING VS. NEVERWG-SS—EMERGING VS. NEVERGALI—EMERGING VS. NEVER
Registry-based health status
No disability-related contact (ref.)....
At least one contact0.12***
(0.01)
0.08***
(0.01)
..
Self-reported health status
Better..0.01
(0.01)
0.01
(0.00)
Same (ref.)....
Worse..0.10***
(0.01)
0.10***
(0.01)
Participation
Restricted0.07***
(0.01)
0.05***
(0.01)
0.07***
(0.01)
0.05***
(0.01)
Not restricted (ref.)....
Activity limitation in 2016 or 2020
Both years0.12***
(0.03)
0.09***
(0.03)
0.12***
(0.03)
0.08***
(0.02)
2016 only0.02
(0.01)
0.02*
(0.01)
0.02
(0.01)
0.02
(0.01)
2020 only0.11***
(0.02)
0.06***
(0.01)
0.10***
(0.02)
0.06***
(0.01)
Neither year (ref.)....
Observations9,44610,0109,43810,002

[i] Robust standard errors in parentheses. All models include a constant term and controls for sex, age group and origin (not shown). *p < 0.05, **p < 0.01, ***p < 0.001.

Table 6

Regression results—association between declining disability and changes in registry-based or self-reported health, participation and activity limitations.

(1)(2)(3)(4)
WG-SS—DECLINING VS. CONSISTENTGALI—DECLINING VS. CONSISTENTWG-SS—DECLINING VS. CONSISTENTGALI—DECLINING VS. CONSISTENT
Registry-based health status
No disability-related contact (ref.)....
At least one contact–0.11***
(0.03)
–0.12**
(0.04)
..
Self-reported health status change..
Better..0.03
(0.04)
0.07
(0.04)
Same (ref.)....
Worse..–0.13***
(0.03)
–0.22***
(0.04)
Participation
Restricted–0.09*
(0.03)
–0.19***
(0.04)
–0.10**
(0.03)
–0.19***
(0.04)
Not restricted (ref.)....
Activity limitation in 2016 or 2020
Both years–0.32***
(0.04)
–0.31***
(0.07)
–0.31***
(0.04)
–0.27***
(0.07)
2016 only–0.08
(0.05)
–0.08
(0.06)
–0.06
(0.05)
–0.06
(0.06)
2020 only–0.17***
(0.05)
–0.24***
(0.07)
–0.15**
(0.05)
–0.19**
(0.06)
Neither year (ref.)....
Observations1,1015301,100529

[i] Robust standard errors in parentheses. All models include a constant term and controls for sex, age group and origin (not shown). *p < 0.05, **p < 0.01, ***p < 0.001.

DOI: https://doi.org/10.16993/sjdr.1191 | Journal eISSN: 1745-3011
Language: English
Page range: 15 - 29
Submitted on: Sep 5, 2024
Accepted on: Dec 17, 2024
Published on: Jan 10, 2025
In partnership with: Paradigm Publishing Services

© 2025 Anna Amilon, Mads Lybech Christensen, published by Stockholm University Press
This work is licensed under the Creative Commons Attribution 4.0 License.