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Comparing Disability Levels for Community-dwelling Adults in the United States and the Republic of Korea using the Rasch Model

机译:使用Rasch模型比较美国和大韩民国社区成年人的残疾水平

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This study compared disability levels between community-dwelling adults in the United States and South Korea using two national surveys of the United States and Korean National Health and Examination Survey (NHANES and KNHANES). The Rasch common-item equating method was used to create the same measurement framework and compared average disability levels. The disability levels between the two countries were estimated using the current disability estimation method (percentage of people having disability based on a single question). A higher percentage of American adults (20.5%) showed disability than the Korean adults (9.6%) based on the current estimation method; however, using the Rasch model American adults had significantly less disability (Mean = -3.00 logits, SD = 1.67) than the Korean adults (Mean = -2.48 logits, SD = 2.13). Complementary to comparisons of the frequency of disability, comparison of the combined magnitude and strength of disability across countries provides new information that may better inform public health and policy decisions.
机译:这项研究使用两项美国全国调查和《韩国国民健康与体检调查》(NHANES和KNHANES)比较了美国和韩国的社区居民成年人的残疾水平。 Rasch通用项目等效方法用于创建相同的度量框架并比较平均残疾水平。两国之间的残疾水平使用当前的残疾估计方法(基于单个问题的残疾人百分比)进行估计。根据目前的估算方法,美国成年人(20.5%)有残疾的比例高于韩国成年人(9.6%);但是,使用Rasch模型时,美国成年人的残疾程度(平均值= -3.00 logits,SD = 1.67)明显低于韩国成年人(平均值= -2.48 logits,SD = 2.13)。各国比较残疾发生频率的比较,对残疾程度和强度的综合比较,可以提供新的信息,从而更好地为公共卫生和政策决策提供依据。

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