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

Significant proportions of individuals respond inconsistently over time to disability questions in surveys. However, it is unclear why such changes in disability status arise. This study is the first to explore the prevalence and determinants of changes in disability status for two internationally r...

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Main Authors: Anna Amilon, Mads Lybech Christensen
Format: Article
Language:English
Published: Stockholm University Press 2025-01-01
Series:Scandinavian Journal of Disability Research
Subjects:
Online Access:https://account.sjdr.se/index.php/su-j-sjdr/article/view/1191
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author Anna Amilon
Mads Lybech Christensen
author_facet Anna Amilon
Mads Lybech Christensen
author_sort Anna Amilon
collection DOAJ
description Significant proportions of individuals respond inconsistently over time to disability questions in surveys. However, it is unclear why such changes in disability status arise. This study is the first to explore the prevalence and determinants of changes in disability status for two internationally recognized and widely used disability survey measures: the Washington Group Short Set on Functioning (WG-SS) and the Global Activity Limitation Indicator (GALI). We use Danish longitudinal survey data collected in 2016 and 2020 on 10,586 respondents aged 16–64 to systematically compare within-person changes in disability status. For both measures, changing disability status is more prevalent than consistent disability status. Moreover, changing disability status is associated with the corresponding changes in health, participation restrictions and activity limitations. Individuals with consistent disability status are in a more disadvantaged situation than individuals with changing disability status. Including questions about duration of disability in surveys may help identify respondents affected by accumulated disability-related disadvantage.
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publisher Stockholm University Press
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series Scandinavian Journal of Disability Research
spelling doaj-art-c91a2339cbdb4c4aa027ecdccbb1d22c2025-02-11T05:26:14ZengStockholm University PressScandinavian Journal of Disability Research1745-30112025-01-0127115–2915–2910.16993/sjdr.11911191Changing Disability Status and Changes in Health, Participation Restrictions and Activity Limitations in Denmark: Does the Choice of Measure Matter?Anna Amilon0https://orcid.org/0000-0002-8433-5638Mads Lybech Christensen1https://orcid.org/0009-0009-1240-6845The Danish Center for Social Science Research, Herluf Trolles Gade 11, 1052 CopenhagenThe Danish Center for Social Science Research, Herluf Trolles Gade 11, 1052 CopenhagenSignificant proportions of individuals respond inconsistently over time to disability questions in surveys. However, it is unclear why such changes in disability status arise. This study is the first to explore the prevalence and determinants of changes in disability status for two internationally recognized and widely used disability survey measures: the Washington Group Short Set on Functioning (WG-SS) and the Global Activity Limitation Indicator (GALI). We use Danish longitudinal survey data collected in 2016 and 2020 on 10,586 respondents aged 16–64 to systematically compare within-person changes in disability status. For both measures, changing disability status is more prevalent than consistent disability status. Moreover, changing disability status is associated with the corresponding changes in health, participation restrictions and activity limitations. Individuals with consistent disability status are in a more disadvantaged situation than individuals with changing disability status. Including questions about duration of disability in surveys may help identify respondents affected by accumulated disability-related disadvantage.https://account.sjdr.se/index.php/su-j-sjdr/article/view/1191disability measureshealthparticipation restrictionsactivity limitationswashington group short set of questions on functioningglobal activity limitation indicator
spellingShingle Anna Amilon
Mads Lybech Christensen
Changing Disability Status and Changes in Health, Participation Restrictions and Activity Limitations in Denmark: Does the Choice of Measure Matter?
Scandinavian Journal of Disability Research
disability measures
health
participation restrictions
activity limitations
washington group short set of questions on functioning
global activity limitation indicator
title Changing Disability Status and Changes in Health, Participation Restrictions and Activity Limitations in Denmark: Does the Choice of Measure Matter?
title_full Changing Disability Status and Changes in Health, Participation Restrictions and Activity Limitations in Denmark: Does the Choice of Measure Matter?
title_fullStr Changing Disability Status and Changes in Health, Participation Restrictions and Activity Limitations in Denmark: Does the Choice of Measure Matter?
title_full_unstemmed Changing Disability Status and Changes in Health, Participation Restrictions and Activity Limitations in Denmark: Does the Choice of Measure Matter?
title_short Changing Disability Status and Changes in Health, Participation Restrictions and Activity Limitations in Denmark: Does the Choice of Measure Matter?
title_sort changing disability status and changes in health participation restrictions and activity limitations in denmark does the choice of measure matter
topic disability measures
health
participation restrictions
activity limitations
washington group short set of questions on functioning
global activity limitation indicator
url https://account.sjdr.se/index.php/su-j-sjdr/article/view/1191
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