Socioeconomic Inequalities and Multi-Disability among the Population Aged 15-64 Years from 1987 to 2006 in China

Socioeconomic inequalities associated with multiple disabilities have not been explored in China. This is the first study to explore changes in multiple disabilities among persons aged 15-64 years in China. Data were derived from the 1987 and 2006 China National Sample Surveys on Disability, which are nationally representative population-based surveys. Both surveys used multistage, stratified, cluster random sampling with probability proportional to size to derive nationally representative samples. We used standard weighting procedures to construct sample weights considering the multistage stratified cluster sampling survey scheme. The impact of socioeconomic inequalities on multiple disabilities was examined by using logistic regression. Higher prevalence rates among rural residents than urban residents were observed. Male was more vulnerable than female in the present study. Minority ethnicity did increase the risk of multiple disabilities, but this association inversed in the logistic regression model. The widening discrepancy between urban and rural areas indicates that the most important priorities of disability prevention in China are to reinforce health promotion and to improve health services in rural communities.