REHAB Bringing Research into BRIEF Effective Focus Vol. XIV, No. 8 (1993) ISSN: 0732-2623 NATIONAL INSTITUTE ON DISABILITY AND REHABILITATION RESEARCH OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES DEPARTMENT OF EDUCATION WASHINGTON, D.C. 20202 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * DISABILITY STATISTICS "It is clear to most of us within the disability research community that there is a serious need for more and better data about people with disabilities in the United States. We need better information about the nature of disabling conditions and their social and economic consequences, both to guide policy and programmatic decisions as well as to enrich our understanding of disability. We need to know more about demographic trends, the impact of impairments on employment and the range of life functions, the ways in which people with disabilities participate (or not) in public and private programs, and the values and attitudes of disabled and nondisabled people about disability." Richard L. Scotch, "The Politics of Disability Statistics." In Zola (Ed.), Disability Studies Quarterly, Summer 1990, Vol. 10, No. 3. How many people with disability are there in the United States? This question is often asked by legislative offices, policy analysts, researchers, and newspaper reporters, as they address public policy issues. Information specialists in government or in disability statistics research and analysis organizations have difficulty responding in a straightforward way, because there is no simple, single answer to this question. In many other policy areas, the measures that indicate that an individual is a member of a particular population or group can be more clearly understood: our age qualifies us for public school benefits, for retirement programs. Gender or race may make us eligible for various programs and funds. The same is true for individual or household income levels. But individuals who have worked in the area of disability are well aware that the definition of the term, and therefore the statistics on the size of the population of individuals with disability, depend on various program statistics serving selected eligible people, on information collected in surveys addressing broad social purposes, or on interpretations of data designed to achieve particular programmatic purposes. As the sidebar shows, there are many different answers, and the magnitude varies. What is important is the appropriate measure, given the specific use for the data. Advocates may adopt larger, general numbers, like the 43 million number used in the Americans With Disabilities Act (ADA), to emphasize the extent of the disability policy issue. Someone doing a marketing study before investing in a business development plan aimed at a specific limitation or condition will need much more specific information on the population with particular limitations or needs. Disability statistics has been a specialty for a few researchers and public policy analysts; with the Americans With Disabilities Act and other disability rights legislation, the use of these statistics and numbers is becoming more common. But sometimes the statistics are misused and can be misleading. This _Rehab BRIEF_ summarizes information sources for current disability statistics and describes efforts to develop better answers to policy questions. Disability is an important issue in public policy, requiring that we make better use of the existing information on prevalence of disability and that we address gaps in our knowledge. AN ISSUE OF DEFINITIONS The definition of disability is a crucial issue. Disability has been used to mean everything from a minor impairment that has no or little impact on activity to a condition that requires one to rely on others for assistance in life's most basic functions. There is no OK accepted definition of disability. Asking a question such as Are you disabled? could elicit many responses, depending on the particular individual's definition of disability. To some, it may mean using a wheelchair. To others, the inability to do a specific task or activity. Or, it may imply a health condition. National surveys and programs serving people with disability use specific stated definitions or terms, but each program or survey uses definitions addressing its specific purposes. The concept measured by a given survey or administrative data system may be limitation of activity, limitation in function, need personal assistance, chronic condition, or others. Choice of the way to define disability is more than a semantic issue. The definition determines who is included in the concept and who is not. If entitlements, such as Social Security Disability Insurance (SSDI), are tied to definition of disability, there are cost-containment issues in determining the limits of the population. On the other hand, larger numbers may be more effective in advocacy efforts. The definition thus directly impacts the statistical estimates of people with disability. The range of estimates varies depending on the source of the data and the concept measured. =========================================================== BEGINNING OF SIDEBAR Selected Disability Statistics - 37.3 million (20.6%) of persons over 15 have a selected