Using models of disability from the Institute of Medicine and the International Classification of Functioning, disability is defined as the restriction in participation that results from a lack of fit between the individual's functional limitations and the characteristics of the physical and social environment. So while the disability is not seen as intrinsic to the individual, the way to capture it in a survey is to measure components that make up the process. The American Community Survey identifies serious difficulty in four basic areas of functioning: vision, hearing, ambulation, and cognition. Described below, the ACS asks respondents about serious difficulty and the resulting data can be used individually or combined. The ACS also includes two questions to identify people with difficulties that might impact their ability to live independently. In the 2006 American Community Survey, there are three disability questions, two with subparts totaling six questions in all, as described below.
Beginning in 2006, the population in group quarters (GQ) is included in the ACS. The universe for most disability data tabulations is the civilian noninstitutionalized population. Some types of GQ populations have disability distributions that are different from the household population. The inclusion of the noninstitutionalized GQ population could therefore have a noticeable impact on the disability distribution. This is particularly true for areas with a substantial noninstitutionalized GQ population. For example, the number of people with a disability may increase in areas having a substantial group home population. In areas having a substantial college dormitory population, the percentage of people with a disability may decrease because the base of the percentage, which now includes the population in college dormitories, is larger.
Sensory and Physical Limitations
The data on sensory and physical limitations were derived from answers to Questions 15a and 15b, which were asked of people 5 years old and over. Questions 15a and 15b asked respondents if they had any of the following two long-lasting conditions: "Blindness, deafness, severe vision or hearing impairment," or "A condition that substantially limits one or more basic physical activities such as walking, climbing stairs, reaching, lifting, or carrying." Respondents were instructed to mark "yes" or "no" for each long-lasting condition. Question 15a is labeled as "Sensory disability" and Question 15b as "Physical disability" for some of the disability data products such as the ACS Detailed Tables.
For the 1996-1998 American Community Survey, the question, which was asked of persons 5 years old and over, instructed the respondents to mark each appropriate box if they had difficulty with any of the following three specific functions: "Difficulty seeing (even with glasses)," "Difficulty hearing (even with a hearing aid)," or "Difficulty walking." The respondents could mark as many as three boxes depending on their functional limitation status. If the respondents did not have difficulty with any of the three specific functions, the question instructed them to mark the box labeled "None of the above." The sensory and physical disability data obtained from the 1996-1998 American Community Survey are not comparable to data collected from the 1999-2006 American Community Surveys.
Limitations in Cognitive Functioning ("Mental Disability")
The data on cognitive functioning were derived from answers to Question 16a, which was asked of people 5 years old and over. The question asked respondents if they had a physical, mental, or emotional condition lasting 6 months or more that made it difficult "learning, remembering, or concentrating." Respondents were instructed to mark "yes" or "no." Question 16a is labeled as "Mental Disability" for some disability data products such as the ACS Detailed Tables.
No comparable data on cognitive functioning were obtained in the 1996-1998 American Community Survey. This question was introduced in the 1999 American Community Survey.
The data on self-care limitations were derived from answers to Question 16b, which was asked of people 5 years and over. The question asked respondents if they had a physical, mental, or emotional condition lasting 6 months or more that made it difficult "dressing, bathing, or getting around inside the home." Respondents were instructed to mark "yes" or "no." Question 16b is labeled as "Self-Care Disability" for some disability data products such as the ACS Detailed Tables.
No comparable data on self-care limitations were obtained in the 1996-1998 American Community Survey. This question was introduced in the 1999 American Community Survey.
Going-Outside-Home Limitations
The data on mobility limitations were derived from answers to Question 17a. Although Question 17a was asked of people 15 years and over, the data products only report this type of disability for people 16 years and over. The question asked respondents if they had a physical, mental, or emotional condition lasting 6 months or more that made it difficult "going outside the home alone to shop or visit a doctor's office." Respondents were instructed to mark "yes" or "no." Question 17a is labeled as "Go-outside-home Disability" for some disability products such as the ACS Detailed Tables.
The Census Bureau does not recommend trend analysis using the 2003-2006 data with years prior to 2003 due to the 2003 questionnaire change. For more information regarding the 2003 questionnaire change, view "Disability Data From the American Community Survey: A Brief Examination of the Effects of a Question Redesign in 2003" (
http://www.census.gov/hhes/www/disability/ACS_disability.pdf).
For the 1996-1998 American Community Survey, the data on going-outside-home limitations were derived from answers to Question 16a, which was asked of persons 16 years old and over. The question was slightly different from the 1999-2002 question and asked the respondents if they had a long-lasting physical or mental condition that made it difficult to "go outside the home alone to shop or visit a doctor's office." In the 1999-2002 American Community Survey, the going-outside-home question was part of Question 16. The 2003 questionnaire moved go-outside-home limitations to Question 17a and introduced a new skip instruction between Questions 16 and 17.
The data on employment limitations were derived from answers to Question 17b. Although it was asked of people 15 years and over, the data products only report this type of disability for people aged 16 to 64. The question asked the respondents if they had a physical, mental, or emotional condition lasting 6 months or more that made it difficult "working at a job or business." Respondents were instructed to mark "yes" or "no." Question 17b is labeled as "Employment Disability" for some disability data products such as the ACS Detailed Tables.
For the 1996-1998 American Community Survey, the data on employment limitations were derived from answers to Question 16b, which was asked of persons 16 years old and over. The question was slightly different from the 1999-2003 question and asked the respondents if they had a long-lasting physical or mental condition that "prevents this person from working at a job or business." In the 1999-2002 American Community Survey, the employment limitations question was part of Question 16. The 2003 questionnaire moved the employment limitations to Question 17b and introduced a new skip instruction between Questions 16 and 17.
The Census Bureau does not recommend trend analysis using the 2003-2006 data with years prior to 2003 due to the 2003 questionnaire change. For more information regarding the 2003 questionnaire change, view "Disability Data From the American Community Survey: A Brief Examination of the Effects of a Question Redesign in 2003" (
http://www.census.gov/hhes/www/disability/ACS_disability.pdf).
The Census Bureau uses the six disability questions above to determine an individual's disability status in some of its data products such as in the ACS Detailed Tables and the Disability Profile. People aged 16 to 64 were classified as having a disability if they reported at least one of the above six limitations. People aged 5 to 15 were classified as having a disability if they reported any one of the four limitations: sensory disability, physical disability, mental disability, or self-care disability. People 65 and over were classified as having a disability if they reported any one of the five limitations: sensory disability, physical disability, mental disability, self-care disability, or going-outside-home disability.
Since two of the six questions used to determine disability status are no longer comparable with those of the prior years, the Census Bureau does not recommend trend analysis using the 2003-2006 data with years prior to 2003. For more information regarding the 2003 questionnaire change, view "Disability Data from the American Community Survey: A Brief Examination of the Effects of a Question Redesign in 2003" (
http://www.census.gov/hhes/www/disability/ACS_disability.pdf).