The health of disabled people and the social determinants of health
The health of disabled people and the social determinants of health
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DOI：
10.1016/j.puhe.2010.11.003
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发表时间：
2011-03-01
期刊：
影响因子：
5.2
通讯作者：
Robertson, J.
中科院分区：
文献类型：
--
作者：
Emerson, E.;Madden, R.;Robertson, J.
当有健康问题或缺陷的人面临减少其日常活动和社会参与的社会条件（或环境障碍）时，就会出现残疾。因此，残疾不是一个人的特征，也不是特定健康状况的必然结果。相反，它是一种由社会决定的结果，产生于使人丧失能力和歧视性的文化、社会和环境条件的运作。因此，估计有残疾的人数是有问题的。然而，大多数尝试表明，很大一部分儿童和成人经历残疾，全球估计有10-12%（6.6 - 7.9亿人）被认为是“不合理的”。这相当于北美人口的两倍多。同样，残疾的社会理论通常认为社会决定因素，即世卫组织委员会所称的“人们出生、成长、生活、工作和年龄的条件”是残疾的主要决定因素。然而，在这些处理残疾问题的办法中，主要关注的社会条件和进程是针对残疾人的歧视性做法，以及妨碍有健康问题或缺陷的人充分参与的文化、社会和环境障碍。（PsycInfo数据库记录（c）2022阿帕，保留所有权利）
Disability arises when people with health conditions or impairments are confronted by social conditions (or environmental barriers) that reduce their everyday activities and social participation. As such, disability is not a characteristic of a person, nor is it an inevitable consequence of particular health conditions. Rather, it is a socially determined outcome resulting from the operation of disabling and discriminatory cultural, social and environmental conditions. As a result, estimating the number of people who experience disability is problematic. However, most attempts suggest that a significant proportion of children and adults experience disability, with a global estimate of 10-12%(660-790 million people) being considered ‘not unreasonable’. This is equivalent to over twice the population of North America. Similarly, social theories of disability typically consider social determinants, what the WHO Commission refers to as ‘the conditions in which people are born, grow, live, work and age’as being the major determinants of disability. Within these approaches to disability, however, the social conditions and processes of primary interest are disability-specific discriminatory practices, and the cultural, social and environmental barriers to the full participation of people with health conditions or impairments.(PsycInfo Database Record (c) 2022 APA, all rights reserved)