Disability discrimination and well-being in the United Kingdom: a prospective cohort study
Disability discrimination and well-being in the United Kingdom: a prospective cohort study
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DOI：
10.1136/bmjopen-2019-035714
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发表时间：
2020-03-01
期刊：
影响因子：
2.9
通讯作者：
Jackson, Sarah E.
中科院分区：
文献类型：
--
作者：
Hackett, Ruth A.;Steptoe, Andrew;Jackson, Sarah E.
目标残疾歧视与跨部门的较差福祉有关。本研究的目的是探讨残疾歧视和wellbeing.Design前瞻性队列研究设置英国家庭纵向Study.Participants数据来自871个人自我报告的身体，认知或感官disability.Primary结果测量抑郁症之间的前瞻性关联进行了评估，在2009/10。2009/10年度和2013/14年度分别对心理困扰、心理功能、生活满意度和自评健康状况进行评估。117名（13.4%）参与者报告了感知到的残疾歧视。从横截面来看，歧视与抑郁症有关（OR=5.40，95% CI 3.25 - 8.97）健康自评一般/较差（OR=2.05; 95%CI 1.19至3.51），心理困扰更大（B=3.28，95% CI 2.41至4.14）、心理功能较差（B=-7.35，95% CI -9.70至-5.02）和生活满意度（B=-1.27，95% CI -1.66至-0.87）。长期歧视与心理困扰增加（B=2.88，95%CI 1.39至4.36）和较差的心理功能（B=-5.12，95%CI-8.91至-1.34），调整基线scores.Conclusions残疾相关的歧视与较差的幸福感。这些调查结果强调了采取干预措施打击残疾歧视的必要性。
Objectives Disability discrimination is linked with poorer well-being cross-sectionally. The aim of this study was to explore prospective associations between disability discrimination and well-being.Design Prospective cohort study.Setting The United Kingdom Household Longitudinal Study.Participants Data were from 871 individuals with a self-reported physical, cognitive or sensory disability.Primary outcome measures Depression was assessed in 2009/10. Psychological distress, mental functioning, life satisfaction and self-rated health were assessed in 2009/10 and 2013/14.Results Data were analysed using linear and logistic regression with adjustment for age, sex, household income, education, ethnicity and impairment category. Perceived disability discrimination was reported by 117 (13.4%) participants. Cross-sectionally, discrimination was associated with depression (OR=5.40, 95% CI 3.25 to 8.97) fair/poor self-rated health (OR=2.05; 95% CI 1.19 to 3.51), greater psychological distress (B=3.28, 95% CI 2.41 to 4.14), poorer mental functioning (B=-7.35; 95% CI -9.70 to -5.02) and life satisfaction (B=-1.27, 95% CI -1.66 to -0.87). Prospectively, discrimination was associated with increased psychological distress (B=2.88, 95% CI 1.39 to 4.36) and poorer mental functioning (B=-5.12; 95% CI -8.91 to -1.34), adjusting for baseline scores.Conclusions Perceived disability-related discrimination is linked with poorer well-being. These findings underscore the need for interventions to combat disability discrimination.