Intersections between disability, type of impairment, gender and socio-economic disadvantage in a nationally representative sample of 33,101 working-aged Australians
Intersections between disability, type of impairment, gender and socio-economic disadvantage in a nationally representative sample of 33,101 working-aged Australians
复制标题
DOI：
10.1016/j.dhjo.2014.08.008
复制
发表时间：
2015-04-01
影响因子：
4.5
通讯作者：
Bentley, Rebecca
中科院分区：
文献类型：
--
作者：
Kavanagh, Anne M.;Krnjacki, Lauren;Bentley, Rebecca
背景：残疾人在社会经济上处于不利地位，健康状况比非残疾人差；然而，人们对劣势是如何根据性别和损伤类型而形成的知之甚少。目的:1。描述社会经济环境是否因损伤类型（感觉和语言、智力、身体、心理和获得性脑损伤）而有所不同。2. 比较具有相同损伤类型的女性和男性的社会经济劣势水平。方法：我们对澳大利亚人进行了一项以人口为基础的残疾调查，分析了33,101名年龄在25-64岁之间的参与者的数据。社会经济劣势指标包括教育、收入、就业、住房脆弱性和多重劣势。按损伤类型分层，我们估计：社会经济劣势的人口加权患病率；与没有残疾的人相比，处于劣势的相对几率；以及男女之间的相对劣势。结果：除了少数例外，残疾人的各项指标都比正常人差；智力和心理障碍以及后天性脑损伤的患者处于最不利地位。虽然残疾女性总体上比男性处于更不利的地位，但相对差异的幅度低于没有残疾的女性和男性之间的相同比较，并且相同缺陷类型的女性和男性之间的差异很小。结论：在残疾人和非残疾人之间进行的粗略比较模糊了残疾是如何根据残疾类型和性别形成的。研究结果强调，有必要揭示性别和残疾是如何相互交织，形成社会经济劣势的。(C) 2015爱思唯尔公司版权所有。
Background: People with disabilities are socio-economically disadvantaged and have poorer health than people without disabilities; however, little is known about the way in which disadvantage is patterned by gender and type of impairment.Objectives: 1. To describe whether socio-economic circumstances vary according to type of impairment (sensory and speech, intellectual, physical, psychological and acquired brain injury). 2. To compare levels of socio-economic disadvantage for women and men with the same impairment type.Methods: We used a large population-based disability-focused survey of Australians, analyzing data from 33,101 participants aged 25-64. Indicators of socio-economic disadvantage included education, income, employment, housing vulnerability, and multiple disadvantage. Stratified by impairment type, we estimated: the population weighted prevalence of socio-economic disadvantage; the relative odds of disadvantage compared to people without disabilities; and the relative odds of disadvantage between women and men.Results: With few exceptions, people with disabilities fared worse for every indicator compared to people without disability; those with intellectual and psychological impairments and acquired brain injuries were most disadvantaged. While overall women with disabilities were more disadvantaged than men, the magnitude of the relative differences was lower than the same comparisons between women and men without disabilities, and there were few differences between women and men with the same impairment types.Conclusions: Crude comparisons between people with and without disabilities obscure how disadvantage is patterned according to impairment type and gender. The results emphasize the need to unpack how gender and disability intersect to shape socio-economic disadvantage. (C) 2015 Elsevier Inc. All rights reserved.