Social variations in uptake of disability benefits: A census-based record linkage study.
Social variations in uptake of disability benefits: A census-based record linkage study.
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领取残疾福利的社会差异：基于人口普查的记录关联研究。
DOI：
10.1016/j.socscimed.2021.113821
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
O'Reilly D
中科院分区：
文献类型：
--
作者：
O'Reilly D
背景 与残疾相关的社会保障福利领取情况的显着变化可能会凸显需求未得到满足的亚人群和群体，并且也会对主要源自福利领取的弱势地区指标产生影响。在本文中，我们研究了残疾生活津贴 (DLA)，这是一种针对 65 岁以下残疾人的残疾相关生活费用的非经济情况调查缴款。方法：将三项基于人口普查的自我报告健康指标（慢性身体残疾数量、活动限制（少量；大量）和长期心理健康状况不佳）与同期 DLA 记录联系起来。 2011 年人口普查结果提供了个人人口、社会经济、社会和地区层面的特征。使用逻辑回归对 DLA 摄取进行建模，分为 0-15 岁和 16-64 岁年龄组。结果总体而言，该人群中有 118329 人 (8.4%) 接受了 DLA。健康状况不佳是接受教育的主要决定因素，其中女性、未婚者和社会经济地位较低的人接受教育的比例较高：例如，与接受过高等教育的人相比，没有学历的人（ORad= 1.80：95% CI = 1.75–1.85）；以及那些社会租赁的人与那些更昂贵的业主居住的人相比（ORadj = 1.92：1.83–2.02）。新教徒的领取率低于天主教徒 (ORadj= 0.75: 0.74–0.77) 和移民 (ORadj= 0.36: 0.34–0.39)，农村社区略低。结论 健康状况不佳是残疾福利领取率的主要决定因素，但其他社会和社会经济因素也有影响。这些发现可能有助于重塑外展计划，从而更好地瞄准福利目标，从而对英国地区剥夺措施的制定产生更间接的影响。
BackgroundSignificant variation in disability-related social security benefits receipt might highlight sub-populations and groups with unmet needs and also have implications for areal indicators of disadvantage that are largely derived from uptake of benefits. In this paper we examine Disability Living Allowance (DLA), a non means-tested contribution towards disability-related living costs for disabled people aged less than sixty-five.Methodology: Three census-based measures of self-reported health (number of chronic physical disabilities; activity limitation (a little; a lot); and chronic poor mental health) were linked to contemporaneous DLA records. The 2011 Census returns provided individual demographic, socio-economic, social and area-level characteristics. DLA uptake was modelled using logistic regression, stratified into 0–15 and 16–64 year old age groups.ResultsOverall, 118329 (8.4%) of this population received DLA. Poor health outcomes were the main determinants for uptake, which was higher amongst females, those non-married and those of lower socio-economic status: for example those with no qualifications compared against third level education (ORad= 1.80: 95%CI = 1.75–1.85); and those social renting compared against those in more expensive owner occupation (ORadj= 1.92: 1.83–2.02). Uptake was lower amongst Protestants than Catholics (ORadj= 0.75: 0.74–0.77) and amongst immigrants (ORadj= 0.36: 0.34–0.39) and slightly lower in rural communities.ConclusionsPoor health is the predominant determinant of disability benefits uptake but other social and socioeconomic factors have influence. These findings may assist in the reshaping of outreach programmes leading to better targeting of benefits, and therefore a more indirect influence on the derivation of area deprivation measures in the United Kingdom.
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DOI：
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发表时间：
1995
期刊：
影响因子：
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作者：
R. Sainsbury;M. Hirst;D. Lawton
通讯作者：
D. Lawton
北爱尔兰的宗教信仰和死亡率：超越天主教和新教。
DOI：
--
发表时间：
2008
期刊：
Social Science & Medicine (1967)
影响因子：
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作者：
D. O’Reilly;M. Rosato
通讯作者：
M. Rosato
国家福利的接受是否应该被用作需求和劣势的指标？
影响因子：
2.4
作者：
M. Rosato;D. O’Reilly
通讯作者：
D. O’Reilly
关于残疾福利领取情况的数据是否可以作为人口普查数据的有用补充来描述人口医疗保健需求？
影响因子：
2.4
作者：
D. O’Reilly;M. Stevenson
通讯作者：
M. Stevenson
影响因子：
6.3
作者：
O'Reilly, D;Stevenson, M
通讯作者：
Stevenson, M