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Objective:To investigate and analyze the status and related factors of participation in physical activities for adults with disabilities (AWDs). Methods:A total of 2 302 833 AWDs in 2019 were included. Multiple response was used to analyze the status of participation and logistic regression was used to analyze the related factors. Results:The participative rate of AWDs was low (7.0%), in which, males (7.3%) were higher than females, AWDs aged 18 to 59 years (7.6%) were higher than other ages, AWDs with agricultural household (7.1%), speech disabilities (7.7%), and mild disability (8.6%) were the largest groups. For the reasons for not participating in physical activities, AWDs with agricultural household reported no suitable programs (14.4%), places and facilities (12.3%), which were higher than that with city household. The genders (B = 0.048, P < 0.001), ages (B = 0.178, P < 0.001), household registrations (B = 0.078, P < 0.001) related with participation of physical activities. However, types (Bvision= 0.055, P < 0.01; Bhearing= 0.133, P < 0.001; Bspeech= 0.282, P < 0.001; Bintelligence = -0.159, P < 0.001; Bpsychosis= -0.062, P < 0.01) and severity of disability were more significant (P < 0.001). AWDs with extremely severe disability reported 0.571 times of participation of physical activities than that with mild disability (B = -0.561, OR = 0.571), and AWDs with severe disability reported 0.659 times of that with mild visual disability (B = -0.417, OR = 0.659). Conclusion:The participation rate of AWDs in physical activities is low. Implement physical activities programs would be tailored to the unmet needs of physical activities as AWDs had functioning oriented unmet needs. It proposed to develop individualized and structured physical activities services to promote the participation of disabilities in physical activities.
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Objective:To explore the status of disability, characteristics of unmet needs and services of rehabilitation and their related factors for adults with disabilities (AWDs). Methods:A total of 2 315 498 AWDs were sampled from the provincial level administration data (2019). Multiple response analysis was used to analysis the disability status of AWDs, characteristics of unmet needs and received services of rehabilitation, and related factors were explored with Logistic regression. Results:The distribution of disabilities for AWDs from high to low were physical disabilities (62.2%), visual disabilities (9.9%), intellectual disabilities (8.4%), mental disorders (7.3%), hearing disabilities (6.9%), multiple disabilities (2.8%) and speech disabilities (2.5%). The reporting rate of unmet needs of rehabilitation for AWDs from high to low were assistive devices (49.0%), medicine (33.3%), nursing care (27.7%), functional training (20.2%) and surgery (1.9%). The reporting rate of received service for AWDs from high to low were assistive devices (44.1%), nursing care (26.6%), medicine (25.9%), functional training (22.2%) and surgery (1.3%). The logistic regression model shown that types and severities of disabilities had significant effects on unmet needs and received services of rehabilitation for AWDs (P < 0.001). Conclusion:The reporting of unmet needs for AWDs had been influenced by their functioning and disability. There were gaps between unmet needs and received services. It proposed to develop precise and individualized reporting of unmet needs and service programs for AWDs.
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Objective:To analyze the relationship between socio-economic status and utilization of rehabilitation services for adults with different disabilities. Methods:Adults with single disability were selected from the Second China National Sample Survey on Disability. Their education level and per capita household income were used as socio-economic index, controlled with sex, age group, residence, disabled level and marriage. Results:The prevalence of rehabilitation service utilization was 2.98% to 15.97%, and it was more in urban people than in rural ones. Education level trended to be a positive factor to utilization of rehabilitation service, but different with the types of disabilities. Per capita household income was mixed for the utilization of rehabilitation service, which was positive for some disabilities, negative for some ones, and no significant for others. Conclusion:The utilization of rehabilitation services needs to improve for adults with disabilities. Policies can be made targeting to the people with different disabilities.
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Este trabalho objetiva investigar como os adultos com deficiência vêm sendo abordados pela psicologia do desenvolvimento adulto. Parte de análise sobre as concepções de desenvolvimento humano que embasam a área e considera algumas de suas principais linhas de pesquisa. Revisa literatura na psicologia e disciplinas afins em que adultos com deficiência são incluídos nos delineamentos de pesquisa e analisa a presença de temas transversais como exclusão social, pobreza e violência. Conclui refletindo criticamente sobre a importância de uma produção acadêmica alinhada com as concepções de uma psicologia política comprometida com a transformação social, em que pesquisadores reconheçam os pressupostos ideológico-políticos que embasam suas escolhas teóricometodológicas, visando um compromisso ético com mudanças sociais tendentes à efetiva inclusão das pessoas com deficiência.
This paper aims to investigate how adults with disabilities are being addressed by adult development psychology. It begins with an analysis of the conceptions of human development that underlies the area and considers some of its main lines of research. It reviews literature in psychology and related disciplines in which adults with disabilities are included in research designs and analyzes the presence of cross-cutting themes such as social exclusion, poverty and violence. It is concluded by critically reflecting about the importance of an academic production aligned with the conceptions of a political psychology committed to social transformation, in which researchers recognize ideological and political assumptions that underpin their theoretical and methodological choices, aiming an ethical commitment to social change leading to the effective inclusion of people with disabilities.
Este estudio tiene como objetivo investigar cómo los adultos con discapacidad están siendo abordados por la psicología del desarrollo adulto. Parte del análisis de las concepciones de desarrollo humano que subyacen a la área y considera algunas de sus principales líneas de investigación. Revisa la literatura en psicología y disciplinas afines en las que los adultos con discapacidad están incluidos en los delineamientos de investigación y analiza la presencia de temas transversales tales como la exclusión social, la pobreza y la violencia. Concluye reflexionando críticamente sobre la importancia de una producción académica alignada con las concepciones de una psicología política comprometida con la transformación social, en la que los investigadores reconoscan los presupuestos ideológicos y políticos que sustentan sus opciones teóricas y metodológicas, mirando a un compromiso ético com cambios sociales tendentes a la inclusión efectiva de las personas con discapacidad.
Ce travail vise à étudier comment les adultes handicapés sont pris en compte par la psychologie du développement de l'adulte. Il commence avec l'analyse sur les conceptions du développement humain qui sous-tendentla psychologie du développemet de l'adulte et avec des considérations sur les principaux axes de recherche. Révise la littérature en psychologie et disciplines connexes où les adultes handicapés sont inclus dans les plans de recherche et analyse la présence de thèmes transversaux tels que l'exclusion sociale, la pauvreté et la violence. Il conclut avec une réflexion critique sur l'importance d'une production académique en conformité avec les conceptions d'une psychologie politique engagée à la transformation sociale, dans laquelle les chercheurs puissent reconnaître les présupposés idéologiques et politiques qui sont à la base de ses choix théoriques e méthodologiques, cherchant un engagement éthique aux changements sociaux concernant à l'inclusion effective des personnes handicapées.
Assuntos
Humanos , Política , Preconceito , Psicologia , Política Pública , Ajustamento Social , Adulto/psicologia , Deficiência IntelectualRESUMO
PURPOSE: This study examined family function and self-esteem among young and middle-aged adults with physical disabilities. METHODS: The subjects of this study consisted of 116 adults with physical disabilities. Data were collected from 4 Community rehabilitation centers in C area from October to November 2008. All subjects were questioned about family function and self-esteem by the APGAR scale and the Rosenberg Self-esteem Scale. SPSS/WIN 12.0 was used for descriptive analysis, t-test, one-way ANOVA, and Pearson correlation. RESULTS: Subjects had a moderate level of family function (5.31) and self-esteem (28.13). There were significant differences of family function according to age, monthly income, economic status, and disability site. There were significant differences in self-esteem according to age, gender, monthly income, and economic status. The level of family function and income were related to self-esteem. CONCLUSION: These findings suggest that there is a necessity to improve family function and self-esteem among young and middle-aged adults with physical disabilities. Nursing interventions should take into account the role of family function in promoting self-esteem in people with physical disabilities.