Research on Participation of Physical Activities and Influential Factors for Adults with Disabilities Using Logistic Regression Model / 中国康复理论与实践

ABSTRACT

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.