Borg Johan, Ostergren Per-Olof, Larsson Stig, Rahman Asm Atiqur, Bari Nazmul, Khan Ahm Noman
Department of Health Sciences, Lund University, Malmö, Sweden.
Disabil Rehabil Assist Technol. 2012 Mar;7(2):112-21. doi: 10.3109/17483107.2011.602173. Epub 2011 Aug 19.
About half of all people with disabilities in developing countries live in extreme poverty. Focusing on the ends rather than the economic means of human development, the capability approach offers an alternative view of poverty. The purpose of this study was to explore the relation between assistive technology use and capability poverty in a low-income country.
Self-reported data on food intake, health care, education, politics, self-determination, self-respect, family relationships and friendships were collected in Bangladesh through interviews of people with hearing impairments using and not using hearings aids, and people with ambulatory impairments using and not using manual wheelchairs (N = 583). Differences in outcomes between users and non-users of assistive technology were analyzed using logistic regression.
Assistive technology users were more likely than non-users to report enhanced capabilities, hearing aid users to a larger extent than wheelchair users. Synergistic effects between assistive technology use and education were found.
The use of assistive technology is predictive of reduced capability poverty in Bangladesh. Lack of wheelchair accessibility and the nature of selected outcomes may explain the limited association in the ambulatory group. Enhancing the effects of the other, there is support for providing education in combination with hearing aids. [Box: see text].
发展中国家约一半的残疾人生活在极端贫困之中。能力方法关注人类发展的结果而非经济手段，提供了一种关于贫困的不同视角。本研究的目的是探讨在一个低收入国家中辅助技术使用与能力贫困之间的关系。
在孟加拉国，通过对使用和未使用助听器的听力障碍者以及使用和未使用手动轮椅的行动障碍者进行访谈（N = 583），收集了关于食物摄入、医疗保健、教育、政治、自主、自尊、家庭关系和友谊的自我报告数据。使用逻辑回归分析辅助技术使用者和非使用者之间结果的差异。
辅助技术使用者比非使用者更有可能报告能力增强，助听器使用者比轮椅使用者的程度更大。发现辅助技术使用与教育之间存在协同效应。
在孟加拉国，辅助技术的使用可预测能力贫困的减少。轮椅可达性的缺乏以及所选结果的性质可能解释了行动障碍组中关联有限的原因。为增强彼此的效果，支持将教育与助听器结合提供。[方框：见正文]
