哪些社会人口因素会影响佛兰德斯地区残疾人的贫困状况和获得金融医疗保健的机会：一项横断面研究。
What socio-demographic factors influence poverty and financial health care access among disabled people in Flanders: a cross-sectional study.
机构信息
Antwerp University, Universiteitsplein 1, 2610 Wilrijk, Belgium.
出版信息
Arch Public Health. 2014 Feb 12;72(1):5. doi: 10.1186/2049-3258-72-5.
BACKGROUND
Current literature shows that people with a disability have a lower income than people without a disability. Disabled people often experience difficulties with health care access.The objective of this study is to assess the current financial situation and poverty rate amongst disabled people in Flanders. Furthermore we wanted to analyze factors that contribute to the risk of poverty and problems with financial health care access in adult people with a disability in Flanders.
METHODS
An online and paper survey were constructed and made available through two large organizations for people with different types of disability in Flanders. Descriptive statistics and logistic regression analysis were performed.
RESULTS
In this convenience sample, 20.9% of the 889 respondents live under the poverty threshold. Important contributing factors to the risk of poverty are having children (OR 3.43, 95% CI 2.10-5.59) and a low level of dependence (OR 16.40, 95% CI 6.21-43.28). 25.2% of the respondents did not access health care because of financial shortcomings. A low level of dependence is one important contributing factor (OR 3.16, 95% CI 1.41-6.98) to limited financial health care access.
CONCLUSION
This research confirms that disability is associated with a higher risk of poverty and impaired financial health care access.
背景
现有文献表明，残疾人士的收入低于非残疾人士。残疾人士往往在获得医疗保健方面存在困难。本研究旨在评估佛兰德地区残疾人士的当前财务状况和贫困率。此外，我们还分析了导致残疾成年人贫困风险和财务医疗保健获取问题的因素。
方法
通过佛兰德地区两个为不同类型残疾人士服务的大型组织，在线和纸质调查被构建并提供。采用描述性统计和逻辑回归分析。
结果
在这个方便样本中，889 名受访者中有 20.9%生活在贫困线以下。导致贫困风险的重要因素有：有子女（OR 3.43，95%CI 2.10-5.59）和低依赖程度（OR 16.40，95%CI 6.21-43.28）。由于经济拮据，25.2%的受访者无法获得医疗保健。低依赖程度是财务健康保健获取受限的一个重要因素（OR 3.16，95%CI 1.41-6.98）。
结论
这项研究证实，残疾与更高的贫困风险和财务医疗保健获取受限相关。
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