Medical School, University of Edinburgh, United Kingdom.
Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, United Kingdom.
Disabil Health J. 2017 Oct;10(4):632-635. doi: 10.1016/j.dhjo.2017.01.004. Epub 2017 Jan 25.
People with disabilities in the Republic of Moldova continue to experience considerable discrimination and social exclusion. The Moldovan government recently affirmed their commitment to promote community integration. However, there remains limited evidence to facilitate understanding of these issues, and barriers to the integrative process.
This study explored the knowledge and attitudes towards disability of young people within Moldova.
A qualitative approach was adopted and 3 semi-structured focus group interviews were conducted with schoolchildren (n = 12), aged 13-15 years. These interviews focussed on different aspects of disability, and community integration. Pictorial and written vignettes were used to stimulate discussion. The interviews were conducted and recorded in Romanian, and were subsequently translated into English to facilitate thematic data analysis.
Identified themes included: (1) Knowledge and understanding of disability. The young people's knowledge was limited and framed by the medical model of disability; (2) Attitudes towards community integration. A bias against long-term care institutions, but differing views regarding integration; (3) Perceptions of barriers to community integration: (i) Cultural barriers. Negative, even hostile attitudes towards disability; (ii) Policy barriers. Poor support services; and (iii) Physical barriers. Ongoing issues regarding accessibility.
People with disabilities in Moldova experience negative cultural attitudes linked to an outdated conception of disability itself. There are inadequate community support services and infrastructure which act as barriers to inclusion. At present, there can be limited interaction and participation of people with disabilities within local communities, and so few opportunities to refute persistent stereotypes and stigma surrounding disability.
摩尔多瓦共和国的残疾人仍然面临着相当大的歧视和社会排斥。摩尔多瓦政府最近肯定了他们促进社区融合的承诺。然而,对于这些问题和融合过程中的障碍,仍然缺乏足够的证据来帮助人们理解。
本研究探讨了摩尔多瓦年轻人对残疾的认识和态度。
采用定性方法,对 13-15 岁的在校学生(n=12)进行了 3 次半结构化焦点小组访谈。这些访谈集中讨论了残疾和社区融合的不同方面。使用图片和书面情景介绍来激发讨论。访谈以罗马尼亚语进行和记录,然后翻译成英语,以方便主题数据分析。
确定的主题包括:(1)残疾知识和理解。年轻人的知识有限,局限于残疾的医学模式;(2)对社区融合的态度。对长期护理机构存在偏见,但对融合有不同看法;(3)对社区融合障碍的看法:(一)文化障碍。对残疾的负面、甚至敌对态度;(二)政策障碍。支持服务差;(三)身体障碍。无障碍问题仍然存在。
摩尔多瓦的残疾人经历着与过时的残疾观念相关的负面文化态度。社区支持服务和基础设施不足,成为融入的障碍。目前,残疾人在当地社区的互动和参与有限,因此很少有机会反驳围绕残疾的持久刻板印象和耻辱。