Eide Arne H, Ingstad Benedicte
SINTEF Technology and Society, Oslo, Norway.
Department of Community Medicine, University of Oslo, Norway.
Afr J Disabil. 2013 Aug 13;2(1):31. doi: 10.4102/ajod.v2i1.31. eCollection 2013.
Whilst broadly agreed in the literature that disability and poverty are closely interlinked, the empirical basis for this knowledge is relatively weak.
To describe and discuss the current state of knowledge and to suggest the need for further generation of knowledge on disability and poverty.
Two recent attempts at statistically analysing the situation for disabled people and a series of qualitative studies on disability and poverty are applied in a discussion on the state of current knowledge.
Firstly, the surveys confirm substantial gaps in access to services, and a systematic pattern of lower levels of living amongst individuals with disability as compared to non-disabled. Existing surveys are however not originally set up to study the disability - poverty relationship and thus have some important limitations. Secondly, the qualitative studies have shown the relevance of cultural, political and structural phenomena in relation to poverty and disability, but also the complexity and the contextual character of these forces that may sometimes provide or create opportunities either at the individual or the collective level. Whilst not establishing evidence as such, the qualitative studies contribute to illustrating some of the mechanisms that bring individuals with disability into poverty and keep them there.
A longitudinal design including both quantitative and qualitative methods and based on the current conceptual understanding of both disability and poverty is suggested to pursue further knowledge generation on the relationship between disability and poverty.
尽管文献中普遍认为残疾与贫困紧密相连,但这一认识的实证基础相对薄弱。
描述和讨论当前的知识状况,并提出进一步深入研究残疾与贫困关系的必要性。
在对当前知识状况的讨论中,运用了最近两次对残疾人状况进行统计分析的尝试以及一系列关于残疾与贫困的定性研究。
首先,调查证实了在获得服务方面存在巨大差距,并且与非残疾人相比,残疾人的生活水平呈现出系统性的较低模式。然而,现有的调查最初并非为研究残疾与贫困的关系而设立,因此存在一些重要局限性。其次,定性研究表明了文化、政治和结构现象与贫困和残疾的相关性,但这些力量的复杂性和背景特征有时可能在个人或集体层面提供或创造机会。虽然没有确凿证据,但定性研究有助于阐明一些使残疾人陷入贫困并使其持续贫困的机制。
建议采用包括定量和定性方法的纵向设计,基于对残疾和贫困的当前概念理解,以进一步深入研究残疾与贫困之间的关系。