Gender and Women's Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Victoria.
College of Arts and Social Sciences, Australian National University, Australian Capital Territory.
Aust N Z J Public Health. 2018 Apr;42(2):172-174. doi: 10.1111/1753-6405.12735. Epub 2017 Nov 22.
Among working-age Australian adults with a disability, we assess the association between disability-based discrimination and both overall health and psychological distress.
Using data from the 2015 Australian Bureau of Statistics Survey of Disability, Ageing and Carers we estimated the proportion of working-age women and men (15-64 years) with disability who report disability-based discrimination by socio-demographic characteristics and assessed the association between disability-based discrimination and self-reported health and psychological distress.
Nearly 14% of Australians with disability reported disability-based discrimination in the previous year. Disability-based discrimination was more common among people living in more disadvantaged circumstances (unemployed, low income, lower-status occupations), younger people and people born in English-speaking countries. Disability-based discrimination was associated with higher levels of psychological distress (OR: 2.53, 95%CI: 2.11, 3.02) and poorer self-reported health (OR: 1.63, 95%CI: 1.37, 1.95).
Disability-based discrimination is a prevalent, important determinant of health for Australians with disability. Implications for public health: Disability-based discrimination is an under-recognised public health problem that is likely to contribute to disability-based health inequities. Public health policy, research and practice needs to concentrate efforts on developing policy and programs that reduce discrimination experienced by Australians with disability.
在澳大利亚有残疾的劳动年龄成年人中，我们评估残疾歧视与整体健康和心理困扰之间的关联。
使用澳大利亚统计局 2015 年残疾、老龄化和照顾者调查的数据，我们按社会人口特征估计了残疾报告残疾歧视的残疾劳动年龄妇女和男子（15-64 岁）的比例，并评估了残疾歧视与自我报告的健康和心理困扰之间的关联。
近 14%的澳大利亚残疾人士在过去一年中报告了残疾歧视。生活在处境较差的人（失业、收入低、地位较低的职业）、年轻人和出生在英语国家的人更常见残疾歧视。残疾歧视与较高水平的心理困扰（OR：2.53，95%CI：2.11，3.02）和较差的自我报告健康状况（OR：1.63，95%CI：1.37，1.95）相关。
残疾歧视是澳大利亚残疾人士健康的一个普遍存在的重要决定因素。对公共卫生的影响：残疾歧视是一个未被充分认识的公共卫生问题，可能导致基于残疾的健康不平等。公共卫生政策、研究和实践需要集中精力制定政策和方案，减少澳大利亚残疾人士所经历的歧视。
