Department of Psychology, Alan J Flisher Centre for Public Mental Health, Stellenbosch University , Stellenbosch , South Africa.
Department of Health, SINTEF Technology and Society , Oslo , Norway.
Disabil Rehabil. 2019 Nov;41(22):2676-2682. doi: 10.1080/09638288.2018.1478001. Epub 2018 Jun 29.
Health should be a universal phenomenon. However, little is known about the relationship between disability status and health issues - particularly in rural areas. This study looks at health issues of persons with disabilities in Madwaleni, a rural impoverished area in South Africa in 2011, and compares them to persons with no disabilities. Standardized questionnaires were used in the survey to assess disability and health status. The sample comprised of 773 individuals - 322 persons with disability and 451 comparisons (without disability) - covering 527 households. Children under the age of five were excluded from the sample. We used purposive sampling. This study found that persons with disabilities have poorer reported health outcomes than persons with no disabilities. There is also an association between disability severity and mental health issues as assessed by the GHQ-12. A significantly higher percentage of persons with disability did not get health care when needed. Persons with disabilities also have less favorable attitudes toward competence of health care workers. This study has shown greater health needs and less satisfaction with services, which strongly indicates insufficient access for persons with disabilities in a rural impoverished are within South Africa. Implications for rehabilitation Persons with disabilities in rural South Africa have poorer reported health outcomes. Persons with disabilities have less favorable attitudes towards competence of health care workers in rural South Africa. Better access to health care for persons with disabilities is needed in rural South Africa.
健康应该是一种普遍现象。然而，人们对残疾状况与健康问题之间的关系知之甚少——尤其是在农村地区。本研究于 2011 年调查了南非农村贫困地区 Madwaleni 的残疾人士的健康问题，并将其与非残疾人士进行了比较。调查采用了标准化问卷来评估残疾和健康状况。样本包括 773 人——322 名残疾人和 451 名对照（无残疾），涵盖 527 户家庭。五岁以下儿童不包括在样本中。我们使用了目的性抽样。 本研究发现，残疾人士的报告健康结果比非残疾人士差。残疾严重程度与 GHQ-12 评估的心理健康问题之间也存在关联。需要医疗保健的残疾人士中，有相当大比例的人没有得到医疗保健。残疾人士对医疗保健工作者能力的态度也不太有利。本研究表明，残疾人士的健康需求更大，但对服务的满意度较低，这强烈表明南非农村贫困地区的残疾人士获得的服务不足。 康复的意义 南非农村地区的残疾人士报告的健康结果较差。南非农村地区的残疾人士对医疗保健工作者能力的态度不太有利。南非农村地区需要为残疾人士提供更好的医疗保健服务。
