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残疾人群的健康状况和生活满意度:来自台湾的证据。

Health status and life satisfaction among people with disabilities: Evidence from Taiwan.

机构信息

Department of Social Work, National Taipei University, Taiwan, 151 University Road, Sanshia District, New Taipei City, 23741, Taiwan.

Department of Statistics, National Chengchi University, Taiwan.

出版信息

Disabil Health J. 2019 Apr;12(2):249-256. doi: 10.1016/j.dhjo.2018.10.008. Epub 2018 Oct 28.

DOI:10.1016/j.dhjo.2018.10.008
PMID:30409671
Abstract

BACKGROUND

Two important dimensions of subjective well-being are self-reported 'health status' and 'life satisfaction', both of which are generally perceived as being lower among people with disabilities. Although the factors associated with health status and life satisfaction have been well documented among the general population, relevant research relating to disabled people remains limited, indeed, almost non-existent in Taiwan.

OBJECTIVE

Our aim in the present study is to explore the levels of, and the factors associated with, self-reported health status and life satisfaction among people with disabilities in Taiwan.

METHODS

The dataset used in this study was drawn from a representative population-based survey carried out in a municipal city in Taiwan involving 983 disabled people aged between 15 and 64. Descriptive statistics were applied to provide both a profile of the respondents and the distribution of the related variables, with ordinal logistic regression models being employed to identify the factors associated with health status and life satisfaction.

RESULTS

As compared to the findings reported on western societies, health status and life satisfaction levels among disabled people in Taiwan were found to be similar. Age, incidences of chronic conditions, and medical barriers encountered were found to have negative associations with health status, whilst better household finances, living environment, and social support were positively associated with life satisfaction.

CONCLUSIONS

Since both individual and contextual factors may be related to the subjective well-being of disabled people, policy interventions should target specific aspects so as to improve the lives of people with disabilities.

摘要

背景

主观幸福感有两个重要维度,即自我报告的“健康状况”和“生活满意度”,这两者在残疾人群体中通常被认为较低。尽管与健康状况和生活满意度相关的因素在普通人群中已有充分记录,但与残疾人群体相关的研究仍然有限,实际上在台湾几乎不存在。

目的

本研究旨在探讨台湾地区残疾人群体的自我报告健康状况和生活满意度水平及其相关因素。

方法

本研究使用的数据集来自台湾一个市级代表性人群调查,共涉及 983 名 15 至 64 岁的残疾人士。采用描述性统计方法提供受访者概况和相关变量分布情况,并采用有序逻辑回归模型确定与健康状况和生活满意度相关的因素。

结果

与西方社会的报告结果相比,台湾残疾人士的健康状况和生活满意度水平相似。年龄、慢性病发生率和医疗障碍与健康状况呈负相关,而较好的家庭财务状况、生活环境和社会支持与生活满意度呈正相关。

结论

由于个体和环境因素都可能与残疾人士的主观幸福感相关,政策干预应针对特定方面,以改善残疾人士的生活。

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