Centre Etude en Population (CEPED), Institut de Recherche pour le Développement, Université Paris Descartes, INSERM 1244, 75006 Paris, France.
Institut de Formation et de Recherche Démographiques (IFORD), Yaounde BP1556, Cameroon.
Int J Environ Res Public Health. 2019 Feb 1;16(3):417. doi: 10.3390/ijerph16030417.
There is growing evidence showing that people with disabilities face more frequently socioeconomic inequities than their non-disabled peers. This study aims to examine to what extent socioeconomic consequences of disability contribute to poorer access to sexual and reproductive health (SRH) services for Cameroonian with disabilities and how these outcomes vary with disabilities characteristics and gender. It uses data from a population-based survey conducted in 2015 in Yaounde, Cameroon. Mediation analysis was performed to determine how much of the total association between disability and the use, satisfaction and difficulties to access SRH services was mediated by education level, material wellbeing lifetime work participation and availability of social support. Overall, disability was associated with deprivation for all socioeconomic factors assessed though significant variation with the nature and severity of the functional limitations was observed. Lower education level and restricted lifetime work mediated a large part of the association between disability and lower use of HIV testing and of family planning. By contrast, while people with disabilities reported more difficulties to use a SRH service, no mediating was identified. In conclusion, Cameroonians with disabilities since childhood have restricted access to SRH services resulting from socioeconomic factors occurring early during the life-course.
越来越多的证据表明，残疾人士比非残疾人士面临更多的社会经济不平等。本研究旨在探讨残疾的社会经济后果在多大程度上导致了残疾的喀麦隆人获得性和生殖健康（SRH）服务的机会较差，以及这些结果如何因残疾特征和性别而异。它使用了 2015 年在喀麦隆雅温得进行的一项基于人群的调查的数据。采用中介分析来确定残疾与使用、满意度和获得 SRH 服务的困难之间的总关联中有多少是由教育程度、物质福利、终身工作参与度和社会支持的可获得性来介导的。总的来说，残疾与所有评估的社会经济因素相关，尽管与功能限制的性质和严重程度有关的显著差异。较低的教育程度和终身工作限制在残疾与较低的 HIV 检测和计划生育使用率之间的关联中起到了很大的中介作用。相比之下，尽管残疾人士报告在使用 SRH 服务方面存在更多困难，但未发现中介作用。总之，残疾的喀麦隆人自童年起就因生命早期发生的社会经济因素而限制了获得 SRH 服务的机会。
