Akyurek Gokcen, Bumin Gonca, Crowe Terry K
Faculty of Health Sciences, Department of Occupational Therapy, Hacettepe University, Ankara, Turkey.
School of Medicine, Occupational Therapy, University of New Mexico, Albuquerque, NM, USA.
Scand J Occup Ther. 2020 Jan;27(1):28-38. doi: 10.1080/11038128.2019.1587502. Epub 2019 May 12.
People with disabilities are facing not just health problems; they also experience restriction of participation due to various barriers. However, there is limited knowledge of which factors can be important to their community participation. This study investigated the factors that are associated with community participation of people with disabilities. A sample of 270 people with disabilities (aged range 18-55 years) recruited randomly through the "Turkish People with Disabilities Association". This study, followed a survey design, took place in 15 cities in Turkey and a city of Turkish Republic of Northern Cyprus. Community Integration Questionnaire (CIQ), Functional Independence Measure, Measure of Quality of the Environment, Leisure Satisfaction Scale, State-Trait Anxiety Inventory, and Short-Form-12 were used. A stepwise multiple regression analysis was conducted to analyze the relationship of the dependent variable (CIQ) with the factors. The results indicated that the community participation was importantly associated with employment and educational status, functional level, quality of life and satisfaction from leisure activities ( < 0.05). Wheelchair users' participation level was lower than that of the other mobility groups ( < 0.05). The study provides a rich description of the multifaced nature of participation and its association with the factors such as employment, education, and leisure. Moreover, in terms of these factors and community participation, wheelchair users were the most disadvantaged group of people with disabilities at different mobility level.
残疾人不仅面临健康问题；由于各种障碍，他们在参与方面也受到限制。然而，对于哪些因素对他们参与社区活动至关重要，人们了解有限。本研究调查了与残疾人社区参与相关的因素。通过“土耳其残疾人协会”随机招募了270名残疾人（年龄在18 - 55岁之间）。本研究采用调查设计，在土耳其的15个城市和北塞浦路斯土耳其共和国的一个城市进行。使用了社区融合问卷（CIQ）、功能独立性测量、环境质量测量、休闲满意度量表、状态 - 特质焦虑量表和简短健康调查问卷（SF - 12）。进行了逐步多元回归分析，以分析因变量（CIQ）与这些因素之间的关系。结果表明，社区参与与就业和教育状况、功能水平、生活质量以及休闲活动满意度密切相关（<0.05）。轮椅使用者的参与水平低于其他行动能力群体（<0.05）。该研究对参与的多面性及其与就业、教育和休闲等因素的关联进行了丰富描述。此外，就这些因素和社区参与而言，在不同行动能力水平上，轮椅使用者是残疾人中最弱势的群体。
