Centre for Disability Research and Policy, Faculty of Health Sciences, University of Sydney, Australia; Centre for Disability Research, Faculty of Health and Medicine, Lancaster University, UK.
Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Australia.
Public Health. 2020 Aug;185:176-181. doi: 10.1016/j.puhe.2020.04.038. Epub 2020 Jul 5.
We sought to estimate risk of poor self-rated health (SRH) following exposure to disability-related and other forms of overt discrimination in a cohort of working age adults.
The study design is a population-based cohort survey.
Secondary analysis of data collected in Waves 1 and 2 of the UK's Life Opportunities Survey which at Wave 2 involved the participation of 12,789 working age adults. Adjusted prevalence rate ratios were used to estimate the impact of exposure to disability and non-disability discrimination on two measures of SRH at Wave 2, controlling for SRH status at Wave 1.
Exposure to disability discrimination in the previous year was reported by 3.9% of working age British adults. Other forms of discrimination were reported less frequently (age: 3.7%, ethnicity: 2.5%, gender: 1.6%, religion: 0.8%, sexual orientation: 0.4%). In all analyses, there were stronger associations between exposure to disability discrimination and poor SRH at Wave 2 when compared with exposure to other forms of discrimination.
Disability discrimination represents a violation of human rights. It is also likely to be a major contributor to the health inequities experienced by working age adults with disability.
我们旨在估计残疾相关和其他形式显性歧视暴露后，工作年龄段成年人不良自评健康（SRH）的风险。
该研究设计是一项基于人群的队列调查。
对英国生活机会调查第 1 波和第 2 波数据进行二次分析，第 2 波涉及 12789 名工作年龄段成年人参与。调整后的患病率比用于估计残疾和非残疾歧视对第 2 波中两项 SRH 测量值的影响，同时控制第 1 波中的 SRH 状况。
在过去一年中，3.9%的英国工作年龄段成年人报告了残疾歧视。其他形式的歧视报告较少（年龄：3.7%，种族：2.5%，性别：1.6%，宗教：0.8%，性取向：0.4%）。在所有分析中，与其他形式的歧视相比，残疾歧视暴露与第 2 波时不良 SRH 之间的关联更强。
残疾歧视代表了对人权的侵犯。它也可能是造成残疾工作年龄段成年人健康不平等的主要因素。
