Department of Psychiatry and Mental Health, Alan J Flisher Centre for Public Mental Health, University of Cape Town, Cape Town 7700, South Africa.
Crawford School of Public Policy, Australian National University, Canberra 2601, Australia.
Int J Environ Res Public Health. 2021 Apr 22;18(9):4431. doi: 10.3390/ijerph18094431.
This paper presents a framework for measuring disability inclusion in order to examine the associations between disability severity and levels of inclusion, provides an example of its operationalization, and assesses the feasibility of using an existing dataset to measure disability inclusion using this framework. Inclusion here refers to the extent to which people with disabilities are accepted and recognized as individuals with authority, enjoy personal relationships, participate in recreation and social activities, have appropriate living conditions, are able to make productive contributions, and have required formal and informal support. Indicators for the operationalization were drawn from the Individual Deprivation Measure South Africa country study and were mapped on to the domains of inclusion (where relevant), and the Washington Group Short Set of questions were used to determine disability status (no, mild, or moderate/severe disability). The analysis indicates that individuals with disabilities experience generally worse outcomes and a comparative lack of inclusion compared to individuals without disabilities, and broadly that those with moderate or severe disabilities experience worse outcomes than those with mild disabilities. This analysis also provides insight into the limitations of using existing datasets for different purposes from their original design.
本文提出了一个衡量残疾包容度的框架，以考察残疾严重程度与包容度水平之间的关联，举例说明了其运作方式，并评估了使用现有数据集根据该框架衡量残疾包容度的可行性。这里的包容度是指残疾人在多大程度上被接受和认可为有权威的个人、享有人际关系、参与娱乐和社交活动、拥有适当的生活条件、能够做出富有成效的贡献以及获得所需的正式和非正式支持。运作的指标来自南非个人贫困测量国家研究，并被映射到包容度的领域（相关的），华盛顿小组简短问题集用于确定残疾状况（无、轻度或中度/重度残疾）。分析表明，与没有残疾的人相比，残疾人的总体结果更差，包容度也相对较低，而且中度或重度残疾的人比轻度残疾的人经历更差的结果。这项分析还深入了解了为不同目的使用现有数据集的局限性，这些数据集的设计初衷与目的不同。
