Department of Psychology, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong, China.
Department of Psychology, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong, China.
Disabil Health J. 2022 Jul;15(3):101274. doi: 10.1016/j.dhjo.2022.101274. Epub 2022 Jan 31.
People with physical disability are chronically stigmatized. They might internalize ableist attitudes and behaviors that they perceive from others, which can negatively affect social participation and well-being. It is essential to explore potential risk and protective factors associated with stigma perceptions.
The present study proposed and tested the positive associations of perceived environmental inaccessibility and self-coldness with perceived stigma, and the negative associations of self-warmth with perceived stigma, respectively, among people with physical disability in Hong Kong.
A cross-sectional sample of 98 adults with physical disability (42.3% female, mean age = 36.4 years) from 10 nongovernmental organizations in Hong Kong participated in the study. They filled in a self-report questionnaire on perceived stigma, perceived environmental inaccessibility, self-compassion, basic activities of daily living (ADL), instrumental activities of daily living (IADL), and demographics.
Hierarchical multiple regression showed that ADL and IADL alone (Model 1) did not significantly predict perceived stigma. The full model of ADL, IADL, perceived environmental inaccessibility, self-warmth, and self-coldness to predict perceived stigma (Model 2) was significant and explained 53.9% variance in perceived stigma. Perceived environmental inaccessibility and self-coldness were significantly and positively associated with perceived stigma, respectively. Self-warmth was significantly and negatively associated with perceived stigma.
The findings supported the important associations of both external contexts (i.e., as environmental inaccessibility) and internal resources (i.e., as self-compassion) with perceived stigma among people with physical disability. The findings inform future research and three-pronged design approaches to stigma reduction programs for people with physical disability.
身体残疾人士长期受到歧视。他们可能会内化自己从他人那里感知到的歧视态度和行为，这会对他们的社会参与和幸福感产生负面影响。因此，探索与污名感知相关的潜在风险和保护因素至关重要。
本研究旨在探讨香港肢体残疾人士感知到的环境障碍和自我冷漠与感知到的污名之间的正相关关系，以及自我温暖与感知到的污名之间的负相关关系，并分别对其进行验证。
本研究采用横断面设计，从香港的 10 个非政府组织招募了 98 名肢体残疾成年人（42.3%为女性，平均年龄为 36.4 岁）参与研究。他们填写了一份关于感知污名、感知环境障碍、自我同情、基本日常生活活动（ADL）、工具性日常生活活动（IADL）和人口统计学信息的自我报告问卷。
分层多元回归显示，ADL 和 IADL 单独（模型 1）并不能显著预测感知污名。ADL、IADL、感知环境障碍、自我温暖和自我冷漠预测感知污名的完整模型（模型 2）具有统计学意义，可解释感知污名 53.9%的方差。感知环境障碍和自我冷漠与感知污名呈显著正相关，而自我温暖与感知污名呈显著负相关。
这些发现支持了外部环境（即环境障碍）和内部资源（即自我同情）与肢体残疾人士感知污名之间的重要关联。这些发现为未来研究和针对肢体残疾人士的污名减少计划的三管齐下设计方法提供了信息。
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