Acharya Yubraj, Yang Di
Department of Health Policy and Administration, The Pennsylvania State University, University Park, PA, 16801, USA.
SSM Popul Health. 2022 Jun 28;19:101155. doi: 10.1016/j.ssmph.2022.101155. eCollection 2022 Sep.
There is limited evidence from low-income countries on the multifaceted effects of disability on an individual's wellbeing. Using a nationally representative sample of 2.8 million individuals, we documented the association between disability and educational, labor market, and marital outcomes in Nepal. We obtained plausibly causal estimates by comparing these outcomes for siblings living in the same household. Individuals with disability were at a severe disadvantage in almost all of the outcomes we evaluated. Compared to siblings without disability, siblings with disability were 16.5 percentage points less likely to be enrolled in school, 6.9 percentage points less likely to be at the appropriate grade level, and 21.4 percentage points less likely to be employed. Consistent with the prevalent discrimination against girls and stigma on disability, individuals with disability had difficulty getting married, and the adverse effects were more pronounced for girls than for boys.
来自低收入国家的证据有限,难以证明残疾对个人幸福的多方面影响。我们利用一个具有全国代表性的280万个体样本,记录了尼泊尔残疾与教育、劳动力市场及婚姻状况之间的关联。通过比较同一家庭中兄弟姐妹的这些状况,我们获得了可能具有因果关系的估计值。在我们评估的几乎所有状况中,残疾个体都处于严重劣势。与无残疾的兄弟姐妹相比,有残疾的兄弟姐妹入学的可能性低16.5个百分点,处于适当年级水平的可能性低6.9个百分点,就业的可能性低21.4个百分点。与普遍存在的对女孩的歧视和对残疾的污名化一致,残疾个体结婚困难,且对女孩的不利影响比对男孩更明显。