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残疾不是负担:儿童早期残疾与产妇健康之间的关系取决于家庭的社会经济地位。

Disability Is Not a Burden: The Relationship between Early Childhood Disability and Maternal Health Depends on Family Socioeconomic Status.

机构信息

University of Pennsylvania, Philadelphia, PA, USA.

出版信息

J Health Soc Behav. 2023 Sep;64(3):354-369. doi: 10.1177/00221465231167560. Epub 2023 Apr 25.

Abstract

Narratives rooted in ableism portray disabled children as burdens on their families. Prior research highlights health disparities between mothers of disabled children and mothers of nondisabled children, but little is known about how socio-structural contexts shape these inequities. Using longitudinal data from the Future of Families and Child Wellbeing Study (n = 2,338), this study assesses whether the relationship between early childhood disability and maternal health varies by household socioeconomic status (SES). Findings reveal that, on average, mothers of children disabled by age five report worse health than mothers of nondisabled children; however, this pattern is only evident among lower SES mothers and disappears for higher SES mothers. Contextualizing the findings within the systemic ableism literature highlights how-instead of portraying disabled children as burdens on their families-scholars and policymakers should focus on how ableism and poverty burden disabled people and their families in ways that pattern health risks.

摘要

根植于能力歧视的叙述将残疾儿童描绘成家庭的负担。先前的研究强调了残疾儿童的母亲和非残疾儿童的母亲之间存在健康差距,但对于社会结构背景如何塑造这些不平等现象知之甚少。本研究使用来自家庭未来与儿童福祉研究(n=2338)的纵向数据,评估了儿童在五岁前残疾与母亲健康之间的关系是否因家庭社会经济地位(SES)而异。研究结果表明,平均而言,五岁前残疾儿童的母亲报告的健康状况比非残疾儿童的母亲差;然而,这种模式仅在社会经济地位较低的母亲中明显,而在社会经济地位较高的母亲中则消失。将这些发现置于系统能力歧视文献中,可以清楚地表明,学者和政策制定者不应将残疾儿童描绘成家庭的负担,而应关注能力歧视和贫困如何以影响健康风险的方式给残疾人和他们的家庭带来负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76a0/10486143/e7e8abee1e40/10.1177_00221465231167560-fig1.jpg

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