Lindsay Sally, Phonepraseuth Janice, Leo Sarah
Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada.
Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, Ontario, Canada.
Disabil Rehabil. 2025 Jul;47(15):3822-3840. doi: 10.1080/09638288.2024.2438999. Epub 2024 Dec 10.
Children with disabilities and their families are more likely to live in poverty than those without a disability. However, little is known about their lived experiences and the circumstances that influence their socio-economic condition. The aim of this study was to understand the experiences and factors affecting poverty among families raising children with disabilities.
A scoping review was conducted while searching eight international databases (Embase, Healthstar, Medline, PsycINFO, Econlit, Scopus, Web of Science, and Sociological Abstracts). About 2351 articles were independently screened, and 48 studies met the inclusion criteria.
The 48 studies included in the review involved 18 countries over a 26-year period. Our findings highlight the following key trends: (1) rates and extent of poverty, (2) types of poverty (i.e., material hardship, cost burdens, food insecurity), and (3) factors affecting poverty among children and youth with disabilities and their families (i.e., type and severity of disability, age, race/ethnicity, single-parent households, employment status, education, financial supports, type of health insurance, and community and societal factors).
There is an urgent need for anti-poverty policies, interventions and resources to help support families raising a child with a disability.
残疾儿童及其家庭比无残疾儿童及其家庭更易陷入贫困。然而，对于他们的生活经历以及影响其社会经济状况的环境却知之甚少。本研究的目的是了解抚养残疾儿童的家庭中贫困的经历和影响因素。
在检索八个国际数据库（Embase、Healthstar、Medline、PsycINFO、Econlit、Scopus、科学引文索引和社会学摘要）的同时进行了一项范围综述。约2351篇文章被独立筛选，48项研究符合纳入标准。
综述纳入的48项研究涉及18个国家，时间跨度为26年。我们的研究结果突出了以下关键趋势：（1）贫困率和贫困程度；（2）贫困类型（即物质困难、成本负担、粮食不安全）；（3）影响残疾儿童及其家庭贫困的因素（即残疾类型和严重程度、年龄、种族/民族、单亲家庭、就业状况、教育程度、经济支持、医疗保险类型以及社区和社会因素）。
迫切需要制定反贫困政策、干预措施和资源，以帮助支持抚养残疾儿童的家庭。
