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Quality of Life of People with Physical Disabilities in a Rural Block of Tamil Nadu, India

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Abstract

Poor participation in society, stigma and discrimination can contribute to poor life satisfaction and quality of life among people with disabilities. This study aimed to assess the quality of life of people with physical disabilities. A total of 203 individuals with physical disabilities were sampled through simple random sampling method from the people with disabilities registry in Kaniyambadi, a rural block in Tamil Nadu, India. Quality of life was measured using the WHO QOL-BREF. Severity of disability was assessed using the WHO DAS 2.0. Of the persons with physical disabilities, 37.5% rated their quality of life as poor and 92.4% experienced negative feelings often. Dissatisfaction about health was present among 35% of the individuals. Acquired disability and severe disability were significantly associated with lower scores in the physical and psychological domain of quality of life. Being single, belonging to poor socio-economic status and having severe disability were factors which were significantly associated with lower scores in the social and environmental domain of quality of life. Marital and socio-economic status significantly impacts the social and environmental domain of quality of life of people with disabilities. National programmes on disability should target on provision of inclusive educational and occupational opportunities with the aid of assistive technologies for people with disabilities, for improvement of quality of life.

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References

  1. Albrecht GL, Devlieger PJ. The disability paradox: high quality of life against all odds. Soc Sci Med. 1999;48(8):977–88.

    Article  PubMed  Google Scholar 

  2. WHO | Disabilities (Internet). WHO Health topics. 2016 (cited 2016 Aug 27). http://www.who.int/topics/disabilities/en/.

  3. Christensen K, Doblhammer G, Rau R, Vaupel JW. Ageing populations: the challenges ahead. Lancet. 2009;374(9696):1196–208.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Wolbring G, Mackay R, Rybchinski T, Noga J. Disabled people and the post-2015 development goal agenda through a disability studies lens. Sustainability. 2013;5(10):4152–82.

    Article  Google Scholar 

  5. Some facts about persons with disabilities (Internet). UN Web services section; 2006 (cited 2016 Aug 27). http://www.un.org/disabilities/convention/facts.shtml.

  6. Galloway S, Bell D, Hamilton C, Scullion AC. Well-being and quality of life: measuring the benefits of culture and sport—a literature review and think piece (Internet). Edinburgh, UK: Scottish Government; 2006 (cited 2016 Oct 21). http://www.scotland.gov.uk/Resource/Doc/89281/0021350.pdf.

  7. Levasseur M, Tribble DS, Desrosiers J. Analysis of quality of life concept in the context of older adults with physical disabilities. Can J Occup Ther. 2006;73(3):163–77.

    Article  PubMed  Google Scholar 

  8. Brown RI, Brown PM, Bayer MB. A quality of life model: new challenges arising from a six year study. Quality of life for persons with disabilities: international perspectives and issues. Cambridge: Brookline; 1994. p. 39–56.

    Google Scholar 

  9. Viemero V, Krause C. Quality of life individuals with physical disabilities. Psychother Psychosom. 1998;67(6):317–22.

    Article  PubMed  Google Scholar 

  10. Kuvalekar K, Kamath R, Ashok L, Shetty B, Mayya S, Chandrasekaran V. Quality of life among persons with physical disabilities in Udupi Taluk: a cross sectional study. J Family Med Prim Care. 2015;4(1):69–73. doi:10.4103/2249-4863.152258.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Albrecht GL, Higgins PC. Rehabilitation success: the interrelationships of multiple criteria. J Health Soc Behav. 1978;18(1):36–45.

    Article  PubMed  Google Scholar 

  12. Oberoi SS. Updating income ranges for Kuppuswamy’s socio-economic status scale for the year 2014. Indian J Public Health. 2015;59(2):156.

    Article  PubMed  Google Scholar 

  13. WHOQOL-BREF: Introduction, administration, scoring and generic version of the assessment: field trial version, Dec 1996 (Internet). WHO. IRIS. (cited 2014 Sep 21). http://apps.who.int/iris/handle/10665/63529?mode=full&submit_simple=Show+full+item+record.

  14. Hawthorne G, Herrman H, Murphy B. Interpreting the WHOQOL-Brèf: preliminary population norms and effect sizes. Soc Indic Res. 2006;. doi:10.1007/s11205-005-5552-1.

    Google Scholar 

  15. Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, David B, Lauque S. The mini nutritional assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition. 1999;15(2):116–22.

    Article  PubMed  Google Scholar 

  16. Garin O, Ayuso-Mateos JL, Almansa J, Nieto M, Chatterji S, Vilagut G, et al. Validation of the “World health organization disability assessment schedule, WHODAS-2” in patients with chronic diseases. Health Qual Life Outcomes. 2010;19(8):51.

    Article  Google Scholar 

  17. Buz J, Cortés-Rodríguez M. Measurement of the severity of disability in community-dwelling adults and older adults: interval-level measures for accurate comparisons in large survey data sets. BMJ Open. 2016;. doi:10.1136/bmjopen-2016-011842.

    PubMed  PubMed Central  Google Scholar 

  18. Üstün TB, Chatterji S, Kostanjsek N, et al. Developing the world health organization disability assessment schedule 2.0. Bull World Health Organ. 2010;88(11):815–23. doi:10.2471/BLT.09.067231.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Abu-Habib L. Gender and disability: women’s experience in the Middle East. Policy and practice. London: Oxfam GB; 1997. ISBN 9780855983635.

    Book  Google Scholar 

  20. Welfare of differently abled persons. Government of Tamil Nadu. 2017. (cited 2017 June 15). http://www.tn.gov.in/department/35.

  21. Schulz CH. Collaboration in the marriage relationship among persons with disabilities. Disabil Stud Q. 2008;21(1):4 (ISBN 2159-8371).

    Google Scholar 

  22. Literacy Rate of India - Population Census 2011 (Internet). (cited 2014 Sep 22). http://www.census2011.co.in/literacy.php.

  23. Scheme of integrated education for the disabled children (Internet). Schemes and facilities provided by the central Government. (cited 2016 Nov 5). http://ayjnihh.nic.in/aw/awareness/schemes5.html.

  24. Destitute Physically Handicapped Pension Scheme (Internet). Government of Tamil Nadu. Directorate of Social Welfare and Nutritious Meal Programme. (cited 2014 Sep 20). http://www.tn.gov.in/scheme/data_view/43990.

  25. Sharma U, Das A. Inclusive education in India: past, present and future. Support Learn. 2015;30(1):55–68. doi:10.1111/1467-9604.12079.

    Article  Google Scholar 

  26. O’Donnell O. The effect of disability on employment allowing for work incapacity (Internet). Department of Economics, University of Kent; 1998 (cited 2014 Sep 7). http://ideas.repec.org/p/ukc/ukcedp/9813.html.

  27. Samuel P, Antonisamy B, Raghupathy P, Richard J, Fall CH. Socio-economic status and cardiovascular risk factors in rural and urban areas of Vellore, Tamilnadu, South India. Int J Epidemiol. 2012;41(5):1315–27.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Jacob ME, Abraham S, Surya S, Minz S, Singh D, Abraham VJ, et al. A community health programme in rural Tamil Nadu, India: the need for gender justice for women. Reprod Health Matters. 2006;14(27):101–8.

    Article  PubMed  Google Scholar 

  29. Elwan A. Disability—Poverty and Disability (Internet). Social protection, World Bank; 1999 (cited 2014 Sep 4). http://books.google.co.in/books/about/Poverty_and_Disability.html?id=DbuZNAAACAAJ&redir_esc=y.

  30. Barnes C. Discrimination against disabled people (causes, meaning and consequences) or the sociology of disability (Internet). 1985 (cited 2014 Sep 7). http://disability-studies.leeds.ac.uk/files/library/Barnes-bcodp.pdf.

  31. Drobnic S, Beham B, Prag P. Good job, good life? Working conditions and quality of life in Europe. Soc Indic Res. 2010;99(2):205–25.

    Article  Google Scholar 

  32. King B. Quality of life after stroke. Stroke. 1996;27:1467–72.

    Article  PubMed  Google Scholar 

  33. Amundson R. Quality of life, disability, and hedonic psychology. J Theor Soc Behav. 2010;40:374–92. doi:10.1111/j.1468-5914.2010.00437.x.

    Article  Google Scholar 

  34. Bakula MA, Kovacević D, Sarilar M, Palijan TZ, Kovac M. Quality of life in people with physical disabilities. Coll Antropol. 2011;35(2):247–53.

    PubMed  Google Scholar 

  35. Community Based Rehabilitation: CBR Guideline: WHO; 2010. http://apps.who.int/iris/bitstream/10665/44405/9/9789241548052_introductory_eng.pdf.

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Acknowledgements

This study was funded by Fluid research grants, Christian Medical College, Vellore.

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Correspondence to Nancy Angeline Gnanaselvam.

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Gnanaselvam, N.A., Vinoth Kumar, S.P. & Abraham, V.J. Quality of Life of People with Physical Disabilities in a Rural Block of Tamil Nadu, India. J. Psychosoc. Rehabil. Ment. Health 4, 171–177 (2017). https://doi.org/10.1007/s40737-017-0095-8

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  • DOI: https://doi.org/10.1007/s40737-017-0095-8

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