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Conceptual and measurement issues in assessing disability cross-nationally: Analysis of a WHO-sponsored survey of the disablement process in Indonesia

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Abstract

The World Health Organization, in collaboration with the Indonesian Institute of Health Research and Development, conducted a survey of disability in 14 of 24 Indonesian provinces. This survey was designed to assess the validity of the disablement process as described in WHO's (1980) classification of impairments, disabilities, and handicaps. We analyzed these data with a multivariate procedure which simultaneously identifies subgroups in the surveyed population and the typical attributes of those subgroups. The purpose of the analysis was to (a) determine the association of basic patterns of physical and psychological impairments with disabilities (limitations of the ability to perform certain functions) and handicaps (limitations in the ability to fulfill social roles); (b) assess how those disabilities and handicaps were expressed in urban and rural contexts in a developing country, and (c) determine how the relation of impairments with disabilities and handicaps varied with age.

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References Cited

  • Clive, J., M. A. Woodbury, and I. C. Siegler 1983 Fuzzy and Crisp Set-Theoretic-Based Classification of Health and Disease: A Qualitative and Quantitative Comparison. Journal of Medical Systems 7: 317–322.

    Google Scholar 

  • Eisenbeis, R. A. and R. B. Avery 1972 Discriminant Analysis and Classification Procedures. Lexington, Mass.: Lexington Books, D. C. Heath.

    Google Scholar 

  • Koizumi, A. 1982 Toward a Healthy Life in the 21st Century. Chapter 6 in Population Aging in Japan: Problems and Policy Issues in the 21st Century. Nihon, Japan: Nihon University Population Research Institute.

    Google Scholar 

  • Manton, K. G. 1986 Population Impact of Breakthroughs in Biomedical Technologies for Controlling Mortality and Fertility. Chapter 7 in Technological Perspectives and Population Trends, T. J. Espenshade and G. J. Stolnitz, eds. Westview Press, forthcoming.

  • Manton, K. G., K. Liu, and E. Cornelius 1985 An Analysis of the Heterogeneity of U.S. Nursing Home Patients. Journal of Gerontology 40: 34–46.

    Google Scholar 

  • Manton, K. G. and B. J. Soldo 1985 Dynamics of Health Changes in the Oldest Old: New Perspective and Evidence. Milbank Memorial Fund Quarterly 63: 206–285.

    Google Scholar 

  • Manton, K. G. and J. C. Vertrees 1984 Use of Grade of Membership Analysis to Evaluate and Modify Diagnosis Related Groups. Medical Care 22: 1067–1082.

    Google Scholar 

  • Minaker, K. L. and J. W. Rowe 1985 Health and Disease among the Oldest Old: A Clinical Perspective. Milbank Memorial Fund Quarterly 63: 324–349.

    Google Scholar 

  • Wilkins, R. and O. Adams 1983 Healthfulness of Life: A Unified View of Mortality, Institutionalization and Noninstitutionalized Disability in Canada, 1978. Montreal: Institute for Research on Public Policy.

    Google Scholar 

  • World Health Organization 1980 International Classification of Impairments, Disabilities and Handicaps: A Manual of Classification Relating to the Consequences of Disease. Geneva, Switzerland: World Health Organization.

    Google Scholar 

  • World Health Organization 1984 The Uses of Epidemiology in the Study of the Elderly. Report of a WHO Scientific Group on the Epidemiology of Aging. Technical Report Series 706. Geneva, Switzerland: WHO.

    Google Scholar 

  • Woodbury, M. A., J. Clive, and A. Garson 1978 Mathematical Typology: A Grade of Membership Technique for Obtaining Disease Definition. Computers and Biomedical Research 11: 227–298.

    Google Scholar 

  • Woodbury, M. A. and K. G. Manton 1982 A New Procedure for Analysis of Medical Classification. Methods of Information in Medicine 21: 210–220.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Duke University Center for Demographic Studies, 2117 Campus Drive, 27706, Durham, NC, U.S.A.

    Kenneth G. Manton

  2. World Health Organisation, 1211, 27, Geneva, Switzerland

    J. E. Dowd

  3. Dept of Community and Family Medicine, Duke University Medical Center, 27710, Durham, NC, U.S.A.

    Max A. Woodbury

Authors
  1. Kenneth G. Manton
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  2. J. E. Dowd
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  3. Max A. Woodbury
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Additional information

Drs. Manton's and Woodbury's efforts in this research were supported by HCFA grant no. 18-C-98641, NIA grant AG01159 and NSF grant no. SES 8219315.

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Manton, K.G., Dowd, J.E. & Woodbury, M.A. Conceptual and measurement issues in assessing disability cross-nationally: Analysis of a WHO-sponsored survey of the disablement process in Indonesia. J Cross-Cultural Gerontol 1, 339–362 (1986). https://doi.org/10.1007/BF00118731

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