Abstract
People with disabilities comprise approximately 15% of the world’s population. [...]
Highlights
People with disabilities comprise approximately 15% of the world’s population
The time has come for public health to identify and directly respond to these environmental determinants
Beyond planning, implementing and evaluating interventions, a core activity of public health is the epidemiological task of validly measuring disability across the population and tracking the health, as well as health and disability determinants, of populations
Summary
One of the most persistent challenges in understanding the impact of the environment on disability is the basic epidemiological task of measuring disability phenomena across the population. With regard to concerns about the structure of standard, national disability data collection strategies, Sabariego et al [4] find that the standard method in censuses and population surveys of initially screening a population of ‘the disabled’ by means of basic health characteristics, tends to yield imprecise prevalence rates and classifies persons with mild to moderate disability as non-disabled, they experience significant problems in daily life They describe an alternative approach, recommended in WHO’s World Report on Disability [5], which uses a general population sample to directly measure the lived experience of disability in terms of restrictions of participation, and to define which persons are experiencing mild, moderate and severe disability using a metrical disability scale and cut-offs fit to purpose. This article attracted a response from Madans et al, [6] and Sabariego et al [7]
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