Abstract
ABSTRACTOBJECTIVE:To examine the associations between sociodemographic, health and disability-related factors and the perception of environmental barriers outside the home environment by individuals with permanent disabilities in Mexico.METHODS:In this cross-sectional, population-based study, we used data from the 2010 National Survey of Perceptions of Disability in the Mexican Population of 2,041 participants older than 18 with permanent disability. The perceptions of barriers take into consideration the challenges of getting around and using transportation outside the home environment. The covariates consisted of sociodemographic, health-related and disability-related factors. Multivariate logistic regression was used.RESULTS:The perception of environmental barriers outside the home environment was associated with being a woman, living in an urban area, speaking an indigenous language, experiencing emotional symptoms, having walking/movement, visual or self-care disabilities, having severe/extreme disability, having disability caused by illness, using physical devices, and receiving assistance and care in the home environment.CONCLUSIONS:This information is valuable for the design of public policies and programs that promote the participation of individuals with permanent disabilities, a high-priority issue in low- and middle-income countries.
Highlights
According to the International Classification of Functioning, Disability, and Health (ICF), disability is the result of a complex relationship between a person’s state of health and his or her personal, contextual, and environmental characteristics, including the circumstances in which he or she lives[1,2]
The perception of environmental barriers outside the home environment was associated with being a woman, living in an urban area, speaking an indigenous language, experiencing emotional symptoms, having walking/movement, visual or self-care disabilities, having severe/extreme disability, having disability caused by illness, using physical devices, and receiving assistance and care in the home environment
This information is valuable for the design of public policies and programs that promote the participation of individuals with permanent disabilities, a high-priority issue in low- and middle-income countries
Summary
According to the International Classification of Functioning, Disability, and Health (ICF), disability is the result of a complex relationship between a person’s state of health and his or her personal, contextual, and environmental characteristics, including the circumstances in which he or she lives[1,2]. Environmental factors make up the physical, social and attitudinal environment in which people live, including accessibility barriers and social policies, and can affect the performance of an individual’s day-today activities in negative or positive ways[1,3,4,5]. These barriers include all the factors in a person’s environment that, due to their absence or presence, limit functioning and create disability[1]. Individuals with disabilities who experience environmental barriers are at higher risk of accidents, including falls and fractures[15,16,17]; are less physically active[18,19]; spend more time at home; are more likely to be overweight and obese[20]; and are more likely to experience chronic illnesses[15,21,22,23]
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