Abstract
The prime purpose of the study was to assess the quality of life of physically disabled adults attending at rehabilitation center in Dhaka city, Bangladesh and to determine the relationship of the type of disability, educational level and relationship with the family with quality of life.Participants were 500 adults with physical disabilities. Thestructured questionnaire consist of WHOQOL-BREF were used as research instruments. When dividing the participants into three groups according to the level of total QOL score, in physical domain majority (96.2%) had fair level QOL score. In psychological domain veryfew(5.4%) had poor level and more than half (53.2%) had fair level QOL score and rest of them had good QOL score (41.4%). more than one third (37.2%) and nearly half(47.0%) had fair and good level respectively whereas rest of them (15.8%) had poor level of QOL in Social domain. In environmental domain a minimum number(3.8%) had poor QOL score but almost half (43.6%) and more than half (52.6%) had fair and good level of QOL score. The Cronbach’s alpha coefficient of WHOQOL-BREF was adequate (0.914) for all 26 questions and for each domain the values are: Physical health domain (0.812), Psychological health domain (0.831), Social relationship domain (0.68) and Environmental health domain (0.78). Statistically significant correlations present between all domains. Mean and percentage of satisfaction rating in DOM1, DOM2 and DOM3 and DOM4 was higher in males than females. There were significant differences found in WHOQOL-BREF score between different education level group, different marital statusgroup,different employment statusgroup, differentincome level group, relationship with family, utilization of primary rehabilitation in four domains and total of WHOQOL-BREF (P < 0.05). multiple linear regression observed that education level and utilization of primary rehabilitation center is most important factor that affects QOL of study population in total and four domains of WHOQOL.The findings from this study confirm that the WHOQOL-BREF questionnaire is a reliable instrument to measure quality of life in disable adults. From the data, it appears that Bangladeshi disable adults have WHOQOL-BREF scores that might be considered to indicate a fair level of quality of life.
 Bangladesh Journal of Medical Science Vol.18(3) 2019 p.607-614
Highlights
Measuring Health related Quality of life and its determinants among physically disabled adults in Bangladesh depending on their families or society and some of them might excluded from many opportunities such as participation in social, economic, political life of the society which makes their life miserable.5,6) People with disabilities are affected by physical health, social relationship and life in the realms of family, friends, and neighbors, psychological state and level of independence and felt-undervalued . 7) physical limitations do not always lower quality of life in the disabled people if they have been helped sufficiently to compensate for their disable condition.8) It can be said that education, employment and rehabilitation and disabled-friendly environment can assure better quality of life for them
The cut-off points of the total QOL score were 26 to 60, 61 to, and to 130.(12) descriptive statistic was performed to explain the personal factor including age, gender, education level, marital status, employment status (Unemployed, employed), income level, relationship with family, utilization of primary rehabilitation center .Quality of Life (QOL) was classified in to three levels according to the score distribution
Among the 500 physical disabilities, only 10% got chance to reach primary school,2.6% had chance to go to high school and above but majority of them(81%) had no education at all (Table 1).Among the 500 physical disabilities, only 10% had chance to get education in high school and above but bachelor degree while rest of them(81%) had no education at all .We found almost similar result of education level of physical disability people at study was conducted in rural Bangladesh.13)Age did not have influence on QOL of physically disabled adults
Summary
More than one billion people are living with some form of disability in this world and among them 0.2 billion have functioning difficulties.1) It is estimated that in Bangladesh disabled population is approximately 16 million that is 10 per cent of total population whereas approximately 10-15% of the world’s population lives with a disability.2-3)A number of study results showed that disability and poverty are intricately linked as both a cause and consequence of each other. 4) Most of the disable people in the world are living with low, inadequate and uncertain income and Measuring Health related Quality of life and its determinants among physically disabled adults in Bangladesh depending on their families or society and some of them might excluded from many opportunities such as participation in social, economic, political life of the society which makes their life miserable.5,6) People with disabilities are affected by physical health, social relationship and life in the realms of family, friends, and neighbors, psychological state and level of independence and felt-undervalued . 7) physical limitations do not always lower quality of life in the disabled people if they have been helped sufficiently to compensate for their disable condition.8) It can be said that education, employment and rehabilitation and disabled-friendly environment can assure better quality of life for them. 9) Our crosssectional study was carried out to examine the quality of life of physically disabled adults in four districts of Bangladesh and to find out it’s determinants. According to the Rehabilitation of Disabled Persons Act A.D. 1991 (B.E. 2534), this study defined physical disability as “a person with obvious abnormality or malfunctioning of the physical condition which makes her/him unable to perform daily routine activities, or a person who has lost her/his ability to move hands, arms, legs, or body as a result of amputation, paralysis or weakness, rheumatic disease, arthritis or chronic pain including other chronic illness caused by body system dysfunction inhibiting her/him to perform daily routine activities or maintain a living like an ordinary person”.10)Study was conducted between May 2010 to May 2011 Those who do not willing to participate the study were excluded from the study. The cut-off points of the total QOL score were 26 to 60 (poor), 61 to (fair), and to 130 (good).(12) descriptive statistic was performed to explain the personal factor including age, gender, education level, marital status, employment status (Unemployed, employed), income level, relationship with family, utilization of primary rehabilitation center .Quality of Life (QOL) was classified in to three levels according to the score distribution.
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