Proportion Of Disabled People Research Articles

РАЗВИТИЕ АДАПТИВНОЙ ФИЗКУЛЬТУРЫ В РОССИИ И ЗА РУБЕЖОМ

Currently, according to the Federal State Statistics Service, the number of disabled people is 11,331 thousand people, the proportion of disabled people in the total population tends to decrease. In this regard, one of the main issues at the present stage is the issue of improving the quality of life of this category of the population, the factor of paramount importance here is the development of adaptive physical education, which performs not only medical, but also socio-psychological functions

Regional peculiarities of disability due to uterine cancer

BACKGROUND: The federal project Fight against oncological diseases for 20182024 has been launched in Russia within the framework of the national project Healthcare. There is significant regional variability in the level and severity of malignant neoplasms (MN), which determines the relevance of studying and monitoring the characteristics of health disorders due to MN in the regions. Disability, as the most important indicator of population health, makes the judgment of the effectiveness of treatment, rehabilitation, and preventive measures possible.
 AIMS: To analyze the dynamics and structure of the disability of the female population due to uterine cancer in the Chechen Republic
 MATERIALS AND METHODS: Units of observation included newly recognized disabled (NRD) and repeated recognized disabled (RRD) due to uterine cancer during the year. The object of the study included a combination of NRD and RRD due to uterine cancer in the Chechen Republic. The analysis was conducted by three age groups of the adult population (young, middle, and old). This epidemiological, retrospective, and evaluative study was conducted from 2014 to 2020 using documentary, data copying, statistical, and graphical research methods.
 RESULTS: The age structure of disability due to uterine cancer revealed 218 (65.5%) elderly, 87 (26.1%) middle-aged, and 28 (8.4%) young females with disabilities. The dynamics by 2020 established that the contingent of young people with disabilities has not significantly changed, with decreased middle-aged and increased elderly females (p=0.0070). The third and second group of disabilities was more often established during the repeated (66.1%) and new (45.6%) examinations, respectively. Concurrently, the proportion of disabled people who were assigned to the first disability group was higher in the RRD cohort. Persistent dysfunctions of the blood system and immune system (100%) in disabled people were accompanied by various types of capacity limitations, with the predominance first degree of their severity. Moreover, a violation of the ability to work of the second degree was diagnosed with a large proportion in the young age segment of the disabled.
 CONCLUSION: Within the framework of the project Fight against oncological diseases for 20182024, considering the regional features of the dynamics and structure of the disability of the female population is necessary due to uterine cancer in the Chechen Republic. The presented results of epidemiological and clinical-expert diagnostics should be used in the development of priority areas of anticancer medical and social activities for the prevention of disability (primary and secondary) due to oncogynecological diseases at the regional healthcare level.

Epidemiological assessment of the prevalence of coxarthrosis according to reports from medical organizations

Background. Coxarthrosis prevalence rates are necessary to assess the socio-economic significance of this pathology and to calculate the need for endoprosthetics. Information about the provision of medical care to patients with coxarthrosis is presented in the reports of various medical organizations, but in state statistical reports at the regional level this nosological form is not taken into account as a separate line.The aim. To estimate the prevalence of coxarthrosis based on the combined use of medical records from various sources in a region with a specialized clinic for prosthetics of large joints.Materials and methods. A retrospective descriptive epidemiological study based on materials from the Irkutsk region for 10 years (2008–2017) was carried out. Three main sources of data on patients with coxarthrosis were used: continuous and randomized samples based on population visits to polyclinics (n = 24 029), information from the bureau of medical and social expertise on disability (n = 19 081) and information from a specialized clinic on total hip arthroplasty (THAP) (n = 6227). The dynamics of indicators by years, the distribution of patients by sex, age and groups of disabilities have been analyzed. Regional indicators of incidence and prevalence of coxarthrosis were calculated based on extrapolation of sample data.Results. The following average annual regional indicators for patients with coxarthrosis were calculated: primary visits to polyclinics (incidence) – 73.8 (71.9–75.7) with a frequency of visits 1.9 times a year, the frequency of THAP operations – 3,3 (3,0÷3,6), disability – 10.1 (10.0÷10.3). The median age of patients at the initial visit was 61 years (Q1 = 46; Q3 = 76). The proportion of men among different groups of patients ranged from 41 to 44%, the proportion of disabled people among patients of the polyclinic and surgical hospital – from 45.2 to 47.1%. The estimated prevalence of coxarthrosis among the adult population was 413.5 (410,6÷416,4) / 10000.Conclusions. The epidemiological analysis algorithm described in the article is proposed as the first stage in assessing the social and economic significance of coxarthrosis and the regional need for arthroplasty of large joints.

The spectrum of vital activity restrictions in disabled people due to thyroid cancer

BACKGROUND: The most common malignant neoplasm of the endocrine system is thyroid cancer. In Russia, as in other countries of the world, the incidence rate is steadily increasing. Thus, it is extremely important to assess the problem of health disorders due to thyroid cancer within the framework of socially significant disability caused by malignant neoplasms in the Russian Federation.
 AIMS: To analyze the spectrum of types and degree of disability in people with disabilities due to thyroid cancer.
 MATERIAL AND METHODS: The article presents the results of the analysis of the spectrum of the main types of disability in the general contingent of disabled people due to thyroid cancer among the adult population of Moscow (20152019).
 RESULTS: The dynamics of disability both in the contingent of first recognized and in the contingent of re-recognized disabled people (VPI and PPI) was characterized by an increase in the number of disabled people and the transformation of the structure of general disability. There is a clear change in the ratio towards an increase in the share of PPI from 55.1% in 2015. up to 68.0% in 2019, while the share of VPI decreased from 44.9% in 2015 to 32.0% in 2019. The predominant gender cohort was women, and the age category was the elderly. The main types of life restrictions were the restriction of the ability to self-serve (98.6% of the VPI and 97.9% of the PPI), to work (94.7% of the VPI and 94.6% of the PPI) and to move (21.3% of the VPI, 21.8% of the PPI). A low proportion of restrictions on the ability to control ones behavior, learning, communication and orientation was revealed (0.31.2%). The first degree of disability prevailed in the contingents of VPI and PPI (p 0.0001). In the contingent of men, the proportion of disabled people with the third degree of disability was higher compared to the contingent of women.
 CONCLUSION: Dynamic assessment of the degree of severity of functional disorders and associated life restrictions should be carried out at all stages of medical and social rehabilitation in order to monitor the effectiveness of medical and rehabilitation measures, assess the quality of life and prevent progression (secondary prevention of disability).

Statistical analysis of children with disabilities with obesity for 2018-2019 in the Republic of Mordovia

Background. Disability is one of the most important medical and social problems. According to the latest data, more than 1 billion people in the world are disabled according to WHO data in 2016, more than 1.9 billion adults aged 18 and older were overweight, of which more than 650 million were obese (11% of men and 15% of women). According to WHO, it is expected that children with obesity will increase to 70 million by 2025. Obesity in early childhood it is most severe and less treatable, and can also lead to serious complications: hypertension, diabetes, metabolic syndrome, and other diseases. The aim: we believe that the study of the population of disabled people due to various diseases with obesity in various nosologies is important for the development of comprehensive measures for the prevention of morbidity, early diagnosis and rehabilitation of this group of people. Materials and methods. We conducted a comprehensive study of children with the status of disabled child and initially examined in the ITU Bureau No. 4 for the Republic of Mordovia. The study group included overweight and obese children with various diseases. Information from the statistical collections of Rosstat and approved forms of state statistics No. 7-Sobes for 2019 were also included. Results. In 2019, 1065 children were examined in 4 bureaus of the ITU RM; of these, 730 children were examined to determine the category of disabled child, which was 68.5% (first: 262; 35.9%, second: 468; 64.1%). The largest proportion of children recognized as disabled for the first time is young children from 0 to 3 years (45,2%). In the structure of primary disability of this age category, congenital malformations account for 31% (28 people out of 90). The proportion of disabled people in the age category from 4 to 7 years is 16.5%. The proportion of disabled people in the age group 15 years and older is 9.5%. The first place is occupied by diseases of the endocrine system (42.1%), the second by diseases of the musculoskeletal system (26.3%). The largest number of patients with primary examination are obese with disorders of neuromuscular, skeletal and movement-related (statodynamic) functions ― 10 children (5%); with disorders of the cardiovascular system ― 8 children (4%); and disorders of the endocrine system ― 7 children (3.5%). When re-examining children with various pathologies, the ranking places are occupied by violations of the same functions ― neuromuscular (6.1%), cardiovascular (3.7%), endocrine (2.5%). In other persistent disorders of body functions, there are also obese patients in both groups, but their number is very small. Conclusions. When monitoring for 20182019, we see an increase in the number of obese children with various functional disorders. Most often, obese children recognized as disabled are found in groups with impaired statodynamic and cardiovascular functions, most likely this is due to restricted movement. And such patients are recommended to follow the principles of a healthy diet more carefully, no matter what aggravates the existing condition. And thus, in a short time to carry out all the necessary rehabilitation measures and in some cases reduce the period of disability.

Team-based primary care program for disabled people and changes in rate of unmet health care needs.

Few studies have been conducted on the application of specific and practical methods, such as interventions, for reducing the unmet health care needs (UHCN) of disabled people. The study aims to evaluate the impact of the team-based primary care program (TPCP) for disabled people on UHCN. In 2017, we surveyed 696 disabled people who were enrolled in the TPCP at one of the 11 institutions belonging to the Korea Health Welfare Social Cooperative Federation from 2015 to 2017 to assess their unmet needs before and after enrolment. We conducted a logistic regression analysis before and after the program to evaluate the relationship between participation period and unmet needs after adjusting for physician type, gender, age, drinking, monthly income, disability type, personal assistance services and living alone. After using the service, the proportion of disabled people with unmet needs decreased from 42.9% to 20.4% for a medical doctor and 43.6% to 18.6% for a Korean medical (KM) doctor. After adjusting for related factors and stratifying with type of physician, the proportion of disabled people with unmet needs decreased significantly in response to the participation period for the medical doctor-involved program (P-trend < 0.001); this was not observed in the KM counterpart (P-trend = 0.6). The TPCP for disabled people provides disease prevention, health care and health promotion activities and is crucial for solving the unmet needs.

Main Trends in Formation of the General Neurological Disability among People Older than Working Age in Moscow

The article presents an analysis of the formation of general disability among persons older than working age due to diseases of the nervous system in Moscow. Introduction. Disability among the population – one of the most important medical and social problems – is an integral indicator. The purpose of the study is to study the patterns of the formation of general disability. Materials and methods. The study is solid for 2012–2018, using statistical forms of observation: form 7-sobes, statistical collections of THE Federal Security Service of the Russian Ministry of Labour. Research methods – excavation of information, descriptive statistics (absolute, extensive, intense indicators, series of dynamics, reliability assessment (average error). The results of the study. There has been an increase in the overall number of disabled people with a more pronounced growth rate in Moscow compared to the Central Federal District and the Russian Federation. The structure of general disability due to diseases of the nervous system was dominated by re-recognized persons with disabilities, but their share is lower than in the Central Federal District and the Russian Federation. The structure was dominated by disabled people in the third group with a tendency to increase their specific weight and disability, and there was a decrease in the proportion of disabled people in the I–II group and their levels. Conclusions. The total number of disabled persons among persons of older working age due to diseases of the nervous system in the dynamics of 2012–2018 has steadily increased, the growth rate was 18.6%, which is significantly higher than in the Central Federal District (4.1%) and the Russian Federation (8.2%). The structure was dominated by persons re-recognized as disabled, their share in the dynamics tended to increase, but the figure was lower than in the Central Federal District and the Russian Federation. The general population of persons with disabilities remained at 6,5 ± 0.11 cases per 10,000 of population of the appropriate age. The structure of general disability in severity was dominated by group III persons with disabilities, with a tendency to increase their specific weight and disability level. The proportion of persons with group I–II disabilities and their level tended to decrease

Analysis of the Needs of the Visually Impaired in the Social Rehabilitation Services and Technical Means of Rehabilitation According to the Medical and Sociological Research

Purpose: to conduct an analysis of the needs for social rehabilitation services and technical means of rehabilitation for visually impaired people in St. Petersburg. Materials and methods. A medical-sociological study was carried out on a specially developed questionnaire, which makes it possible to analyze the needs of the visually impaired in socio-rehabilitation activities and technical means of rehabilitation. Also, the official state statistical reporting data were used: «forms 7-sobes» for 2015–2016. The study included 250 people. at the age of 18–80 years, who had a disability in sight. Results. The overwhelming majority of visually impaired people (98.4 %) have disabilities of groups I and II. The proportion of disabled people in group II is the highest and amounts to 62.2 %, the proportion of disabled people in group III is the lowest — 1.6 %. Among the total number of employees, the greatest share was occupied by the disabled of the I group (41.7 %), more than half of whom (54.9 %) had no professional education. The majority of visually impaired people (62.8 %) preferred to receive social and rehabilitation services in a center specialized in the Center for Medical and Social Rehabilitation of the Visually Impaired in St. Petersburg. The need for sanatorium treatment for disabled people was significant — 73.2 %, but it was satisfied in 7.2 %. It is established that the real needs of the visually impaired in various types of technical means of rehabilitation are much greater than those suggested in the «Federal List of Rehabilitation Measures, Technical Remedies and Services Provided to the Disabled». In St. Petersburg, about 50.0 % of the visually impaired need high-tech rehabilitation equipment, for example, in a mobile phone, computer or laptop, etc. But due to their absence in the federal and regional lists, they are forced to purchase at their own expense. The conclusion. It is advisable to provide social and rehabilitation services for visually impaired people on the basis of specialized centers (departments) that have a more diverse set of services for the most complete satisfaction of their needs. The needs for sanatorium treatment are minimally satisfied, which makes it necessary to improve the system of organization of sanatorium-and-spa treatment. For the visually impaired, the need for technical means of rehabilitation is satisfied at 75.0 %, which is the basis for considering the issue of expanding the range of the Federal List.

MEDICO-SOCIAL CHARACTERISTIC OF DISABILITY DUE TO KONTENGENT EYE DISEASES GIVEN NOSOLOGICAL FORMS IN MOSCOW

The article analyzes the structure of disability due to eye diseases, taking into account the nosological form in Moscow for a retrospective analysis the paper used the data form № 7-SBEs, statistical collections of the Federal Bureau of medical and social expertise of the Ministry of labor of Russia and statistical collections of Rosstat. The unit of observation for the first time and re-recognized as disabled due to diseases of the eye. The research is complete. Statistical processing of the study data was carried out using the software Statmed - 2010. The analysis of the contingent of disabled people showed that the largest proportion of disabled people were due to glaucoma (36%), the second place in the structure of disability is retinal disease (31%), the third place is degenerative myopia - (17%), the fourth place - diseases of the optic nerve (10%) and the fifth place - disabled due to corneal pathology (3%).

Disability in Elderly People due to Hypertensive Disease in the Russian Federation

The article presents the results of the analysis of the epidemiology of primary disability of the adult population in the Russian Federation for 12 years (2005-2016). During this period, 6.6 million elderly people (56,8% of the total number of people with disabilities) were recognized as invalids. The leading cause of disability in the structure of primary disability among elderly people is 68,5%. HD retains leading positions as the most important factor of disability of the population. Negative tendencies of primary disability due to this socially significant pathology are associated with the demographic situation of population aging. In the contingent of people with disabilities due to hypertension, the proportion of elderly disabled is 43,4%, while the proportion of disabled people of middle and young age is less - 29,1 and 27,4%, respectively. Medical institutions should be prepared to work with a growing contingent of the elderly population, to increase the availability and quality of medical care for patients and people with disabilities due to HD, one of the most common and prognostically unfavorable pathologies that impose a limitation on vital activity.

Medical and social charactristics of disability in Ukraine to multiple sclerosis

Objective: to study the indicators of primary and secondary disability due to multiple sclerosis (MS) among people of working age in Ukraine. Material and methods. According to the materials of medical and social expert commissions of 20 regions of Ukraine, information was received for 18157 people of working age recognized as disabled due to MS in 2009-2013. Primary disability was established in 3103, repeated — in 15054 people. The general contingent of invalids is calculated taking into account their age, sex, severity of disability, territorial affiliation. Results. The total number of newly recognized disabled due to MS in 2013 increased by 21.9% to 689 people compared with 565 in 2009. High levels of primary disability were registered in Ivano-Frankivsk (0.48), Vinnytsia (0.47) oblasts; low — in the Kherson (0.20) and Zacarpathian (0.21). In the structure of primary disability overweight women accounted for 65.6%. Young people made up a significant part of the disabled (77.4%). In the age categories of 24-34 years and 35-44 years, their share was the largest. The severity of primary disability due to MS was not pronounced. Disabled were III (67.8%) and II groups. The proportion of disabled people in group I was 5.2%. With increasing age, the proportion of people with severe disabilities increases. In the structure of primary disability, women predominate, while the severity of their disability was somewhat greater than in men. The total number of re-recognized as disabled due to MS in 2013 was 3063 people and compared to 2009 increased by 12.3%. The intensive indicator increased from 1.51 to 1.7 per 10000 population. The highest levels of re-disability from 2009 to 2012 were registered in Ternopil (3,67, 2,97, 3,0, respectively), in 2013 in the Ivano-Frankivsk region (2,97), the lowest in Kiev (0,35). In the structure of repeated disability due to MS, as in the case of primary disability, the greatest proportion was made up of people with disabilities of group III (51.5%). From 2009 to 2012 the proportion of people with severe (group I) disability increased from 18.2 to 21.4%, and in 2013 decreased to 16.3%. The proportion of disabled people in group II has changed insignificantly — from 35.8 to 32.2%.In all groups of disability women predominate, while their share decreases with increasing its severity. Among men, there is a reverse trend. Conclusions. The total number of newly recognized disabled due to MS in Ukraine in 2009-2013 increased by 24.1%. The level of primary disability rose from 0.29 to 0.36 per 10000 population. The severity of primary disability was moderate, the invalids of group III (67.8%) and group II (27.0%) prevailed. The proportion of people with severe disability was (I group) 5.2%. The number of persons re-recognized as disabled due to MS increased by 20.5%. The rate of repeated disability increased from 1.51 to 1.70 per 10,000 population. In the structure of both primary (65.6%) and repeated (63.8%) disability prevailed, women, with the severity of disability they were less pronounced than among men. With increasing age, the proportion of people with severe disabilities increases.

Alternative spaces of ‘work’ and inclusion for disabled people

Western governments have emphasized paid work as a key route to social inclusion for disabled people. Although the proportion of disabled people in ‘mainstream’ employment has increased in recent decades, rates remain significantly below those for non-disabled people. Moreover, disabled workers continue to face discrimination and a lack of workplace accommodation. This paper critically examines the potential of three alternatives to the current situation. First, how might stronger ties between disabled workers and the labour movement allow for greater control over the nature of mainstream work? Second, can more enabling work opportunities be created beyond the ‘mainstream’ in social economy organizations? Finally, how might other forms of unpaid and creative work usefully challenge the dominance of paid employment as a route to social inclusion?

Preguntas y respuestas

Social statistics indicate that the proportion of disabled people in the economically developed societies of the Western world is increasing. Thus more and more people are relying on special assistance and services. Environmental pollution and individual stress pose significant burdens to the majority of the constantly increasing urban population, especially the disabled, because they are dependent on suitable environments to serve their needs. These problems need to be remedied through planning and management. An empirical survey of the Isle of Mainau, located on Lake Constance in Southern Germany, shows that people with officially recognised disabilities feel stigmatised by green space that is specially designed for visitors with handicaps. People with lighter handicaps would like to have more attention and services rendered to them. ‘Standard users’, particularly those of higher income with better education, are reluctant to concede the entire island park's design and infrastructure to accommodate the needs of disabled visitors.

Public green space and disabled users

Social statistics indicate that the proportion of disabled people in the economically developed societies of the Western world is increasing. Thus more and more people are relying on special assistance and services. Environmental pollution and individual stress pose significant burdens to the majority of the constantly increasing urban population, especially the disabled, because they are dependent on suitable environments to serve their needs. These problems need to be remedied through planning and management. An empirical survey of the Isle of Mainau, located on Lake Constance in Southern Germany, shows that people with officially recognised disabilities feel stigmatised by green space that is specially designed for visitors with handicaps. People with lighter handicaps would like to have more attention and services rendered to them. ‘Standard users’, particularly those of higher income with better education, are reluctant to concede the entire island park's design and infrastructure to accommodate the needs of disabled visitors.

Health inequalities across socio-economic groups: comparing geographic-area-based and individual-based indicators

To compare health inequality estimates obtained with different types of indicators of socio-economic status (SES), and study whether some of these are better predictors of health status, as indicated by observed disability data, than others. Australian data were used to compare the use of the geographically based Socio-economic Index for Areas (SEIFA) in health inequality studies with two individual-based SES indicators able to account for family income and size. Inequalities in disability prevalences by SES were measured using age-standardized rate ratios. Logistic regression was used to determine which type of SES measure is a better predictor of the observed disability prevalences. Estimates of health inequalities obtained with the SEIFA were considerably lower than those obtained with the individual-based SES indicators. With the SEIFA, the proportion of disabled people amongst the most disadvantaged 20% of Australians was estimated to be 82% higher than amongst the most advantaged 20%, compared with over 150% with the individual-based SES measures. Also, the individual-based indicators were considerably better predictors of observed disability status than the SEIFA. An individual-level SES indicator, such as one based on family income, is a better predictor of people with a disability than a geographic-area-based index. Also, the main reason for the considerably lower inequality estimates obtained with the SEIFA is that, unlike the individual-based indicators, such location-based indices cannot account for the significant, often age-related variations in SES that exist amongst people living in a particular area.

Disability, Life Narrative, and Representation

Disability is an inescapable element of human existence and experience. Although it is rarely acknowledged as such, it is also a fundamental aspect of human diversity. It is so, first, in the sense that, worldwide, an enormous number of people are disabled. The proportion of disabled people in different national populations varies significantly with factors such as economic development, quality and availability of health care, and the age distribution of the population. (In the United States, people with disabilities make up the population's largest minority: Census 2000 found nearly twenty percent of the population over five years of age to be affected by some sort of disability [United States, Census Bureau].) Furthermore, because of the way this minority is constituted, it is arguably more diverse than those of race, gender, class, and sexual orientation. Disabilities may affect one's senses or one's mobility; they may be static or progressive, congenital or acquired, formal (affecting the shape of the body) or functional, visible or invisible.