Disability and poverty: two related conditions. A review of the literature

Pinilla-Roncancio, Mónica

doi:10.15446/revfacmed.v63n3sup.50132

Cited by 46 publications

(44 citation statements)

References 33 publications

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“…26 The low-income population may experience food insecurity and may have difficulties paying for medical care leading to functional limitation, while on the other hand, individuals with activity limitation may experience social discrimination, which leads to exclusion in education and employment. 26 Despite Malaysia having achieved an upper-middle income status with an average monthly household income of RM6000, few older persons are in employment, while pension income is limited to the select few who worked for the government. 27 Therefore, a large proportion of older adults are financially dependent on their adult children, who are socially obligated to provide for their older parents.…”

Section: Discussionmentioning

confidence: 99%

“…The influence of income level on limitation in daily living was also attenuated in both adjusted models, suggesting that the differences in monthly income was confounded by age, sex, educational level, marital status and social support. Previous studies have reported that, limitation in ADL and IADL can be either a cause or consequence of low income 26 . The low‐income population may experience food insecurity and may have difficulties paying for medical care leading to functional limitation, while on the other hand, individuals with activity limitation may experience social discrimination, which leads to exclusion in education and employment 26 .…”

Section: Discussionmentioning

confidence: 99%

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Influence of social support on limitation in daily living among older persons in Malaysia

Mahmud

Shahein

Yoep

et al. 2020

Geriatrics Gerontology Int

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Aim Studies on the influence of social support on activity limitation among older persons remain limited. A better understanding of this relationship will help with resource planning and policy making aimed to reduce burden of care. The objective of this study was to assess the influence of social support on limitation in daily living among older persons in Malaysia. Methods Data from the National Health and Morbidity Survey 2018, a nation‐wide, cross‐sectional survey using a two‐stage stratified sampling design, were analyzed. A representative sample of individuals aged ≥60 years identified through national sampling frames throughout Malaysia was included. Face‐to‐face interviews were conducted using validated questionnaires on activities of daily living (ADL) and instrumental ADL (IADL). Social support was measured using the Duke Social Support Index. Results The overall prevalence of the presence of any limitations in ADL and IADL was 17.0% and 42.9% respectively. Overall prevalence of the older persons with low to fair social support was 30.8% and high to very high social support was 69.2%. Logistic regression analysis identified the following factors as being associated with limitations in ADL and IADL: being female, of older age, having a monthly income

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Influence of social support on limitation in daily living among older persons in Malaysia

Mahmud

Shahein

Yoep

et al. 2020

Geriatrics Gerontology Int

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“…Intersectionality between disability and poverty has been of great interest to academic literature (39)(40)(41)(42). Indeed poverty can increase the risk of disability and, conversely, disability can trap people in poverty because of the barriers disabled people face in taking part in education, employment, social activities and other aspects of life (43)(44)(45), Therefore, our study had the objective of examining and adding empirical evidence of the association between disability and poverty. Results showed that the odds of belonging to the wealthiest quintiles while reporting a disability (visual or non-visual) were statistically lower (respectively p = 0.000 and p = 0.019).…”

Section: Discussionmentioning

confidence: 99%

Measuring Equity of Access to Health Services in Practice: Example of Eye Health Outreach Camps in Rural Malawi

Trotignon¹,

Jones²,

Ali³

et al. 2020

Preprint

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Introduction Equity in the access and use of health services is critical if countries are to make progress towards universal health coverage and address the systematic exclusion of the most vulnerable groups. The purpose of this study was to assess if the Co-ordinated Approach To Community Health programme implemented by Sightsavers was successful in reaching the poorest population and people living with disabilities in Kasungu district, Malawi. Outreach camps were organized to provide a range of integrated eye care services. Methods Between April and September 2017, data on socio-economic status, household characteristics and functional disability were collected from patients attending at eye camps in Kasungu district, Malawi. Results were compared to Demographic Health Surveys and Integrated Household Surveys data. Using asset-based questions on household characteristics (EquityTool© and Simple Poverty Scorecard©) and the Washington Group Short Set of Questions, individuals were categorized by wealth quintiles, poverty status, and functional disability status. Results A total of 1,358 participants participated in the study. The study shows that self-reported data on household characteristics and assets are reliable and can be collected in clinical settings (instead of relying on direct observations).Individuals attending outreach camps were poorer in terms of relative wealth and absolute poverty rates compared to the rest of the population in Kasungu. It was estimated that 9% of the participants belonged to the poorest quintile compared to 4% for the population in Kasungu (DHS 2015–2016). The ultra-poverty rate was also lower among respondents (13%) compared to 15% for Kasungu district (IHS 2017). The functional disability rate was 27.5% for study participants, and statistically higher among women and relatively poorer household dwellers. Conclusions Our study shows that existing tools can be reliably used and combined to assess equity of access to health services for vulnerable groups of the population. The findings suggest that the programme was successful in reaching the poorest people of the Kasungu district population as well as those with non-visual disabilities through outreach camps. However, it is essential to use sub-national data (district or regional level) from recent surveys for the purpose of benchmarking in order to produce accurate results.

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“…Issues of disability and poverty have garnered increased attention in recent years through specific attention in the United Nations (2006) Convention on the Rights of Persons with Disabilities (UNCRPD) and through research and publications (e.g. Eide & Ingstad 2011; Pinilla-Roncancio 2015). Despite not being designed to focus on poverty, this study adds perspectives to the literature on the topic.…”

Section: Discussionmentioning

confidence: 99%

Exploring the concerns of persons with disabilities in Western Zambia

et al. 2018

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BackgroundUnderstandings of disability are rooted in contexts. Despite the world’s significant contextual diversity, postcolonial power dynamics allow influential actors from the global North to imagine that most people across the global South understand disability in one generalised way. When it informs programmes and services for persons with disabilities in the global South, this imagining of a single generalised view could reduce effectiveness while further marginalising the people for whom the programmes and services were designed.ObjectivesIn the interest of better understanding a contextually grounded meaning of disability, we explored the expressed concerns of two organisations of persons with disabilities and their members in Western Zambia.MethodIn this qualitative constructionist study, data collection focused upon life with a disability and services available to persons with disabilities. Data were collected through 39 individual interviews and eight focus group discussions with 81 members of organisations of persons with disabilities. Data were analysed thematically.ResultsThe participants’ main expressed concern was poverty. This concern was articulated in terms of a life of suffering and a need for material resources. Participants linked poverty to disability in two ways. Some participants identified how impairments limited resource acquisition, resulting in suffering. Others considered poverty to be an integral part of the experience of disability.ConclusionThis study contributes to literature on disability theory by providing a contextually grounded account of a particular understanding of disability and poverty. The study also contributes to disability practice and policymaking through the demonstration of poverty as the main concern of persons with disabilities in this context.

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Disability and poverty: two related conditions. A review of the literature

Cited by 46 publications

References 33 publications

Influence of social support on limitation in daily living among older persons in Malaysia

Influence of social support on limitation in daily living among older persons in Malaysia

Measuring Equity of Access to Health Services in Practice: Example of Eye Health Outreach Camps in Rural Malawi

Exploring the concerns of persons with disabilities in Western Zambia

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