scholarly journals We are more alike than you think. Age distribution of quality of life among persons with and without disabilities

2020 ◽  
Author(s):  
Radosław Antczak ◽  
Izabela Grabowska ◽  
Jan Zwierzchowski ◽  
Tomasz Panek

Purpose: In this article we apply the age perspective to assess the quality of life (QoL) of persons with disabilities. Using a single measurement tool, we compare age profiles in the quality of life of persons with disabilities to the population without disabilities. By doing so, we examine whether the general patterns (such as U-shaped profile) are observed also among the population with disabilities, hence assessing how heterogenous this group is. Methods: We have constructed a multidimensional measurement model identifying overall and nine dimensions of the quality of life using structural equation modelling. The model conceptually is based on the Eurostat guidelines. All analyses are based on EU-SILC survey data, carried out in Poland in 2015. Results: The quality of life for both groups has inverse, right-skewed U-shape. The maximum value is achieved for the age group of 30–34 and after this threshold a constant decline is observed. The QoL scores for the population with disabilities are obviously significantly lower. Additionally, they are more heterogenous, and with greater variation between men and women. In a majority of the domains we also observe lower scores for persons with disabilities. However, people with disabilities are similarly diversified by age as persons without disabilities. Conclusion: Our study suggests that people with disabilities are similarly diversified by age as persons without disabilities. Therefore, disability means something different for younger and older persons and this difference is reflected in their quality of life. It means that public policy for persons with disabilities should also be diversified, avoiding ‘one-for-all’ policy.

Author(s):  
Mahadzirah Mohamad ◽  
Asyraf Afthanorhan ◽  
Zainudin Awang ◽  
Morliyati Mohammad

Structural Equation Modelling (SEM) is a powerful multivariate statistical analysis technique which combines both factor analysis and multiple regression analysis. It is capable of analysing the inter-relationships among latent constructs simultaneously in a model. These latent constructs are measured using certain number of items in a questionnaire. Covariance-based SEM (CB-SEM) or full SEM have become the choice for many researchers in a variety of disciplines because of their ability to evaluate complex relationships using parametric statistical approach. Researchers could also opt for Variance-based SEM (VB-SEM) or Partial Least Square-SEM (PLS-SEM) when their data failed the parametric assumptions such as multivariate normality distribution and minimum sample size. However, the approach of VB-SEM or PLS-SEM is a non-parametric instead of a parametric approach in CB-SEM. This article compared the performance of both SEM approaches using the same dataset to validate the Measurement Model for Maqasid Syariah Quality of Life (MSQoL). The findings of both analyses suggested that CB-SEM or full SEM is more appropriate to validate and confirm the MSQoL measurement model.


Author(s):  
Malgozhata Kaminska

The image of disability in EU societies is changing. On the one hand, statistical data (global and European) indicate an increase in the number of people with disabilities. This is especially true for women, the elderly and the poor. On the other hand, numerous legislative and implementation activities are undertaken to implement the social model in the approach to disability issues. The effectiveness of social and economic policies in the EU member states is expressed by the quality of life of people with disabilities. The article presents the WHO global position on the disability problem and a brief comparative analysis of key statistical data characterising people with disabilities in the EU member states. The EU priorities regarding the standards of functioning of people with disabilities in the objective and subjective dimensions are discussed. The source of the EU’s strategy and activities are international documents: The Convention on the Rights of Persons with Disabilities of 2006 and the Council of Europe Disability Action Plan.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Silvia Testa ◽  
Daniela Di Cuonzo ◽  
Giuliana Ritorto ◽  
Laura Fanchini ◽  
Sara Bustreo ◽  
...  

Abstract Background Response shift (RS) has been defined as a change in the meaning of an individual’s self-evaluation that needs to be accounted for when assessing longitudinal changes in health-related quality of life (HRQoL). RS detection through structural equation modeling is accomplished by adopting Oort’s procedure based on a measurement model in which the observed variables are defined as reflective indicators of the HRQoL latent variable; that is, the latent variable causes the variation in the reflective indicators. This study aims to propose a procedure that assesses RS when formative indicators are used in measuring HRQoL; in this last case, the latent variable is considered to be a function of some formative indicators. A secondary aim is to compare the new procedure with Oort’s procedure to highlight similarities and differences. Methods The data were retrieved from a consecutive series of 258 patients newly diagnosed with colorectal cancer and undergoing chemotherapy and/or surgery. The European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QOL-C30) was administered twice, once before and once six months after treatment. Structural equation modeling was used to evaluate RS and true change with the newly proposed method (in which fatigue and pain were defined as formative indicators) and with Oort’s procedure (in which fatigue and pain were defined as reflective indicators). Results According to the new procedure, there was no measurement bias, and on average, patients’ quality of life improved by 3.53 points (on a scale ranging from 0 to 100) at the 6-month follow-up. With Oort’s procedure, the loading of the pain indicator was not invariant across the two time points, suggesting the presence of reprioritization, whereas the estimation of true change was very similar to the previous one: 3.87. Conclusions RS and true change in HRQoL can be evaluated in the presence of formative indicators. Defining a measurement model by formative or reflective indicators can lead to different results.


2021 ◽  
pp. 82-99
Author(s):  
N. P. LUTCHYN

The article is devoted to the problems of analyzing the quality of life of people with disabilities in Ukraine. Th e purpose of the article is to carry out an objective assessment of the qua lity of life of persons with disabilities, taking into account the existing information support. Proposals are formed for full-fl edged surveys of this category of persons in Ukraine, taking into account the subjective assessment. Th e relevance of the study is due to the lack of suffi cient information support in Ukraine, both at the regional and national level. Th e analysis of persons with disabilities is carried out based on the available database of the State Statistical Service of Ukraine, the Ministry of Social Policy of Ukraine, State Employment Center and the Fund for Social Protection of the Disabled. Th e paper analyzes the dynamics of the number and structure of the causes of disability, access to educational services and the level of emp loyment of people with disabilities. Th e level of provision of persons with disabilities with durable goods that ensure their functioning in society is partially analyzed. Th e impact fac tors on the level of employment of people with disabilities are identifi ed. Th e classical regression method with the help of Statistica soft ware package is used to determine the impact of fac tors on the level of employment of persons with disabilities. Іt was found that the variation of employment of people with disabilities by 28 % depends on their access to higher education, in particular, the access of people with disabilities to higher education of full cycle of study has a greater impact on the level of employment. Th e results of the study showed that in Ukraine there is no comprehensive approach to the study of the socioeconomic profi le of persons with disabilities, which does not allow the formation of eff ective social policy. Th e paper proposes an author’s approach to the subjective assessment of the quality of life of people with disabilities and formulates proposals for assessing all aspects that form the quality of their life.


2019 ◽  
Vol 2019 (5) ◽  
pp. 39-44
Author(s):  
Ирина Серегина ◽  
Irina Seregina ◽  
Антон Колоколов ◽  
Anton Kolokolov

The article presents the results of inspections of psycho-neurological boarding schools, during which they were revealed following the results of inspections of Roszdravnadzor. The authors focus on systemic problems that impede the realization of the rights of persons with disabilities in stationary conditions of boarding schools. Measures are proposed to improve the activities of psycho-neurological boarding schools in order to improve the quality of life of people with disabilities living in stationary conditions.


2021 ◽  
Vol 18 (1) ◽  
pp. 27-40
Author(s):  
Svetlana Obradović ◽  
Thomas Nikodelis ◽  
Milica Stojković

Although there are numerous categorizations and large differences in the specific characteristics between individual categories of disabilities, they all have something in common - barriers that people with disabilities deal with. Social, physical and mental limitations can be reduced or removed through sport, which can significantly improve the quality of life of people with disabilities, as we will try to document in this paper by research findings. Unfortunately, even today, the usual societal attitude about the quality of life of people with disabilities is not focusing on specific social and cultural context affecting disability. Instead, we are still focusing on individual coping strategies and behaviors in response to difficulties arising from biological limitations. Psychology is one of the sciences whose contribution to this topic can be important, especially in providing a framework for evidence-based practice. Simultaneously, promoting this topic can, hopefully, contribute to improving relevant policy.


2002 ◽  
Vol 10 (1) ◽  
pp. 47-58 ◽  
Author(s):  
Karen H. Sousa ◽  
Fang Fang Chen

The purpose of this article is to discuss conceptual issues surrounding health-related quality of life (HRQOL) and to provide an example of how structural equation modeling can address some of these conceptual issues. This article reports the development of the measurement model for overall quality of life, a dimension of HRQOL as conceptualized by Wilson and Cleary (1995). The sample (N = 1410) is from the AIDS Time-Oriented Health Outcome Study (ATHOS) databank, a longitudinal observational database of persons with HIV-associated illness. The hypothesized second-order factor model consists of 5 latent variables and 17 measured items. The fit indicators (RMSEA = .0717; SRMR = .0450; CFI = .951) suggest that the model provides an adequate description of the pattern of relationships in the data. A theoretical approach to HRQOL will expand its clinical use as an outcome measure and increase its relevance.


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