ArticlePloS one2017
Factors related to environmental barriers experienced by persons with and without disabilities in diverse African settings.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 37 citations in OpenAlex.
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- Physical activity and gender buffer the association of retirement with functional impairment in Ghana.Scientific reports · 2022Article
- Family quality of life for families of children with disabilities in African contexts: a scoping review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Article
- A review of the framework and strategy for disability and rehabilitation services in South Africa.African journal of disability · 2022Article
- Examining the Availability and Accessibility of Rehabilitation Services in a Rural District of South Africa: A Mixed-Methods Study.International journal of environmental research and public health · 2021Article
- Individual quality of life and the environment - towards a concept of livable areas for persons with disabilities in Poland.BMC public health · 2021Article
- Barriers to and facilitators of employment of persons with disabilities in low- and middle-income countries: A scoping review.African journal of disability · 2021Article
- Accessing Healthcare Services for People with Physical Disabilities in Hawassa City Administration, Ethiopia: A Cross-Sectional Study.Risk management and healthcare policy · 2021Article
- Determinants of ADL and IADL disability in older adults in southeastern Poland.BMC geriatrics · 2019Article
- Experiences with rehabilitation and impact on community participation among adults with physical disability in Colombia: perspectives from stakeholders using a community based research approach.International journal for equity in health · 2019Article
- Combining survey data, GIS and qualitative interviews in the analysis of health service access for persons with disabilities.BMC international health and human rights · 2018Article
- Disability and Employment Inclusion in a Transforming Economy: Epidemiological Evidence from National Survey Data.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
12 authors at 8 institutions in 7 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This paper explores differences in experienced environmental barriers between individuals with and without disabilities and the impact of additional factors on experienced environmental barriers. Data was collected in 2011-2012 by means of a two-stage cluster sampling and comprised 400-500 households in different sites in South Africa, Sudan Malawi and Namibia. Data were collected through self-report survey questionnaires. In addition to descriptive statistics and simple statistical tests a structural equation model was developed and tested. The combined file comprised 9,307 participants. The Craig Hospital Inventory of Environmental Factors was used to assess the level of environmental barriers. Transportation, the natural environment and access to health care services created the biggest barriers. An exploratory factor analysis yielded support for a one component solution for environmental barriers. A scale was constructed by adding the items together and dividing by number of items, yielding a range from one to five with five representing the highest level of environmental barriers and one the lowest. An overall mean value of 1.51 was found. Persons with disabilities scored 1.66 and persons without disabilities 1.36 (F = 466.89, p < .001). Bivariate regression analyses revealed environmental barriers to be higher among rural respondents, increasing with age and severity of disability, and lower for those with a higher level of education and with better physical and mental health. Gender had an impact only among persons without disabilities, where women report more barriers than men. Structural equation model analysis showed that socioeconomic status was significantly and negatively associated with environmental barriers. Activity limitation is significantly associated with environmental barriers when controlling for a number of other individual characteristics. Reducing barriers for the general population would go some way to reduce the impact of these for persons with activity limitations, but additional and specific adaptations will be required to ensure an inclusive society.
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Registered trials
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