Factors associated with environmental barriers of people with disabilities in Mexico

Abstract

OBJECTIVE: To examine the associations between sociodemographic, health and disabilityrelated factors and the perception of environmental barriers outside the home environment by individuals with permanent disabilities in Mexico. METHODS: In this cross-sectional, population-based study, we used data from the 2010 National Survey of Perceptions of Disability in the Mexican Population of 2,041 participants older than 18 with permanent disability. The perceptions of barriers take into consideration the challenges of getting around and using transportation outside the home environment. The covariates consisted of sociodemographic, health-related and disability-related factors. Multivariate logistic regression was used. RESULTS: The perception of environmental barriers outside the home environment was associated with being a woman, living in an urban area, speaking an indigenous language, experiencing emotional symptoms, having walking/movement, visual or self-care disabilities, having severe/extreme disability, having disability caused by illness, using physical devices, and receiving assistance and care in the home environment. CONCLUSIONS: This information is valuable for the design of public policies and programs that promote the participation of individuals with permanent disabilities, a high-priority issue in low- and middle-income countries.

Community Support for Persons with Disabilities in Low- and Middle-Income Countries: A Scoping Review

“…Topics covered in this literature included barriers to participation [ 7 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ], unmet needs for assistance [ 7 , 8 , 9 , 20 , 21 , 22 , 23 , 24 ], human support and peer support [ 25 , 26 , 27 , 28 ], and documentation of specific programmes [ 26 , 29 , 30 , 31 ].…”

Barreiras de acessibilidade e mobilidade urbana para atendimento em centro especializado de reabilitação física

“…Como identificado nos depoimentos dos participantes deste estudo, caminhar pelas calçadas no percurso para o Centro de Reabilitação, requer muito cuidado e atenção redobrada, para não tropeçar ou até mesmo cair, sendo que elas representam uma constante ameaça à sua integridade física. Dados similares podem-se observar nos resultados dos estudos realizados nos Estados Unidos (13) e no México (14) , reiterando que as dificuldades de acessibilidade vivenciadas pelas pessoas com deficiência existem e persistem em diferentes países, independente de pertencerem aos considerados desenvolvidos ou em desenvolvimento.…”

“…Essas barreiras são frequentemente percebidas pelas pessoas com deficiência ou mobilidade reduzida, como desconsideração tanto dos gestores públicos brasileiros (2,5) quanto dos estrangeiros (13)(14) para com essas pessoas e frequentemente por elas apresentadas na forma de queixas de que suas necessidades não são compreendidas pelas autoridades, pois são tratados como pessoas excluídas de enquadramento nas prioridades em seus planejamentos de gestão, secundárias, postergáveis, como identificado nas narrativas dos participantes deste estudo.…”

The Role of Environmental Factors on Health Conditions, General Health and Quality of Life in Persons with Spinal Cord Injuries in South Africa

“…The International Classification of Functioning, Disability and Health (ICF) has been introduced as a conceptualized framework for the role personal and environmental factors have in the construction of the disability [16]. The ICF classifies environmental factors comprising physical, social and attitudinal domains in recognition of the environment's important role in the everyday functioning of the individual with disabilities [17]. In recent years, an increasing number of studies have focused on understanding participation (i.e., community, physical and social) and factors influencing participation in people with disabilities (e.g., SCI) [3,8,[18][19][20].…”