Social determinants of health, inequality and social inclusion among people with disabilities

Abstract

OBJECTIVE: to analyze the socio-familial and community inclusion and social participation of people with disabilities, as well as their inclusion in occupations in daily life. METHOD: qualitative study with data collected through open interviews concerning the participants' life histories and systematic observation. The sample was composed of ten individuals with acquired or congenital disabilities living in the region covered by a Family Health Center. The social conception of disability was the theoretical framework used. Data were analyzed according to an interpretative reconstructive approach based on Habermas' Theory of Communicative Action. RESULTS: the results show that the socio-familial and community inclusion of the study participants is conditioned to the social determinants of health and present high levels of social inequality expressed by difficult access to PHC and rehabilitation services, work and income, education, culture, transportation and social participation. CONCLUSION: there is a need to develop community-centered care programs in cooperation with PHC services aiming to cope with poverty and improve social inclusion.

Income transfer program for people with disabilities over 16 years old in Brazil

“…This panorama demonstrates the causal relationship between this de ciency, disability, and di culties in social insertion, showing the obstacles that people with intellectual disabilities. 23 In this condition, they face di culties in entering the labor market due to a low level of education and choose BPC to obtain income, which can exempt them from living in society 24 , leading them to the exclusion of yet another social segment, in addition to the labor and education market 25 .…”

Percepção dos usuários com deficiência física assistidos pelo NASF-AB acerca de suas condições de saúde

“…Deste modo, as dificuldades de acesso a serviços oferecidos pela APS e de reabilitação são fatores de expressão ligados a determinantes sociais da saúde, contribuindo para índices de iniquidades sociais, havendo necessidade de elaboração de programas para a inclusão social e acessibilidade em articulação à ESF (Fiorati & Elui, 2015).…”

The aging of families with members with intellectual disabilities

“…Persons with disabilities (PwD) are those who have physical, intellectual or sensory impediments that may obstruct their full and effective participation in society (1) . In other words, disability can be understood as a physical, intellectual or sensorial limitation that is permanent or transitory and impairs a person's ability to perform his or her basic activities of daily living (BADL) (2) .…”

“…The classification of intellectual disability, which was once based only on intelligence quotient, now takes into account cognitive functioning, adaptive behavior and developmental period, and can be characterized by significant limitations in one of these dimensions before the 18 years of age (1) .…”