Estimating disability prevalence and disability-related inequalities: Does the choice of measure matter?

Amilon, Anna; Hansen, Kasper Møller; Kjær, Agnete Aslaug; Steffensen, Tinne

doi:10.1016/j.socscimed.2021.113740

Cited by 20 publications

(14 citation statements)

References 17 publications

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“…Disability data is very important for the disability-inclusive development and for estimating disability prevalence ( 94 ). Guidebook published by the World Bank supports the implementation of the Washington Group Short Set (WG-SS) in multi-topic household surveys ( 95 ).…”

Section: Discussionmentioning

confidence: 99%

“…It is designed to evaluate participation in 3 domains-Productivity, Social, and Community-across 4 dimensions-Diversity, Frequency, Desire for change, and Difficulty. We Disability data is very important for the disability-inclusive development and for estimating disability prevalence (94). Guidebook published by the World Bank supports the implementation of the Washington Group Short Set (WG-SS) in multi-topic household surveys (95).…”

Section: Discussionmentioning

confidence: 99%

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Factor Structure of an ICF-Based Measure of Activity and Participations for Adults in Taiwan's Disability Eligibility Determination System

Liao¹,

Yen²,

Chiu³

et al. 2022

Front. Rehabilit. Sci.

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To assess activity and participation for adults in Taiwan's Disability Eligibility Determination System (DEDS), we developed a measure, the Functioning Disability Evaluation Scale—Adult version (FUNDES-Adult), based on the 36-item interviewer-administered version of the WHO Disability Assessment Schedule 2.0. The purpose of this study was to examine the factor structures of performance and capability dimensions of the FUNDES-Adult. This study followed a methodology research design to investigate the construct validity of the two dimensions of the FUNDES-Adult. Two samples were randomly stratified from the databank of adults with disabilities to examine structural validity by the exploratory factor analysis (EFA) (n = 8,730, mean age of 52.9 ± 16.81) and the confirmatory factor analysis (CFA) (n = 500, mean age of 54.3 ± 16.81). The results demonstrated that the EFA yielded 5-factor structures for both performance dimension (73.5% variance explained) and capability dimension (75.9% variance explained). The CFA indicated that the second-order factor structures of both dimensions were more parsimonious with adequate fit indices (GFI, NFI, CFI, and TLI ≥ 0.95, RMSEA < 0.09). The results of this study provide evidence that the FUNDES-Adult has acceptable structural validity for use in Taiwan's DEDS. Utility of the FUNDES-Adult in rehabilitation, employment, welfare, and long-term care services needs further study.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factor Structure of an ICF-Based Measure of Activity and Participations for Adults in Taiwan's Disability Eligibility Determination System

Liao¹,

Yen²,

Chiu³

et al. 2022

Front. Rehabilit. Sci.

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“…These different ways of measuring disability have important implications, with Amilon et al. (2021) showing the WGSS produces higher estimates of disability prevalence than the GALI, while the GALI (as used in WERS) captures a disproportionately higher proportion of people with severe mental health or physical health impairments. This in turn suggests that WERS‐based studies should be more likely than those using the WGSS to find disabled people's propensity to work from home is higher than that of non‐disabled people, given respondents defined as disabled in WERS may, given the severity of their impairment, have a particular need or desire to work from home.…”

Section: Discussionmentioning

confidence: 99%

“…The employee survey uses the Global Activity Limitation Indicator (GALI) utilized across European surveys to measure disability (Amilon et al., 2021), asking respondents: ‘Are your day‐to‐day activities limited because of a health problem or disability that has lasted, or is expected to last, at least 12 months?’, with the following response options: ‘No’; ‘Yes, limited a little’; or ‘Yes, limited a lot’. This is used to construct a dependent variable at workplace‐level (see Hoque et al., 2018) regarding the proportion of employees at the workplace who are disabled (mean = 0.070).…”

Section: The Studymentioning

confidence: 99%

Working from home and disabled people's employment outcomes

Hoque

Bacon

2021

Brit J Industrial Rel

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This paper assesses disabled employees’ likelihood of working from home relative to non‐disabled employees, and the implications of doing so for their experiences of work. Analysing British nationally representative data, the findings suggest that disabled employees are less likely to work from home than non‐disabled employees, given they are disproportionately excluded from the higher‐paying and/or managerial roles in which working from home is more widely available. In addition, organizations in which working from home is more commonplace do not employ a higher proportion of disabled people. The results also confirm disabled employees report poorer experiences of work than non‐disabled employees regarding job control, job‐related mental health, job satisfaction and work–life balance. Although working from home is positively associated with these outcomes (except for work–life balance) for both disabled and non‐disabled employees, there is very little evidence it is associated with smaller disability gaps in these outcomes. Therefore, our analysis questions the potential for working from home to reduce disability disadvantage within organizations, and highlights the need for more substantial action to address the barriers to employment that disabled people encounter.

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“…For example, in the present study limitations are evident in the measures employed to identify maternal disability and significant cognitive delay. Regarding the former, the use of the WGSSQD to identify disability has been criticized for underrepresenting adults with disabilities associated with mental health problems [33]. Regarding the latter, concerns have been expressed about the sensitivity of the ECDI items for detecting developmental delay [34,35].…”

Section: Limitationsmentioning

confidence: 99%

The Circumstances of Children with and without Disabilities or Significant Cognitive Delay Living in Ordinary Households in 30 Middle- and Low-Income Countries

Emerson

Llewellyn

2021

Disabilities

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Home-based early intervention is a key component of strategic approaches to preventing the loss of developmental potential among young children in middle- and low-income countries. We undertook secondary analysis of nationally representative data collected in 30 middle- and low-income countries during Round 6 (2017-) of UNICEF’s Multiple Indicator Cluster Surveys. Our analyses, involving over 100,000 children with/without disabilities or significant cognitive delay, indicated that children with disabilities and/or significant cognitive delay were more likely than their peers to: be living in relative household poverty and in rural areas; have a mother with only primary level education; live in households where intimate partner violence was considered acceptable by the child’s mother; be less likely to be receiving any pre-school education; have a mother with disabilities; receive low levels of parental stimulation; be exposed to violent parental discipline. For many of these indicators of poorer home circumstances, the level of risk was notably higher for children with significant cognitive delay than for children with disabilities. Our study findings suggest the need to consider tailored, evidence-based approaches to reduce and (potentially) overcome the increased risks that young children with disabilities and young children with significant cognitive delay experience in middle- and low-income countries.

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Estimating disability prevalence and disability-related inequalities: Does the choice of measure matter?

Cited by 20 publications

References 17 publications

Factor Structure of an ICF-Based Measure of Activity and Participations for Adults in Taiwan's Disability Eligibility Determination System

Factor Structure of an ICF-Based Measure of Activity and Participations for Adults in Taiwan's Disability Eligibility Determination System

Working from home and disabled people's employment outcomes

The Circumstances of Children with and without Disabilities or Significant Cognitive Delay Living in Ordinary Households in 30 Middle- and Low-Income Countries

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