The role of quality of care and attitude towards disability in the relationship between severity of disability and quality of life: findings from a cross-sectional survey among people with physical disability in China

Health and Quality of Life Outcomes

Yuan-Tao Hao³  Qiu-Xiang Ai⁶  Jian-Hua Ruan⁶  Ji-Qian Fang³  Xin-Lin Chen⁵  Zuo-Yi Liang⁷  Jian-Ting Tao⁶  Ramona Lucas-Carrasco¹  Jing Gu³  Chun Hao⁴  Qi Tian²  Qiao-Lan Zheng³ 

[1] Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK;Department of Statistics, Guangzhou Health Information Center, Guangzhou, Guangdong, P.R. China;Department of Medical Statistics and Epidemiology & Center for Health Informatics Research & Guangdong Key Laboratory of Medicine, Laboratory of Health Informatics, School of Public Health, Sun Yat-sen University, Guangzhou Guangdong, P.R. China;Takemi Program in International Health, Department of Global Health and Population, Harvard School of Public Health, Boston, Massachusetts, USA;Department of Preventive Medicine and Health Statistics, College of Fundamental Medical Science, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, P.R. China;Guangzhou Service Center of Assistive Devices, Guangzhou, Guangdong, P.R. China;Guangzhou Disabled Persons’ Federation, Guangzhou, Guangdong, P.R. China

关键词: Structural equation modeling;    People with physical disability;    Severity of disability;    Attitude towards disability;    Quality of care and support;    Quality of life;   

Others  :  820394
DOI  :  10.1186/1477-7525-12-25

 received in 2013-11-13, accepted in 2014-02-19,  发布年份 2014

【 摘 要 】

Background

People with physical disability (PWPD) is the largest subgroup of people with disability (PWD) in China, but few studies have been conducted among this vulnerable population. The objective of this study was to investigate the level of quality of life (QoL), self-perceived quality of care and support (QOCS), severity of disability and personal attitude towards disability among people with physical disability in China, as well as to identify how QoL can be affected by severity of disability through QOCS and personal attitude towards disability among PWPD.

Methods

A cross-sectional study was conducted among 1,853 PWPD in Guangzhou, China. Data were collected on participants’ QoL, QOCS, personal attitude towards disability and severity of disability. Structural equation modeling was used to examine the effects of the other variables on QoL.

Results

Even with a mild disability (mean score:1.72), relatively low levels of QoL (mean score: 2.65- 3.22) and QOCS (mean score: 2.95 to 3.28), as well as unfavorable personal attitude towards disability (mean score: 2.75 to 3.36) were identified among PWPD. According to SEM, we found that the influence of severity of physical disability on QoL is not only exerted directly, but is also indirectly through QOCS and their personal attitudes towards disability, with QOCS playing a more important mediating role than PWPD’s attitudes towards their own disability.

Conclusions

Unfavorable health status was identified among PWPD in China. Focusing on improvement of assistance and care services has the potential to substantially improve PWPD’s QoL. Further research should focus on understanding the needs and their current state of health care of PWPD in China thus being able to develop better interventions for them.

【 授权许可】

   
2014 Zheng et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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