Predictors of quality of life of persons with physical disabilities in Indonesia
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Submitted
January 22, 2023
Published
January 29, 2024
Keywords:
-
physical impairment, disability, environmental factors, quality of life
Abstract
Purpose: Indonesia lacks policies and programs to implement laws aimed at reducing the barriers that hinder the improvement of quality of life (QOL) in persons with disabilities. This study analyzed people’s attitude barriers, levels of disability, and QOL and its predictors in persons with physical disabilities.
Methods: In this cross-sectional study, 202 participants with physical disabilities completed the attitude subscale of Craig Hospital Inventory of Environmental Factors-Short Form (CHIEF-SF), the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), and the World Health Organisation Quality of Life (WHOQOL-BREF). The Rasch model converted the ordinal data to the interval logits scale. Multiple linear regression was used to analyze QOL predictors.
Results: Participants reported a mean WHOQOL-BREF score of 0.12+0.98 (poor QOL). Participants with poor QOL perceived people’s attitudes as impactful barriers (-1.68 ± 1.44). There was a significant difference in participants’ mean WHODAS 2.0 score with poor (-0.38 ± 1.06) and good QOL (-1.79 ± 0.77). The regression revealed the following significant QOL predictors: employment (B = 0.512), disability levels (B = −0.409), attitude barrier (B = −0.090), and age (B = −0.014).
Conclusions: Persons with physical disabilities reported poor QOL. Higher disability levels, unemployment, perceived impactful attitude barrier, and older age are predictors of lower QOL of persons with physical disabilities.
Methods: In this cross-sectional study, 202 participants with physical disabilities completed the attitude subscale of Craig Hospital Inventory of Environmental Factors-Short Form (CHIEF-SF), the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), and the World Health Organisation Quality of Life (WHOQOL-BREF). The Rasch model converted the ordinal data to the interval logits scale. Multiple linear regression was used to analyze QOL predictors.
Results: Participants reported a mean WHOQOL-BREF score of 0.12+0.98 (poor QOL). Participants with poor QOL perceived people’s attitudes as impactful barriers (-1.68 ± 1.44). There was a significant difference in participants’ mean WHODAS 2.0 score with poor (-0.38 ± 1.06) and good QOL (-1.79 ± 0.77). The regression revealed the following significant QOL predictors: employment (B = 0.512), disability levels (B = −0.409), attitude barrier (B = −0.090), and age (B = −0.014).
Conclusions: Persons with physical disabilities reported poor QOL. Higher disability levels, unemployment, perceived impactful attitude barrier, and older age are predictors of lower QOL of persons with physical disabilities.
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Authors
1.
Hilfi L, Yamazaki C, Sunjaya DK, Raksanagara AS, Paramita SA, Atik N, Uchida M, Koyama H, Hamazaki K. Predictors of quality of life of persons with physical disabilities in Indonesia . DCIDJ [Internet]. 2024 Jan. 29 [cited 2025 Feb. 5];34(3):62-85. Available from: https://dcidj.uog.edu.et/index.php/up-j-dcbrid/article/view/681
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