Links across disabilities: unveiling associations between functional domains Article Swipe
Jignesh Dalal
,
Sophie Mitra
,
Ananthu James
,
Minerva Rivas Velarde
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s12889-023-17523-5
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s12889-023-17523-5
Background Persons with disabilities experience higher risks of mortality as well as poorer health as compared to the general population. The aim of this study is to estimate the correlations between functional difficulties across several domains in six countries. Methods National census data with questions on disability from six countries (Mauritius, Morocco, Senegal, Myanmar, Vietnam, and Uruguay) was used in this study. We performed logistic regressions to assess the extent to which having a functional difficulty in one domain is correlated with having a functional difficulty in each of the other domains and report weighted odds ratios (ORs) overall and within age-groups (‘18–44’ years and ‘45+’ years). Models adjust for age, sex, and location (rural or urban). Sensitivity analyses around different choices of predictors and response variables were conducted. Findings For all countries, reporting a functional difficulty in one domain was consistently and significantly positively correlated with reporting a functional difficulty in other domains (overall) and for each of the two age-groups considered - ‘18–44’ years and ‘45+’ years. All ORs were greater than one. Cognition, mobility, and hearing were the domains that were the most correlated ones with other domains. The highest pairwise correlations were for i/ hearing and cognition; ii/ mobility and cognition. Results were robust to changing the severity thresholds for functional difficulties. Across countries, Uruguay, the only high-income country among the six countries under study, had the lowest correlations between functional domains. Conclusions There are consistent positive associations in the experience of functional difficulties in various domains in the six countries under study. Such correlations may reflect barriers to social services including healthcare services and resources (e.g. assistive devices) that may lead to an avoidable deterioration of functioning across domains. Further research is needed on the trajectories of functional difficulties and on structural barriers that people with functional difficulties may experience in their communities and in healthcare settings in particular. This is important as some functional difficulties may be preventable.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s12889-023-17523-5
- https://bmcpublichealth.biomedcentral.com/counter/pdf/10.1186/s12889-023-17523-5
- OA Status
- gold
- Cited By
- 2
- References
- 20
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4390508753
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4390508753Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1186/s12889-023-17523-5Digital Object Identifier
- Title
-
Links across disabilities: unveiling associations between functional domainsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
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2024Year of publication
- Publication date
-
2024-01-02Full publication date if available
- Authors
-
Jignesh Dalal, Sophie Mitra, Ananthu James, Minerva Rivas VelardeList of authors in order
- Landing page
-
https://doi.org/10.1186/s12889-023-17523-5Publisher landing page
- PDF URL
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https://bmcpublichealth.biomedcentral.com/counter/pdf/10.1186/s12889-023-17523-5Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
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https://bmcpublichealth.biomedcentral.com/counter/pdf/10.1186/s12889-023-17523-5Direct OA link when available
- Concepts
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Biostatistics, Medicine, Public health, Odds ratio, Demography, Odds, Gerontology, Logistic regression, Cognition, Population, Socioeconomic status, Environmental health, Psychiatry, Pathology, Sociology, Nursing, Internal medicineTop concepts (fields/topics) attached by OpenAlex
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2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2Per-year citation counts (last 5 years)
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20Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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