Measuring Disability and Its Predicting Factors in a Large Database in Taiwan Using the World Health Organization Disability Assessment Schedule 2.0

Author: Chi Wen-Chou   Chang Kwang-Hwa   Escorpizo Reuben   Yen Chia-Feng   Liao Hua-Fang   Chang Feng-Hang   Chiou Hung-Yi   Teng Sue-Wen   Chiu Wen-Ta   Liou Tsan-Hon  

Publisher: MDPI

E-ISSN: 1660-4601|11|12|12148-12161

ISSN: 1660-4601

Source: International Journal of Environmental Research and Public Health, Vol.11, Iss.12, 2014-11, pp. : 12148-12161

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Abstract

The definition of disability had been unclear until the International Classification of Functioning, Disability, and Health was promulgated in 2001 by the World Health Organization (WHO). Disability is a critical but relatively neglected public-health concern. We conducted this study to measure disabilities by using the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) and identify the factors that contribute to disabilities. We obtained and analyzed the data on people who applied to Taiwan’s disability registration system between September 2012 and August 2013. A total of 158,174 cases were selected for this study. Among the people included in this study, 53% were male, and the females were on average 3 years older than the males. More males than females were of a low socioeconomic status, but the rate of employment was higher among the males than among the females. Age, sex, place of residence, and types and severity of impairment were all determined to be factors that independently contributed to disability. This study has demonstrated that disability can be measured and compared using WHODAS 2.0. Increasing the public-health attention devoted to disability and identifying the factors associated with disability can promote independence and social participation in people with disabilities.

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