The prevalence of disability among adolescents and young adults in low and middle-income countries: A cross-sectional comparison of two measures.

IF 3.7 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES Disability and Health Journal Pub Date : 2025-01-21 DOI:10.1016/j.dhjo.2025.101777

Eric Emerson, Gwynnyth Llewellyn

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引用次数: 0

Abstract

Background: The Washington Group Short Set on Functioning (WG-SS) is frequently used to identify disability among adults in national surveys. Concerns have been raised about the utility of the WG-SS given that it fails to include any items relating to psychosocial disability.

Objective: To compare prevalence estimates for adolescents and young adults derived from the Washington Group's Child Functioning Module (WG-CFM; age 15-17) and the WG-SS (age 18-25). To estimate the prevalence of impairments among adolescents who were not categorised as having a disability based on the six WG-SS domains. To investigate the association between disability and relative household wealth among adolescents with disabilities who were/were not categorised as having a disability based on the six WG-SS domains.

Methods: Secondary analysis of 40 nationally representative surveys collected in low- and middle-income countries.

Results: Prevalence estimates for disability were significantly higher among adolescents (15.1 % 95 % 14.8-15.4) than young adults (3.2 % 95 % 3.1-3.3). The WG-SS only identified 21%-23 % of young adults who are likely to have a disability. Among adolescents, those identified as having a disability by the WG-CFM, but as not having a disability by the items in the WG-CFM similar to the six domains of the WG-SS primarily had functional limitations related to anxiety and depression. Household wealth was unrelated to disability based on the six WG-SS domains but was strongly related to disability identified by the WG-CFM.

Conclusions: The WG-SS, as it stands, should not be used to identify disability in young adult populations.

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来源期刊

Disability and Health Journal HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

7.50

自引率

6.70%

发文量

134

审稿时长

34 days

期刊介绍： Disability and Health Journal is a scientific, scholarly, and multidisciplinary journal for reporting original contributions that advance knowledge in disability and health. Topics may be related to global health, quality of life, and specific health conditions as they relate to disability. Such contributions include: • Reports of empirical research on the characteristics of persons with disabilities, environment, health outcomes, and determinants of health • Reports of empirical research on the Systematic or other evidence-based reviews and tightly conceived theoretical interpretations of research literature • Reports of empirical research on the Evaluative research on new interventions, technologies, and programs • Reports of empirical research on the Reports on issues or policies affecting the health and/or quality of life for persons with disabilities, using a scientific base.