巴基斯坦旁遮普省残疾人遗传疾病的社会经济决定因素

Muhammad Akbar, Abid Rashid, Muhammad Ramzan Sheikh
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摘要

本研究调查了巴基斯坦旁遮普省残疾人的家族史、遗传标记、家庭收入、职业和遗传疾病之间的关系。研究使用了在线和手工调查问卷收集的 5040 人的横截面原始数据。研究采用结构方程模型(SEM)对数值系数进行了严格评估,同时还检验了各构念之间的信度、效度和区分度,以确保它们在模型中的独特性。研究结果显示,社会经济指标(家庭收入与就业、职业)和家族史对残疾人是否患有遗传性疾病具有显著的正向影响,而遗传标记等遗传指标则对残疾人是否患有遗传性疾病具有负向影响。结果还显示,中介效应(受教育机会和获得医疗保健的机会)对残疾人是否患有遗传性疾病有显著的负面影响,因此我们可以肯定地说,随着受教育机会和获得医疗保健机会的增加,巴基斯坦旁遮普省的残疾人遗传性疾病是可以消除或克服的。根据研究结果,我们提出了一些建议,以便官员和决策者做出更好的决策,改善和帮助巴基斯坦旁遮普省的残疾人。
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Socioeconomic Determinants of Genetic Disorder in Disabled Persons of Punjab, Pakistan
This study investigates the relationship among family history, genetic markers, family income, occupation, and the presence of genetic disorders in disabled persons in Punjab, Pakistan. The research study uses cross-sectional primary data from 5040 individuals collected with online and manual research questionnaire. The study employs Structural Equation Modeling (SEM) for rigorous assessment of numerical coefficients and also examines reliability, validity, and discriminant validity among the constructs to ensure their distinctiveness within the model. With R-square (0.541) and adjusted R-square (0.529), the results show that Socioeconomic indicators (Family income & employment, and Occupation) and family history have significant positive while genetic indicators like genetic markers have a negative impact on the presence of genetic disorder in disabled persons. The results also showed that mediation effects (the access to education and access to healthcare) demonstrate a significant negative impact on the presence of genetic disorders in disabled persons, where we safely say that with the increase in access to education and access to healthcare, genetic disorders in disabled persons can be removed or overcome in Punjab, Pakistan. Based on findings, recommendations are proposed for better decisions of officials and policymakers in the betterment and favor of disabled persons in Punjab, Pakistan.
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