Inclusion of persons with disabilities in systems of social protection: a population-based survey and case–control study in Peru

2.50
Hdl Handle:
http://hdl.handle.net/10757/622480
Title:
Inclusion of persons with disabilities in systems of social protection: a population-based survey and case–control study in Peru
Authors:
Bernabe-Ortiz, Antonio ( 0000-0002-6834-1376 ) ; Diez-Canseco, Francisco; Vasquez, Alberto; Kuper, Hannah; Walsham, Matthew; Blanchet, Karl
Citation:
Inclusion of persons with disabilities in systems of social protection: a population-based survey and case–control study in Peru 2016, 6 (8):e011300 BMJ Open
Publisher:
British Medical Journal
Journal:
BMJ Open
Issue Date:
26-Aug-2016
URI:
http://hdl.handle.net/10757/622480
DOI:
10.1136/bmjopen-2016-011300
Additional Links:
http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2016-011300
Abstract:
OBJECTIVE: This study aims to assess the needs of people with disabilities and their level of inclusion in social protection programmes. DESIGN: Population based-survey with a nested case-control study. SETTING: Morropon, a semiurban district located in Piura, northern Peru. PARTICIPANTS: For the population survey, a two-stage sampling method was undertaken using data from the most updated census available and information of each household member aged ≥5 years was collected. In the nested case-control study, only one participant, case or control, per household was included in the study. PRIMARY AND SECONDARY OUTCOME MEASURES: Disability was screened using the Washington Group short questionnaire. A case, defined as an individual aged ≥5 years with disabilities, was matched with one control without disabilities by sex and age (±5 years). Information was collected on socioeconomic status, education, health and rehabilitation and social protection participation. RESULTS: The survey included 3684 participants, 1848 (50.1%) females, mean age: 36.4 (SD: 21.7). A total of 290 participants (7.9%; 95% CI 7.0% to 8.7%) were classified as having disability. Adults with disabilities were more likely to be single (OR=3.40; 95% CI 1.54 to 7.51) and not to be working (OR=4.36; 95% CI 2.26 to 8.40), while those who did work were less likely to receive the national minimum wage (ie, 750 PEN or about US$265; p=0.007). People with disabilities were more likely to experience health problems. There was no difference between those enrolled in any social protection programme among participants with and without disabilities. CONCLUSIONS: People with disabilities were found to have higher needs for social protection, but were not more likely to be enrolled in social protection programmes. The Peruvian social protection system should consider adding disability status to selection criteria in their cash transfer programmes as well as implementing disability-specific interventions. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
Type:
info:eu-repo/semantics/article
Rights:
info:eu-repo/semantics/openAccess
Language:
eng
Keywords:
Epidemiology; Public Health; Social Medicine
ISSN:
2044-6055; 2044-6055

Full metadata record

DC FieldValue Language
dc.contributor.authorBernabe-Ortiz, Antonioes
dc.contributor.authorDiez-Canseco, Franciscoes
dc.contributor.authorVasquez, Albertoes
dc.contributor.authorKuper, Hannahes
dc.contributor.authorWalsham, Matthewes
dc.contributor.authorBlanchet, Karles
dc.date.accessioned2018-01-04T14:15:45Z-
dc.date.available2018-01-04T14:15:45Z-
dc.date.issued2016-08-26-
dc.identifier.citationInclusion of persons with disabilities in systems of social protection: a population-based survey and case–control study in Peru 2016, 6 (8):e011300 BMJ Openes
dc.identifier.issn2044-6055-
dc.identifier.issn2044-6055-
dc.identifier.doi10.1136/bmjopen-2016-011300-
dc.identifier.urihttp://hdl.handle.net/10757/622480-
dc.description.abstractOBJECTIVE: This study aims to assess the needs of people with disabilities and their level of inclusion in social protection programmes. DESIGN: Population based-survey with a nested case-control study. SETTING: Morropon, a semiurban district located in Piura, northern Peru. PARTICIPANTS: For the population survey, a two-stage sampling method was undertaken using data from the most updated census available and information of each household member aged ≥5 years was collected. In the nested case-control study, only one participant, case or control, per household was included in the study. PRIMARY AND SECONDARY OUTCOME MEASURES: Disability was screened using the Washington Group short questionnaire. A case, defined as an individual aged ≥5 years with disabilities, was matched with one control without disabilities by sex and age (±5 years). Information was collected on socioeconomic status, education, health and rehabilitation and social protection participation. RESULTS: The survey included 3684 participants, 1848 (50.1%) females, mean age: 36.4 (SD: 21.7). A total of 290 participants (7.9%; 95% CI 7.0% to 8.7%) were classified as having disability. Adults with disabilities were more likely to be single (OR=3.40; 95% CI 1.54 to 7.51) and not to be working (OR=4.36; 95% CI 2.26 to 8.40), while those who did work were less likely to receive the national minimum wage (ie, 750 PEN or about US$265; p=0.007). People with disabilities were more likely to experience health problems. There was no difference between those enrolled in any social protection programme among participants with and without disabilities. CONCLUSIONS: People with disabilities were found to have higher needs for social protection, but were not more likely to be enrolled in social protection programmes. The Peruvian social protection system should consider adding disability status to selection criteria in their cash transfer programmes as well as implementing disability-specific interventions. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/es
dc.formatapplication/pdfes
dc.language.isoenges
dc.publisherBritish Medical Journales
dc.relation.urlhttp://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2016-011300es
dc.rightsinfo:eu-repo/semantics/openAccesses
dc.subjectEpidemiologyes
dc.subjectPublic Healthes
dc.subjectSocial Medicinees
dc.titleInclusion of persons with disabilities in systems of social protection: a population-based survey and case–control study in Perues
dc.typeinfo:eu-repo/semantics/articlees
dc.identifier.journalBMJ Openes
dc.description.peerreviewRevisión por pareses
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