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首页> 外文期刊>International Journal of Environmental Research and Public Health >Unmet Needs and Use of Assistive Products in Two Districts of Bangladesh: Findings from a Household Survey
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Unmet Needs and Use of Assistive Products in Two Districts of Bangladesh: Findings from a Household Survey

机译：孟加拉国两个地区未满足的需求和辅助产品的使用：一项家庭调查的结果

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Access to assistive products (AP) is an under-researched public health issue. Using an adaptation of a draft World Health Organization tool—the ‘Assistive Technology Assessment—Needs (ATA-N)’ for measuring unmet needs and use of AP, we aimed to understand characteristics of AP users, self-reported needs and unmet needs for AP, and current access patterns in Bangladesh. The ATA-N was incorporated in a Rapid Assessment of Disability (RAD), a population-based survey to estimate prevalence and correlates of disability. In each of two unions of Kurigram and Narsingdi districts, 60 clusters of 50 people each aged two years and older were selected using a two-staged cluster random sampling process, of whom, 4250 (59% Female; 41% Male) were adults, including 333 using AP. We estimate 7.1% of the studied population used any AP. AP use is positively associated with age and self-reported functional difficulty. The proportion of people using AP is higher for mobility than for sensory and cognitive difficulties. Of all people with any functional difficulty, 71% self-reported an unmet need for AP. Most products were home or self-made, at low cost, but provided benefits. Needs and unmet needs for AP are high, especially for people with greater functional difficulties. Assessing unmet needs for AP revealed important barriers to scale that can inform policy and practice.
机译：获得辅助产品（AP）是一项尚未充分研究的公共卫生问题。通过使用世界卫生组织工具草案的“辅助技术评估需求”（ATA-N）来衡量未满足的需求和AP的使用，我们旨在了解AP用户的特征，自我报告的需求和未满足的需求。 AP和孟加拉国当前的访问模式。 ATA-N被纳入残疾人快速评估（RAD），这是一项基于人群的调查，用于估计残疾人的患病率和相关性。在Kurigram和Narsingdi地区的两个联盟中，每个阶段都采用两阶段整群随机抽样的方法，选择了年龄在2岁及以上的50个人，其中60人是成年人，其中4250人（女性59％;男性41％）包括使用AP的333。我们估计有7.1％的人口使用过任何AP。 AP的使用与年龄和自我报告的功能困难呈正相关。使用AP的人在移动性方面的比例高于在感觉和认知方面的困难。在所有有功能障碍的人中，有71％的人自我报告未满足AP的需求。大多数产品都是家用或自制的，价格低廉，但可以带来好处。对AP的需求和未满足的需求都很高，尤其是对于那些功能障碍较大的人。评估未满足的AP需求揭示了规模扩展的重要障碍，可以为政策和实践提供依据。

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