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Prevalence of disability and associated factors in Dabat Health and Demographic Surveillance System site, northwest Ethiopia

机译:埃塞俄比亚西北部Dabat健康与人口监视系统站点中的残障患病率及相关因素

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Background Despite the high burden of disability in Ethiopia, little is known about it, particularly in the study area. Hence, this study aimed to investigate the prevalence and factors associated with disability at Dabat Health and Demographic Surveillance System (HDSS) site, northwest Ethiopia. Method A population-based study was conducted from October to December 2014 at Dabat HDSS site. A total of 67,395 people were included in the study. The multivariable binary logistic regression analysis was employed to identify factors associated with disability. The Adjusted Odds Ratio (AOR) with a 95% Confidence Interval (CI) was estimated to show the strength of association. A p -value of Results One thousand two hundred twenty-eight individuals were reported to have a disability giving a prevalence rate of 1.82%, of which, about 39% was related to a vision disability. The high odds of disability were observed among the elderly (≥50?years) [AOR: 4.49; 95% CI: 1.95, 10.33], severely food in-secured [AOR: 2.11; 95% CI: 1.59, 2.80], and separated marital status [AOR: 7.52; 95% CI: 1.18, 47.84]. While having a paid job [AOR: 0.46; 95% CI: 0.28, 0.77], being in the richest quintile [AOR: 0.55; 95% CI: 0.41, 0.75], and high engagement in work-related physical activities [AOR: 0.36; 95% CI: 0.27, 0.49] were inversely associated with the disability. Conclusion Disability is a major public health problem, and the burden is noticeable in the study area. Vision disability is the highest of all disabilities. Thus, efforts must be made on educating the public about disability and injury prevention. Measures that reduce disability should target the elderly, the poorer and the unemployed segment of the population.
机译:背景技术尽管埃塞俄比亚的残疾人负担沉重,但对此知之甚少,特别是在研究领域。因此,本研究旨在调查埃塞俄比亚西北部Dabat健康与人口监视系统(HDSS)站点中与残疾相关的患病率和相关因素。方法2014年10月至2014年12月在Dabat HDSS站点进行了一项基于人群的研究。该研究总共包括67,395人。采用多变量二元逻辑回归分析来确定与残疾相关的因素。估计置信区间(CI)为95%的调整后赔率(AOR)显示了关联的强度。结果的p值据报告,有128个个体的残疾患病率为1.82%,其中约39%与视力残疾有关。在老年人(≥50岁)中发现残疾的几率很高[AOR:4.49; 95%CI:1.95,10.33],有保障的食物安全性严重[AOR:2.11; 95%CI:1.59,2.80],婚姻状况分开[AOR:7.52; 95%CI:1.18,47.84]。有薪工作时[AOR:0.46; 95%CI:0.28,0.77],处于最富有的五分之一[AOR:0.55; 95%CI:0.41、0.75],并高度参与与工作相关的体育活动[AOR:0.36; 95%CI:0.27,0.49]与残疾呈负相关。结论残疾是主要的公共卫生问题,在研究区域内负担很明显。视力残疾是所有残疾中最高的。因此,必须努力对公众进行有关残疾和伤害预防的教育。减少残疾的措施应针对老年人,较贫穷和失业的人群。

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