• Title/Summary/Keyword: Social Model of Disability

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Chronic Illnesses and Multidimensional Disability among Older Adults with Disabilities: Applying the ICF Framework (고령장애인의 만성질환과 다차원적 장애 : 국제기능장애건강분류틀(ICF)을 적용하여)

  • Cho, Sangeun
    • Korean Journal of Social Welfare Studies
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    • v.48 no.4
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    • pp.91-120
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    • 2017
  • This study aimed (a) to examine the association between chronic illness and multidimensional disability(i.e., psychological/emotional functions, activity capacity, and participation frequency) among older adults with disabilities, (b) to investigate the effect of formal and informal supports on multidimensional disability, and (c) to analyze the moderating effects of formal and informal supports on the association between chronic illness and multidimensional disability. This study used 2014 Korea Welfare Panel Study(the 9th wave) data and 450 older adults with disabilities aged 50 and over were selected as the study target. The research model was analyzed by structural equation modeling using IBM AMOS 22.0. Based on the ICF framework developed by WHO, health condition was measured by the level of chronic illness; psychological/emotional functions were measured by health satisfaction, self-esteem, and depression; activity capacity was measured by ADLs and IADLs; participation frequency was measured by the total number of social activities joined; formal support was measured by the total number of formal welfare services for people with disabilities utilized; informal support was measured by perceived social support. The findings showed that the level of chronic illness was negatively associated with psychological/emotional functions among the older adults with disabilities. The informal support positively affected psychological/emotional functions and activity capacity, whereas the formal support showed the opposite result. That is, the formal support negatively influenced activity capacity and showed a moderating effect on the association between the level of chronic illness and the psychological/emotional functions in a reverse way. Based on the results, practice and policy implications for alleviating disability level among the older adults with disabilities were discussed.

A Study on the Organizational Effects on Wage of Employee with Disability in Vocational Rehabilitation Facilities - An Application of Hierarchical Linear Modeling - (장애인직업재활시설 내 장애인의 임금에 영향을 미치는 요인에 관한 연구 - 위계선형모형(Hierarchical Linear Modeling) 분석 -)

  • Kim, Hye-Yeon
    • Korean Journal of Social Welfare
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    • v.62 no.4
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    • pp.171-192
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    • 2010
  • The purpose of this study is to examine factors on wage of the Disabled. This study attempts to identify organizational effects on wage of the disabled. Then, this study adopts hierarchical linear model for the study purpose. Data used for this article is the survey on the vocational rehabilitation facilities in Seoul. The results are as follows. First, wage of the disabled is different from organizations as well as individuals. So, there are necessities in the consideration of organizational effects and the application of hierarchical linear model. Second, effects on wage of the disabilities controlling individual factors such as age, educational level, period using the facilities, sex, whether or not beneficiary, type of disability are different from organization. Finally, there are interaction effects of type of disability and organizational character variables. The implications of these findings are as follows. First, more political concerns should be given on the management of vocational rehabilitation facilities. Second, it is needed to concern about vocational rehabilitation of the mentally disabled.

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Examining the Relationship between Depression, Daily Hassles, and Family Support among Elderly Cerebral Vascular Accident Outpatients (통원치료 중인 뇌병변 장애노인의 생활스트레스, 가족지원, 우울간의 관계성 검증)

  • Moon, Soo-Kyung
    • Journal of the Korean Home Economics Association
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    • v.47 no.7
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    • pp.33-43
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    • 2009
  • Depression has a direct relationship with lower quality of life for elderly with cerebral vascular accidents(CVA). Daily hassles worsen depression for elderly with CVA disability and thus an effective intervention is necessary. This research examined the direct influence of daily hassles on depression and the mediation effect of family support among 161 elderly with CVA disability living in Seoul using Structural Equation Modeling. The direct effect of daily hassles on depression was statistically significant (p < .001) while family support was shown to be a mediator between daily hassles and depression. The mediation model of family support was examined using $x^2$ difference and Soble test. As a result, family support was proven to be a partial mediator. Implications are discussed.

Application of Rasch Analysis to the Modified Oswestry Low Back Pain Disability Questionnaire for Work-Related Low Back Pain Patients (수정된 오스웨스트리 허리기능 장애 설문지의 라쉬분석: 산업장에서의 업무관련 요통환자를 대상으로)

  • Park, So-Yeon;Oh, Jae-Seop;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.15 no.3
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    • pp.26-34
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    • 2008
  • The purposes of this study were to assess and modify the original classification categories of the modified Oswestry Low Back Pain Disability Questionnaire (ODQ) and to determine the unidimensionality of the modified ODQ applying Rasch Analysis. The data were obtained from 108 work-related low back pain patients by physical therapists. Construct validity of the scale using the Rasch model required the structure of the rating scale to be modified from 6 response levels to 4 response levels. Eight items from the modified ODQ fit the Rasch model. The items, "pain intensity" and "social life" showed misfit statistics. In general, the order of item difficulty of the remaining 8 items showed a logical item difficulty hierarchy with the "changing degree of pain" item being the most difficult and the "walk" item being the easiest. The results showed that further study is needed to expand the construct of ODQ including additional higher-level items related to work activities. This study may be useful for establishing a standard method to assess the functionality of low back pain patients.

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Relationship between Spatial Inclusivity and Social Participation According to Degree of Disability (장애 정도에 따른 공간적 포용성과 사회참여의 관계)

  • Kim, Si Hwa;Park, In Kwon
    • Journal of the Korean Regional Science Association
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    • v.39 no.3
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    • pp.65-83
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    • 2023
  • The purpose of this study is to conceptually define "spatial inclusivity" and empirically examine the impact of disability severity and spatial inclusivity on social participation among individuals experiencing physical discomfort. The social and spatial environment of the residential area is crucial for individuals with disabilities who face limited activity range and complex barriers due to physical constraints. In this study, spatial inclusivity from the perspective of people with disabilities is defined as establishment of equal relationships with non-disabled individuals within the local community, as well as the availability of basic facilities and services in a safe urban space that allows for access and utilization. This concept consists of three dimensions: individual networks, social environment, and physical environment. The physical environment encompasses safety levels, natural environment, living environment, public transportation conditions, medical services in residential areas. We used the 2019 Community Health Survey to examine the relationship between disability severity, spatial inclusivity, and social participation using a two level regression model. The findings are as follows: Firstly, personal relationships at the individual level and the physical environment at the local level have a positive impact on social participation. Secondly, when identifying dividing the physical environment into five sub-factors, no significant influence of individual factors is found. Thirdly, trustworthy and friendly social environment at the local level has a negative impact on social participation. These results provide empirical evidence that spatial inclusivity has an effect on the social participation of individuals with disabilities and suggest implications for urban planning to create and enhance conditions for the social participation of individuals with disabilities.

Factors Affecting on the Unemployment Hazard Rate of the People with Disabilities (장애인의 실업탈출 결정요인에 관한 연구)

  • Nam, Jeong Hwi;Choi, Young
    • 재활복지
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    • v.17 no.4
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    • pp.127-149
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    • 2013
  • This study analyzed the hazard of unemployment and the influencing factors on the rate. Data came from the Panel Survey of Employment for the Disabled(PSED), 2010-2012, which is a longitudinal survey for 5,092 disabled people in Korea. For the main purpose of this study, the life-table method was used for describing the patterns of unemployment duration by disabled, and the cox proportional hazard model was used to identify significant factors on the unemployment duration. The results were as follows. First, according to the life table analysis, the unemployment rate to remain until the longest period of unemployment(25month) is 90.5%, and the rate of entry into the labor market was only 9.5%. Overall, the unemployment maintenance rate was high, the unemployment escape rate decreased after 12month. Second, looking at the results from the cox proportional hazards model, the unemployment escape possibility were increased for those who are male, are non-public benefit recipient with disability, have mild disability, and have less discrimination experiences. With these results, disability discrimination act which can reduce the disability discrimination in employment site should be strengthened. Also, the scheme of Nation Basic Protection Program should be modified to attract the employment of recipients with disability. Finally, policy targets having employment escape difficulty, such as women with disability, people with severe disabilities should be departmentalized. And employment service is provided in accord with the individual needs and characteristics.

Clothing expenditure, and mediation effect of self-efficacy and moderating effect of disability acceptance in the association between dependency on others and happiness among visually impaired people - Moderated mediating model - (시각장애인의 의복비 지출 현황 조사 및 타인 의존도와 행복의 관계에 미치는 자기효능의 매개효과와 장애 수용의 조절효과 검증 - 조절된 매개모형 분석 -)

  • Minsun, Lee;Hae Rim, Park;Ho Jung, Yang
    • The Research Journal of the Costume Culture
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    • v.30 no.6
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    • pp.842-860
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    • 2022
  • There has been growing attention on the well-being of people with disabilities. The purpose of this study was twofold: (1) to investigate the associations between individuals' socio-demographic and psychological characteristics and clothing expenditure, and (2) to examine the moderated mediation effect of self-efficacy and acceptance of disability on the association between dependency on others and happiness among people with visual impairment. This study was based on secondary analysis of data from the second wave of the 6th Panel Survey of Employment for the Disabled collected by the Employment Development Institute. The results of this study showed that average monthly expenditure on clothing was positively associated with self-efficacy, happiness, and acceptance of disability, while being negatively associated with dependency on others. The results also confirmed that self-efficacy mediated the association between dependency on others and happiness. A conditional direct effect of dependency on others on happiness was found, in which negative associations were significant among people with visual impairment who had low and mean levels of acceptance of disability (but not high levels). In addition, there was a significant conditional indirect effect, in which the indirect and negative effect of dependency on others on happiness via self-efficacy was significant for those with low and average levels of acceptance of disability. These findings support the importance of enhancing the independence and acceptance of disability among people with visual impairment, which ultimately contributes to their happiness.

Cognitive Ability in Midlife and Labor Market Participation Among Older Workers: Prospective Cohort Study With Register Follow-up

  • Sundstrup, Emil;Hansen, Ase M.;Mortensen, Erik L.;Poulsen, Otto M.;Clausen, Thomas;Rugulies, Reiner;Moller, Anne;Andersen, Lars L.
    • Safety and Health at Work
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    • v.11 no.3
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    • pp.291-300
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    • 2020
  • Background: The study aimed to determine the association of individual cognitive ability in late midlife with labor market participation among older workers. Methods: This prospective cohort study estimates the risk of long-term sickness absence, disability pension, early retirement, and unemployment from scores on the Intelligenz-Struktur-Test 2000R by combining data from 5076 workers from the Copenhagen Aging and Midlife Biobank with a register on social transfer payments. Analyses were stepwise adjusted for age, gender, physical and psychosocial work environment, health behaviors, occupational social class, education, and chronic diseases. Results: In the fully adjusted model, low cognitive ability (≥1 standard deviation below the mean for each gender) and high cognitive ability (≥1 standard deviation above the mean for each gender) were not associated with risk of any of the four labor market outcomes. Conclusion: Individual cognitive ability in late midlife was not associated with risk of long-term sickness absence, disability pension, early retirement, and unemployment in the fully adjusted model. Thus, no direct effect of individual cognitive ability in late midlife was observed on the risk of permanently or temporarily leaving the labor market.

The Longitudinal Study on the Factors of Catastrophic Health Expenditure Among Disabled Elderly Households (장애노인 가구의 과부담 보건의료비 결정요인에 관한 종단적 연구)

  • Roh, Seung-Hyun
    • Korean Journal of Social Welfare
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    • v.64 no.3
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    • pp.51-77
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    • 2012
  • This study examines the scale of occurrence of Catastrophic Health Expenditure, and identifies the factors influencing Catastrophic Health Expenditure among disabled elderly households. Catastrophic Health Expenditure is defined by when the households' health care spending out of ability to pay exceeds 10%, 20%, 30%, and 40%. This study used the 2008, 2009, and 2010 surveys of the Panel Survey of Employment for the Disabled(PSED) to explore how gender, age, spouse, the level of education, the degree of disability, the type of disability, disability duration, subjective health status, chronic disease, the number of household members, the proportion of disabled households, the proportion of working households, the proportion of aged households, the type of poverty, household income, net asset, determine Catastrophic Health Expenditure among disabled elderly households. The study examines the frequency of Catastrophic Health Expenditure with 726 households, and conducted the panel logit model. The empirical results show that Catastrophic Health Expenditures are significantly related to age, spouse, the type of disability, subjective health status, chronic disease, the number of households, the proportion of disabled households, the proportion of aged households, the type of poverty. This study showed that the health care safety net in South Korea was insufficient for disabled elderly households and that a policy should be established in ordered to protect disabled elderly households from occurrence of Catastrophic Health Expenditure.

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The Effect of Acceptance of Disability on Life Satisfaction of Developmental Disabilities Employed: The Mediating Effects of Job Satisfaction and Interpersonal Relationship (취업한 발달장애인의 장애수용이 생활만족도에 미치는 영향: 직무만족도와 대인관계의 매개효과)

  • Kim, Yeong-Un;Sunu, Jeong-Ok
    • Journal of Industrial Convergence
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    • v.19 no.4
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    • pp.75-84
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    • 2021
  • This study sought to verify the mediating effect of job satisfaction and interpersonal relationships in the effect of disability acceptance of employed people with developmental disabilities on life satisfaction. To this end, we perform a structural equation model analysis using the 4th survey data in 2019, which has the highest level of communication among the 2nd wave of employment panel for the disabled, resulting in the following results. First, it has been confirmed that the degree of disability acceptance of employed people with developmental disabilities has a positive affect on their life satisfaction. Second, Third, job satisfaction are mediated in the effect of disability acceptance of employed people with developmental disabilities on life satisfaction. Third, interpersonal relationships are mediated in the effect of disability acceptance of employed people with developmental disabilities on life satisfaction. Based on the above findings, implications and suggestions were presented.