DETERMINANTS OF QUALITY OF LIFE PERSON WITH DISABILITIES IN MALAYSIA

A. A. Alias, R. Jani, H. Hanafi
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Abstract

To maximize the quality of life (QoL) among persons with disabilities (PWDs) in Malaysia, it is important to identify factors that are strongly associated with the QoL of PWDs. The aim of this study is to identify the determinants of QoL among PWDs in Malaysia. A cross-sectional study approach was applied covering 340 participants with hearing impairments, visual impairments, and physical disabilities. A multiple regression analysis was performed to determine the determinants of QoL. The seven QoL domains namely physical health, psychological, social relationships, environment, discrimination, autonomy, and inclusion were considered as dependent variables while demographic profile, socio-economic status, and disability history were considered independent variables. The contribution of independent variables to most of the QoL domains was modest. This study found that type of disabilities is a significant determinant for physical health, psychological, environment, discrimination, and inclusion domains. Meanwhile, the level of education is a significant determinant in the environment and autonomy domain. It was also found that age group is a significant determinant in the psychological domain. Meanwhile, employment status is a significant determinant in physical health domains. However, self-rated health is not significant in the discrimination domain. Both PWDs with good health conditions or PWDs with unhealthy conditions face the same experience of discrimination. These findings supplement the existing knowledge and contribute to future research, service planning initiatives, public education, and policy formulation. Furthermore, this study may aid social service stakeholders in evaluating the effectiveness of current activities and identifying trends for future planning.
马来西亚残疾人生活质量的决定因素
为了最大限度地提高马来西亚残疾人士的生活质量,确定与残疾人士生活质量密切相关的因素非常重要。本研究的目的是确定马来西亚残疾人士生活质量的决定因素。采用横断面研究方法,对340名听力障碍、视力障碍和身体残疾的参与者进行了研究。采用多元回归分析确定影响生活质量的因素。七个生活质量领域即身体健康、心理、社会关系、环境、歧视、自主和包容被视为因变量,而人口概况、社会经济地位和残疾史被视为自变量。自变量对大多数生活质量域的贡献不大。本研究发现,残疾类型是生理健康、心理、环境、歧视和包容等领域的重要决定因素。同时,教育水平是环境和自治领域的重要决定因素。研究还发现,在心理领域,年龄是一个重要的决定因素。同时,就业状况是身体健康领域的重要决定因素。然而,自评健康在歧视领域并不显著。健康状况良好的残疾人士或健康状况不佳的残疾人士都面临同样的歧视经历。这些发现补充了现有的知识,并有助于未来的研究、服务规划举措、公众教育和政策制定。此外,本研究可帮助社会服务利益相关者评估当前活动的有效性,并确定未来规划的趋势。
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