The prevalence of disability among adolescents and young adults in low and middle-income countries: A cross-sectional comparison of two measures

IF 3.3 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Disability and Health Journal Pub Date : 2025-01-21 DOI:10.1016/j.dhjo.2025.101777

Eric Emerson , Gwynnyth Llewellyn

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引用次数: 0

Abstract

Background

The Washington Group Short Set on Functioning (WG-SS) is frequently used to identify disability among adults in national surveys. Concerns have been raised about the utility of the WG-SS given that it fails to include any items relating to psychosocial disability.

Objective

To compare prevalence estimates for adolescents and young adults derived from the Washington Group's Child Functioning Module (WG-CFM; age 15–17) and the WG-SS (age 18–25). To estimate the prevalence of impairments among adolescents who were not categorised as having a disability based on the six WG-SS domains. To investigate the association between disability and relative household wealth among adolescents with disabilities who were/were not categorised as having a disability based on the six WG-SS domains.

Methods

Secondary analysis of 40 nationally representative surveys collected in low- and middle-income countries.

Results

Prevalence estimates for disability were significantly higher among adolescents (15.1 % 95 % 14.8–15.4) than young adults (3.2 % 95 % 3.1–3.3). The WG-SS only identified 21%–23 % of young adults who are likely to have a disability. Among adolescents, those identified as having a disability by the WG-CFM, but as not having a disability by the items in the WG-CFM similar to the six domains of the WG-SS primarily had functional limitations related to anxiety and depression. Household wealth was unrelated to disability based on the six WG-SS domains but was strongly related to disability identified by the WG-CFM.

Conclusions

The WG-SS, as it stands, should not be used to identify disability in young adult populations.

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低收入和中等收入国家青少年和年轻人的残疾患病率：两种测量方法的横断面比较。

背景：华盛顿小组功能短集（WG-SS）在全国调查中经常用于识别成年人的残疾。由于没有包括任何与心理社会残疾有关的项目，因此对工作组- ss的效用提出了关切。目的：比较来自华盛顿集团儿童功能模块（WG-CFM）的青少年和年轻人的患病率估计；年龄15-17岁)和WG-SS（18-25岁）。根据六个WG-SS域估计未被归类为残疾的青少年中损伤的患病率。调查残疾与相对家庭财富之间的关系，这些残疾青少年基于六个WG-SS域被/未被归类为残疾。方法：对在低收入和中等收入国家收集的40项具有全国代表性的调查进行二次分析。结果：青少年的残疾患病率估算值（15.1% 95% 14.8-15.4）明显高于年轻人（3.2% 95% 3.1-3.3）。WG-SS只确定了21%- 23%可能有残疾的年轻人。在青少年中，被WG-CFM识别为残疾，但被WG-CFM中与WG-SS的六个领域相似的项目确定为不存在残疾的青少年主要存在与焦虑和抑郁相关的功能限制。根据WG-SS的六个域，家庭财富与残疾无关，但与WG-CFM确定的残疾密切相关。结论：按照目前的情况，WG-SS不应该用于识别年轻成人人群的残疾。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disability and Health Journal HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

7.50

自引率

6.70%

发文量

134

审稿时长

34 days

期刊介绍： Disability and Health Journal is a scientific, scholarly, and multidisciplinary journal for reporting original contributions that advance knowledge in disability and health. Topics may be related to global health, quality of life, and specific health conditions as they relate to disability. Such contributions include: • Reports of empirical research on the characteristics of persons with disabilities, environment, health outcomes, and determinants of health • Reports of empirical research on the Systematic or other evidence-based reviews and tightly conceived theoretical interpretations of research literature • Reports of empirical research on the Evaluative research on new interventions, technologies, and programs • Reports of empirical research on the Reports on issues or policies affecting the health and/or quality of life for persons with disabilities, using a scientific base.