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Intersecting Inequalities: Non-Partner violence against poor women with disabilities in Egypt 交叉不平等:非伴侣暴力侵害埃及贫穷残疾妇女。
IF 3.3 2区 医学
Disability and Health Journal Pub Date : 2026-01-01 Epub Date: 2025-08-05 DOI: 10.1016/j.dhjo.2025.101935
Amr Abdelwahed , Xindong Zhao , Daad Fouad , Ebrahim Amer , Maha Abo Gendia
{"title":"Intersecting Inequalities: Non-Partner violence against poor women with disabilities in Egypt","authors":"Amr Abdelwahed ,&nbsp;Xindong Zhao ,&nbsp;Daad Fouad ,&nbsp;Ebrahim Amer ,&nbsp;Maha Abo Gendia","doi":"10.1016/j.dhjo.2025.101935","DOIUrl":"10.1016/j.dhjo.2025.101935","url":null,"abstract":"<div><h3>Background</h3><div>Non-partner violence (NPV) against women with disabilities remains underexamined, particularly in resource-limited settings like Egypt. Intersecting vulnerabilities—gender, disability, and poverty—amplify risks. Structural inequalities and social marginalization further heighten violence, limit access to support systems, and exacerbate the vulnerabilities of women with disabilities, creating significant gaps in intervention and support.</div></div><div><h3>Objective</h3><div>This study investigates the prevalence and determinants of NPV among poor women with disabilities in Egypt, with a focus on how sociodemographic and disability-related factors shape risk.</div></div><div><h3>Methods</h3><div>Using data from the 2020 Violence Against Women With Disability Survey, this cross-sectional study analyzes 5616 women with physical, hearing, visual, or multiple disabilities. Descriptive statistics and logistic regression models were employed to examine lifetime and past-year experiences of NPV and associated characteristics.</div></div><div><h3>Results</h3><div>Nearly half (47.8 %) of women reported experiencing NPV since age 15, and 25.3 % experienced it in the past year. Higher risk was observed among younger women, unmarried, those living in Upper Egypt, those with early-onset or multiple disabilities, and those with lower educational attainment. Notably, employed women faced increased odds of NPV, possibly reflecting exposure in public or workplace settings.</div></div><div><h3>Conclusions</h3><div>The findings emphasize the urgent need for disability-sensitive interventions that address structural inequality, stigma, and social exclusion. Interventions should prioritize inclusive legal protections, caregiver oversight, and access to accessible services, especially in underserved and rural regions. Targeted policies are essential to ensure safety, dignity, and justice for women with disabilities in Egypt.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101935"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Accessibility and utilisation of reproductive healthcare services among women with disabilities in Lithuania: Insights from a mixed-methods study 立陶宛残疾妇女获得和利用生殖保健服务的情况:来自一项混合方法研究的见解。
IF 3.3 2区 医学
Disability and Health Journal Pub Date : 2026-01-01 Epub Date: 2025-07-19 DOI: 10.1016/j.dhjo.2025.101928
Ugnė Grigaitė , Simona Aginskaitė , Rokas Uscila
{"title":"Accessibility and utilisation of reproductive healthcare services among women with disabilities in Lithuania: Insights from a mixed-methods study","authors":"Ugnė Grigaitė ,&nbsp;Simona Aginskaitė ,&nbsp;Rokas Uscila","doi":"10.1016/j.dhjo.2025.101928","DOIUrl":"10.1016/j.dhjo.2025.101928","url":null,"abstract":"<div><h3>Background</h3><div>Women with disabilities worldwide face barriers to reproductive healthcare, including accessibility challenges and negative attitudes from medical professionals. These issues reflect multiple intersecting forms of discrimination.</div></div><div><h3>Objective</h3><div>This study aims to examine how women with various disabilities in Lithuania access reproductive healthcare services, evaluate their experiences with these services, and explore the related attitudes of clinicians.</div></div><div><h3>Methods</h3><div>This cross-sectional study employs a mixed-methods convergent design. Quantitative and qualitative data were collected through an online survey (n = 154) and two focus groups with medical professionals (n = 12). Statistical and thematic analyses were performed using SPSS and MAXQDA.</div></div><div><h3>Results</h3><div>Over half of the women rated their reproductive healthcare experiences as average to very bad. Issues spanned preventive, general, pregnancy, labour, childbirth, and postpartum care. Participants with hearing, mobility, physical disabilities, and autism reported more issues, often citing inaccessible infrastructure, lack of Sign language interpretation, written consultations, or Easy-to-Read materials. Intellectual disabilities were also associated with reports of negative attitudes from medical professionals, highlighting widespread communication and support inadequacies.</div></div><div><h3>Conclusions</h3><div>Improving reproductive healthcare for women with disabilities in Lithuania and globally requires educating medical professionals on the human rights-based model of disability and accessibility. Implementing individual accommodations in healthcare is essential and should involve medical staff, administrators, and policymakers. Ensuring access to sex education for women with disabilities and addressing societal stereotypes about their sexuality and motherhood are also vital. Further research with larger sample sizes is needed to evaluate and enhance the accessibility and quality of reproductive healthcare services for women with disabilities.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101928"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence, predictors and consequences of reported discrimination against children with disabilities in Lao PDR: a cross-sectional analysis in Xiengkhouang Province 老挝人民民主共和国报告的歧视残疾儿童的患病率、预测因素和后果:在湘圹省的横断面分析。
IF 3.3 2区 医学
Disability and Health Journal Pub Date : 2026-01-01 Epub Date: 2025-09-02 DOI: 10.1016/j.dhjo.2025.101963
Nathaniel Scherer , Ketmany Chanthakoummane , Anousin Homsana , Mark T. Carew , Latsamy Siengsounthone , Hannah Kuper , Bounhome Soukkhaphone , Lena Morgon Banks
{"title":"Prevalence, predictors and consequences of reported discrimination against children with disabilities in Lao PDR: a cross-sectional analysis in Xiengkhouang Province","authors":"Nathaniel Scherer ,&nbsp;Ketmany Chanthakoummane ,&nbsp;Anousin Homsana ,&nbsp;Mark T. Carew ,&nbsp;Latsamy Siengsounthone ,&nbsp;Hannah Kuper ,&nbsp;Bounhome Soukkhaphone ,&nbsp;Lena Morgon Banks","doi":"10.1016/j.dhjo.2025.101963","DOIUrl":"10.1016/j.dhjo.2025.101963","url":null,"abstract":"<div><h3>Background</h3><div>Children with disabilities are at increased risk of discrimination, contributing to exclusion from services and community life.</div></div><div><h3>Objective</h3><div>This study investigates the prevalence, predictors and consequences of reported discrimination against children with disabilities in Lao People's Democratic Republic (Lao PDR).</div></div><div><h3>Methods</h3><div>Data were collected in the baseline assessment for a non-randomised controlled trial of a cash-plus programme for children with disabilities in Xiengkhouang Province, Lao PDR. Assessment was conducted May to October 2023. Data on reported discrimination was collected using a tool based on a validated measure. Experience of discrimination in the past 30 days was classified into “any” and “frequent”. Children aged ≥8 years reported directly on their experiences of discrimination. Caregivers provided proxy response for children &lt;8 years or for children ≥8 years who had severe difficulties communicating.</div></div><div><h3>Results</h3><div>405 children with disabilities aged ≤18 years were recruited. Prevalence of any reported discrimination in the past 30 days was 72.3%, and of frequent discrimination 28.4%. Reported discrimination was more common against children with cognitive disabilities (aRR: 1.55, 95% CI: 1.03-2.33), Hmong/Lu Mien children (aRR: 1.25, 95% CI: 1.10-1.41), and children without friends (aRR: 1.61, 95% CI: 1.16-2.23). Children experiencing frequent discrimination were substantially more likely to avoid others (aRR: 5.19, 95% CI: 3.48-7.74) and worry about how others act towards them (aRR: 4.05, 95% CI: 2.79-5.88).</div></div><div><h3>Conclusions</h3><div>Children with disabilities in Lao PDR experience high levels of discrimination. Action is needed to reduce disability-related stigma and discrimination in line with the United Nations Convention on the Rights of Persons with Disabilities.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101963"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Status of local governments’ disaster preparedness targeting persons with physical disabilities in Japan 日本地方政府针对残疾人的防灾工作现状。
IF 3.3 2区 医学
Disability and Health Journal Pub Date : 2026-01-01 Epub Date: 2025-06-19 DOI: 10.1016/j.dhjo.2025.101918
Kyo Takahashi , Kenji Takaki , Shutaro Koyama , Jun Suzurikawa
{"title":"Status of local governments’ disaster preparedness targeting persons with physical disabilities in Japan","authors":"Kyo Takahashi ,&nbsp;Kenji Takaki ,&nbsp;Shutaro Koyama ,&nbsp;Jun Suzurikawa","doi":"10.1016/j.dhjo.2025.101918","DOIUrl":"10.1016/j.dhjo.2025.101918","url":null,"abstract":"<div><h3>Background</h3><div>During disasters, persons with physical disabilities face various difficulties. Local governments need to improve disaster preparedness to support persons with physical disabilities.</div></div><div><h3>Objective</h3><div><span>This study aimed to identify the status and concerns of different-sized local governments in Japan on disaster preparedness (designation of welfare </span>evacuation<span> centers and development of individual evacuation plans) for persons with physical disabilities.</span></div></div><div><h3>Methods</h3><div>In February 2023, questionnaires were distributed among the local governments of all 1724 municipalities in Japan. In this survey, the officials responsible for disaster preparedness for persons with disabilities answered questions on welfare evacuation centers and individual evacuation plans<span>. Further, the associations between responses and population sizes were examined using a chi-square test.</span></div></div><div><h3>Results</h3><div>In total, 812 Japanese municipalities responded to the survey. Results revealed that approximately half of the municipalities did not have designated welfare evacuation centers. Further, the larger the population, the higher the proportion of undesignated welfare evacuation centers. At the time of this study, only 59 local governments had completed the individual evacuation plans for targeted persons. The biggest difficulty was understanding the needs of persons with disabilities.</div></div><div><h3>Conclusions</h3><div>The difficulty in designating welfare evacuation centers and developing individual evacuation plans progressively increases with the increase in a municipality's population size. Although large local governments may possess abundant disaster preparedness resources, they often find it difficult to advance such measures to persons with physical disabilities because such actions require detailed responses from these individuals.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101918"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intersecting disability and race implicit attitudes of health care professionals 卫生保健专业人员的残疾和种族隐性态度的交叉。
IF 3.3 2区 医学
Disability and Health Journal Pub Date : 2026-01-01 Epub Date: 2025-07-04 DOI: 10.1016/j.dhjo.2025.101924
Carli Friedman
{"title":"Intersecting disability and race implicit attitudes of health care professionals","authors":"Carli Friedman","doi":"10.1016/j.dhjo.2025.101924","DOIUrl":"10.1016/j.dhjo.2025.101924","url":null,"abstract":"<div><h3>Background</h3><div>Focusing on intersectionality is necessary not only to better understand how oppression impacts people, but also to reduce the harmful impacts of discrimination. While past research has separately found most health care professionals are implicitly (unconsciously) biased against disability, and implicitly biased against people of color, and some also self-report explicit (conscious) biases, to our knowledge, there is little to no research about health care professionals' intersectional attitudes. Yet, we do know that health care professionals’ attitudes and biases impact the quality of care they provide and the outcomes of those they serve. Thus, it is critical to uncover more information about their explicit and implicit attitudes, especially intersectional attitudes.</div></div><div><h3>Objective</h3><div>The aim of this study was to examine the intersecting disability and race attitudes of health care professionals.</div></div><div><h3>Methods</h3><div>We had 784 health care professionals complete the Intersecting Disability and Race Attitudes Implicit Association Test (IDRA-IAT) and an explicit measure (January–March 2025).</div></div><div><h3>Results</h3><div>Health care professionals implicitly preferred nondisabled white people (<em>M</em> = 0.18) the most, then disabled white people (<em>M</em> = 0.08), and then disabled (<em>M</em> = −0.12) and nondisabled people of color (<em>M</em> = −0.14) the least. There was a significant gap between participants’ explicit and implicit attitudes, with self-report explicit attitudes showing an opposite pattern as implicit attitudes, suggesting health care professionals may be unaware of the scope of their implicit biases.</div></div><div><h3>Conclusions</h3><div>Everyone deserves high quality healthcare; until we reduce health care professionals’ biases, health equity will not be possible.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101924"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diaphragmatic mobility and its relationship with the functional exercise capacity, fatigue severity, symptoms of fatigue, and health-related quality of life in children with cerebral palsy 脑瘫儿童膈肌活动度及其与功能性运动能力、疲劳严重程度、疲劳症状和健康相关生活质量的关系
IF 3.3 2区 医学
Disability and Health Journal Pub Date : 2026-01-01 Epub Date: 2025-06-13 DOI: 10.1016/j.dhjo.2025.101915
Ümit Erkut , Hasan Bingöl
{"title":"Diaphragmatic mobility and its relationship with the functional exercise capacity, fatigue severity, symptoms of fatigue, and health-related quality of life in children with cerebral palsy","authors":"Ümit Erkut ,&nbsp;Hasan Bingöl","doi":"10.1016/j.dhjo.2025.101915","DOIUrl":"10.1016/j.dhjo.2025.101915","url":null,"abstract":"<div><h3>Background</h3><div>Evidence suggests that diaphragmatic mobility (DM) is reduced in children with cerebral palsy<span> (CP). However, the relationships between DM and physical fitness, fatigue, and quality of life in children with CP have yet to be established.</span></div></div><div><h3>Objective</h3><div>This study examined the relationship between DM and functional exercise capacity (FEC), fatigue severity, fatigue symptoms, and health-related quality of life (HRQOL) in children with CP.</div></div><div><h3>Methods</h3><div><span>Twenty children with the ambulatory CP and 10 healthy peers participated in the study. DM was assessed using ultrasonography<span>, while FEC, fatigue severity, HRQOL, and fatigue symptoms were evaluated using the 6-Minute Walking Test (6-MWT), Fatigue Severity Scale (FSS), </span></span>Pediatric Quality of Life Inventory<span> 3.0 Cerebral Palsy Module (PedsQL 3.0 CP module), and Pediatric Quality of Life Inventory 3.0 Multidimensional Fatigue Scale (PedsQL 3.0-MFS), respectively. Linear correlations, and non-parametric tests were performed using IBM SPSS Statistics 25.0, while path analysis was performed using IBM SPSS AMOS version 20.0.</span></div></div><div><h3>Results</h3><div>Significant correlations were found between DM and FEC (right DM: r = 0.85; left DM: r = 0.84), fatigue severity (right DM: r = −0.73; left DM: r = −0.72), the General Fatigue subdomain of the PedsQL 3.0-MFS (right DM: r = 0.66; left DM: r = 0.65), and the Daily Activities (right DM: r = 0.79; left DM: r = 0.80), Movement and Balance (right DM: r = 0.73; left DM: r = 0.73), and Fatigue (right DM: r = 0.83; left DM: r = 0.82) subdomains of the PedsQL CP module Path analysis revealed that DM had significant direct effects on FEC and fatigue severity (β<sub>1</sub> = −0.72, <em>p</em> &lt; 0.001; β<sub>2</sub> = 0.84, <em>p &lt;</em><span> 0.001) and an indirect effect on PedsQL 3.0-MFS General Fatigue (β = −0.72 ∗ 0.50) through aerobic capacity and fatigue severity.</span></div></div><div><h3>Conclusion</h3><div>The findings suggest that specific management strategies, including inspiratory muscle training, respiratory exercises, manual diaphragmatic stretching techniques, and feedback devices, are necessary to address reduced DM in children with CP.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101915"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social and attitudinal barriers to the provision of accessible housing in Canada: A qualitative study 加拿大提供无障碍住房的社会和态度障碍:一项定性研究。
IF 3.3 2区 医学
Disability and Health Journal Pub Date : 2026-01-01 Epub Date: 2025-09-13 DOI: 10.1016/j.dhjo.2025.101966
Kirstin E. Yuzwa , Farah Bacchus-Misir , Siobhan Galeazzi-Stirling , Eva Cohen , Peter Athanasopoulos , Sander L. Hitzig , Christine L. Sheppard
{"title":"Social and attitudinal barriers to the provision of accessible housing in Canada: A qualitative study","authors":"Kirstin E. Yuzwa ,&nbsp;Farah Bacchus-Misir ,&nbsp;Siobhan Galeazzi-Stirling ,&nbsp;Eva Cohen ,&nbsp;Peter Athanasopoulos ,&nbsp;Sander L. Hitzig ,&nbsp;Christine L. Sheppard","doi":"10.1016/j.dhjo.2025.101966","DOIUrl":"10.1016/j.dhjo.2025.101966","url":null,"abstract":"<div><h3>Background</h3><div>Housing is a critical social determinant of health and for individuals with accessibility needs, having a roof over one's head is not enough. For people requiring accessibility features to enter and exit their home, use the bathroom, or prepare meals, the absence of these features can limit social participation, increase reliance on caregivers, and negatively impact health, dignity, and safety.</div></div><div><h3>Objective</h3><div>This article presents a qualitative study with members from diverse key interest groups across the housing, disability, healthcare, and policy sectors to identify social and attitudinal barriers limiting accessible housing and home modifications options in Canada.</div></div><div><h3>Methods</h3><div>Semi-structured interviews and a demographic survey were conducted with 59 people. Participants included people with lived experience of disabilities and other end-users of accssible housing (i.e., family caregivers and people from the Deaf community), as well as cross-sectoral professionals with expertise in accessible housing. Inductive codebook thematic analysis was used to analyze the data.</div></div><div><h3>Results</h3><div>Four prevailing themes were identified from the data, including a lack of prioritization by policy makers and housing developers, cost-benefit appraisals of including accessibility features, discriminatory attitudes towards the aesthetics of accessibility and towards end-users, and underestimating of the need for preventative accessibility.</div></div><div><h3>Conclusions</h3><div>Attitudinal barriers are contributing to a lack of prioritization of accessibility in housing in Canada. To create a more inclusive housing landscape and improve public health, investments in accessible housing, policy advancement, and new regulatory measures are recommended.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101966"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Response to Letter to the editor concerning Van Deynse et al. “one-year employment outcome prediction after traumatic brain injury: a CENTER-TBI study” 给编辑关于Van Deynse等人的信的回应。“创伤性脑损伤后一年就业结果预测:一项中心- tbi研究”。
IF 3.3 2区 医学
Disability and Health Journal Pub Date : 2026-01-01 Epub Date: 2025-06-25 DOI: 10.1016/j.dhjo.2025.101917
Helena Van Deynse , Wilfried Cools , Viktor-Jan De Deken
{"title":"Response to Letter to the editor concerning Van Deynse et al. “one-year employment outcome prediction after traumatic brain injury: a CENTER-TBI study”","authors":"Helena Van Deynse ,&nbsp;Wilfried Cools ,&nbsp;Viktor-Jan De Deken","doi":"10.1016/j.dhjo.2025.101917","DOIUrl":"10.1016/j.dhjo.2025.101917","url":null,"abstract":"","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101917"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of disability and inflammation: Potential risks to a vulnerable population 残疾和炎症的关联:对脆弱人群的潜在风险。
IF 3.3 2区 医学
Disability and Health Journal Pub Date : 2026-01-01 Epub Date: 2025-09-29 DOI: 10.1016/j.dhjo.2025.101969
Rachel Liu-Galvin , Frank A. Orlando , Arch G. Mainous
{"title":"Association of disability and inflammation: Potential risks to a vulnerable population","authors":"Rachel Liu-Galvin ,&nbsp;Frank A. Orlando ,&nbsp;Arch G. Mainous","doi":"10.1016/j.dhjo.2025.101969","DOIUrl":"10.1016/j.dhjo.2025.101969","url":null,"abstract":"<div><h3>Background</h3><div>Disabilities are prevalent and linked to a wide variety of functional limitations, while inflammation, a key factor in chronic disease development and progression, is not a screening or treatment target and is therefore very rarely detected. Understanding the association between disabilities and inflammation is essential to address potential risks in this vulnerable population.</div></div><div><h3>Objective</h3><div>To determine whether individuals with disabilities are more likely to have elevated inflammation compared to those without.</div></div><div><h3>Methods</h3><div>In this cross-sectional study of a nationally representative sample of U.S. adults in the 2021–2023 National Health and Nutrition Examination Survey, survey-weighted logistic regression examined the associations between disabilities and high-sensitivity C-Reactive Protein (hs-CRP) levels. Adjusted models controlled for age, sex, race/ethnicity, poverty, health insurance, hypertension, diabetes, coronary heart disease, stroke, rheumatoid arthritis, and smoking.</div></div><div><h3>Results</h3><div>Individuals with disabilities had higher odds of hs-CRP &gt;3 mg/L (adjusted OR: 1.46, 95 % CI: 1.21–1.76) and &gt;10 mg/L (adjusted OR: 1.61, 95 % CI: 1.17–2.22) compared to those without disabilities. Physical disabilities were significantly associated with hs-CRP &gt;3 mg/L (adjusted OR: 1.61, 95 % CI: 1.26–2.07) and &gt;10 mg/L (adjusted OR: 1.94, 95 % CI: 1.47–2.55). Mental disabilities were associated with elevated hs-CRP in unadjusted but not adjusted models.</div></div><div><h3>Conclusions</h3><div>Disabilities, particularly physical disabilities, are associated with elevated inflammation, which may reflect underlying biological processes, reduced mobility, or cumulative health burden. The increased burden of systemic inflammation among individuals with disabilities supports consideration of hs-CRP as a potential marker for identifying elevated health risk in this population.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101969"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring menstrual symptom frequency and impact on people with neurodevelopmental conditions 探索月经症状频率及其对神经发育疾病患者的影响。
IF 3.3 2区 医学
Disability and Health Journal Pub Date : 2026-01-01 Epub Date: 2025-06-11 DOI: 10.1016/j.dhjo.2025.101914
Laura St. John , Emma Osness , Anmol Panech , Yona Lunsky , Patricia K. Doyle Baker
{"title":"Exploring menstrual symptom frequency and impact on people with neurodevelopmental conditions","authors":"Laura St. John ,&nbsp;Emma Osness ,&nbsp;Anmol Panech ,&nbsp;Yona Lunsky ,&nbsp;Patricia K. Doyle Baker","doi":"10.1016/j.dhjo.2025.101914","DOIUrl":"10.1016/j.dhjo.2025.101914","url":null,"abstract":"<div><h3>Background</h3><div>Menstruation can be a physically, mentally and emotionally challenging time, especially for individuals who have neurodevelopmental disabilities. Sensory impairments, emotional dysregulation and challenges communicating pain can make managing menstruation challenging for this population.</div></div><div><h3>Objective</h3><div>To describe common symptoms and the effect of symptoms on those with neurodevelopmental disabilities.</div></div><div><h3>Methods</h3><div>A mixed methods study design was employed. Qualitative data regarding symptom experience were collected through a semi-structured interview, while quantitative data were collected using the Menstrual Symptom Questionnaire.</div></div><div><h3>Results</h3><div><span>Participants described debilitating cramping which often impacted activities of daily living. Participants also discussed challenges with emotional dysregulation, with many experiencing extreme </span>moods swings and/or depressive episodes during menstruation.</div></div><div><h3>Conclusion</h3><div>For the participants in this study, their periods were physically and emotionally taxing and had significant impacts on their day to day lives. Future research is needed to explore why those with neurodevelopmental disabilities may be experiencing such extreme menstrual symptoms.</div></div>","PeriodicalId":49300,"journal":{"name":"Disability and Health Journal","volume":"19 1","pages":"Article 101914"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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