People with disabilities (PWD) face several challenges accessing medical services. However, the extent to which architectural and transportation barriers impede access to healthcare is unknown. In Peru, despite laws requiring that buildings be accessible for PWD, no report confirms that medical facilities comply with such regulations. Thus, we aim to provide an association between these barriers and access to medical facilities. Data from a Peruvian disability survey were analyzed. Participants were 18 years of age and older people who reported having a physical disability. Accessibility was defined by reported struggles accessing medical facilities (health or rehabilitation centers). Absence of ramps, handrails, elevators, adapted bathrooms, and information counters in medical facilities were reported as architectural barriers. The transportation barriers analyzed included struggles using buses or trains. Poisson regression models with robust variance were used to estimate prevalence ratios (PR) and to control for confounding variables. 20,663 participants were included, their mean age was 66.5 years and 57.5% were females. Architectural and transportation barriers reported were 40% and 61%, respectively. All barriers reported were more prevalent in rural compared to urban areas (p < 0.001). Inadequacy of ramps, handrails, and adapted elevators and bathrooms were associated with limited use of rehabilitation centers (p < 0.001) but not of health centers (p > 0.05). Architectural and transportation barriers represent a hindrance to seeking treatment at rehabilitation centers. Actions to improve this situation are needed.

译文

残疾人 (PWD) 在获得医疗服务方面面临若干挑战。然而,建筑和交通障碍阻碍获得医疗保健的程度尚不清楚。在秘鲁,尽管法律要求残疾人必须进入建筑物,但没有报告证实医疗设施符合此类规定。因此,我们的目标是在这些障碍和获得医疗设施之间提供联系。分析了秘鲁残疾调查的数据。参与者为18岁以上的老年人,他们报告有身体残疾。可访问性是由报告的进入医疗设施 (健康或康复中心) 的斗争定义的。据报道,医疗设施中没有坡道,扶手,电梯,改建的浴室和信息柜台是建筑障碍。所分析的交通障碍包括使用公共汽车或火车的挣扎。使用具有稳健方差的泊松回归模型来估计患病率比 (PR) 并控制混杂变量。包括20,663名参与者,他们的平均年龄是66.5岁,57.5% 是女性。报告的建筑和交通障碍分别为40% 和61%。与城市地区相比,农村地区的所有障碍都更为普遍 (p <0.001)。坡道,扶手以及经过改装的电梯和浴室的不足与康复中心的使用有限 (p < 0.001) 有关,但与健康中心无关 (p> 0.05)。建筑和交通障碍是在康复中心寻求治疗的障碍。需要采取行动改善这种情况。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录