期刊
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH
卷 42, 期 2, 页码 172-174出版社
WILEY
DOI: 10.1111/1753-6405.12735
关键词
disability; discrimination; self-reported health; psychological distress; ableism
资金
- NHMRC Centre of Research Excellence grant in Disability and Health [APP1116385]
- Disability Research Initiative at the University of Melbourne
Objective: Among working-age Australian adults with a disability, we assess the association between disability-based discrimination and both overall health and psychological distress. Methods: Using data from the 2015 Australian Bureau of Statistics Survey of Disability, Ageing and Carers we estimated the proportion of working-age women and men (15-64 years) with disability who report disability-based discrimination by socio-demographic characteristics and assessed the association between disability-based discrimination and self-reported health and psychological distress. Results: Nearly 14% of Australians with disability reported disability-based discrimination in the previous year. Disability-based discrimination was more common among people living in more disadvantaged circumstances (unemployed, low income, lower-status occupations), younger people and people born in English-speaking countries. Disability-based discrimination was associated with higher levels of psychological distress (OR: 2.53, 95%CI: 2.11, 3.02) and poorer self-reported health (OR: 1.63, 95%CI: 1.37, 1.95). Conclusion: Disability-based discrimination is a prevalent, important determinant of health for Australians with disability. Implications for public health: Disability-based discrimination is an under-recognised public health problem that is likely to contribute to disability-based health inequities. Public health policy, research and practice needs to concentrate efforts on developing policy and programs that reduce discrimination experienced by Australians with disability.
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