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Association between Participation of Children with Disabilities and the Child, Family, and Environmental Factors in Shanghai, China: A Cross-Sectional Study

Author

Listed:
  • Cong Xia

    (School of Public Health, Fudan University, Shanghai 200032, China
    China Research Center on Disability, Fudan University, Shanghai 200032, China)

  • Qi Jing

    (School of Management, Weifang Medical University, Weifang 261053, China
    China Rehabilitation and Health Institute, Weifang Medical University, Weifang 261053, China)

  • Gang Chen

    (School of Public Health, Fudan University, Shanghai 200032, China
    China Research Center on Disability, Fudan University, Shanghai 200032, China)

  • Mei Sun

    (School of Public Health, Fudan University, Shanghai 200032, China
    China Research Center on Disability, Fudan University, Shanghai 200032, China)

  • Jun Lu

    (School of Public Health, Fudan University, Shanghai 200032, China
    China Research Center on Disability, Fudan University, Shanghai 200032, China
    China Rehabilitation and Health Institute, Weifang Medical University, Weifang 261053, China)

Abstract

Participation is essential to a child’s health and well-being, whereas children with disabilities may lack the associated benefits because of physical restrictions. This study aims to examine the association between the participation of children with disabilities and the child, family, and environmental factors. A total of 433 children with disabilities aged 3–18 and their family caregivers were included. Three binary logistic regression models were respectively established to identify the significant factors associated with children’s home, school, and community participation. Our main empirical results showed that among 433 children with disabilities, 44.3%, 47.6%, and 58.7% of them never or seldom participated in home, school, and community activities. Child and family factors were found to be dominantly associated with children’s participation, and significant factors associated with the home, school, and community participation of children were different, including children’s disability type, sleep problems and emotional stability, caregivers’ education, mental HRQOL, rehabilitation belief, and number of children in the family. These results highlight that the participation of children with disabilities in mainland China urgently needs to be enhanced, and further research might be focused on validating the causal relationships between participation and significant child and family factors identified in this study.

Suggested Citation

  • Cong Xia & Qi Jing & Gang Chen & Mei Sun & Jun Lu, 2022. "Association between Participation of Children with Disabilities and the Child, Family, and Environmental Factors in Shanghai, China: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(1), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:615-:d:1019517
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    References listed on IDEAS

    as
    1. Cong Xia & Mei Sun & Xinying Li & Chenhao Lu & Xiu Gao & Jun Lu & Gang Chen, 2020. "Health-Related Quality of Life and Related Factors among Primary Caregivers of Children with Disabilities in Shanghai, China: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(24), pages 1-15, December.
    2. Ricardo Pagan, 2020. "Gender and Age Differences in Loneliness: Evidence for People without and with Disabilities," IJERPH, MDPI, vol. 17(24), pages 1-16, December.
    3. Ya-Tzu Liao & Ai-Wen Hwang & Hua-Fang Liao & Mats Granlund & Lin-Ju Kang, 2019. "Understanding the Participation in Home, School, and Community Activities Reported by Children with Disabilities and Their Parents: A Pilot Study," IJERPH, MDPI, vol. 16(12), pages 1-14, June.
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