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Quality of life of prosthetic and orthotic users in South India : A cross-sectional study

Magnusson, Lina LU ; Ghosh, Ritu; Jensen, Katrine Randbøll; Göbel, Katharina; Wågberg, Jenny; Wallén, Sofia; Svensson, Alma; Stavenheim, Rebecka and Ahlström, Gerd LU (2019) In Health and Quality of Life Outcomes 17(1).
Abstract

Background: The aim of this study was to compare QOL among people in India using lower-limb prostheses or orthoses with people without disability. A further aim was to compare subgroups and investigate whether QOL was associated with physical disability, gender, income, living area, and education. Methods: A cross-sectional questionnaire study in which the World Health Organization Quality of Life-Bref was used to collect self-reported data. A total of 277 participants from India were included, 155 with disability and 122 without. Group comparisons were conducted using the Mann-Whitney U and the Kruskal-Wallis tests and associations were explored using regression analyses of the four QOL domains: physical health, psychological, social... (More)

Background: The aim of this study was to compare QOL among people in India using lower-limb prostheses or orthoses with people without disability. A further aim was to compare subgroups and investigate whether QOL was associated with physical disability, gender, income, living area, and education. Methods: A cross-sectional questionnaire study in which the World Health Organization Quality of Life-Bref was used to collect self-reported data. A total of 277 participants from India were included, 155 with disability and 122 without. Group comparisons were conducted using the Mann-Whitney U and the Kruskal-Wallis tests and associations were explored using regression analyses of the four QOL domains: physical health, psychological, social relationships, and environment. Results: Participants with physical disability scored significantly lower than did participants without disability in three of the four QOL domains, i.e., physical health, (Median 14.29 vs 16.29; p <.001) psychological, (Median 14.67 vs. 15.33; p =.017) and environment (Median13.00 vs 14.00; p =.006). For people with disability those with no or irregular income and those not attending school having the lowest QOL scores in all four domains. Education was associated with all four QOL domains and income was associated with psychological and environment. Living in urban slums was associated with a higher risk of lower QOL in three QOL domains, i.e., physical health, psychology, and environment. Conclusions: Despite rehabilitation services, people with physical disability experienced lower QOL in terms of the physical health, psychological, and environmental domains than did people without disability. Community-based rehabilitation programmes for prosthetic and orthotic users need to increase and improve their rehabilitation services to increase income and improve access to education. Priority could be given to those who have no or irregular income, live in urban slums, and have not attended school to further improve their QOL.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Assistive technology, Community-based rehabilitation, Disability, India, Low-income country, Orthosis, Prosthesis, Quality of life, WHOQOL-Bref
in
Health and Quality of Life Outcomes
volume
17
issue
1
publisher
BioMed Central
external identifiers
  • scopus:85063284446
ISSN
1477-7525
DOI
10.1186/s12955-019-1116-y
language
English
LU publication?
yes
id
cc5f91b9-b4ae-49e5-a107-f4aa42a2a1cd
date added to LUP
2019-04-02 08:15:25
date last changed
2019-04-23 04:48:07
@article{cc5f91b9-b4ae-49e5-a107-f4aa42a2a1cd,
  abstract     = {<p>Background: The aim of this study was to compare QOL among people in India using lower-limb prostheses or orthoses with people without disability. A further aim was to compare subgroups and investigate whether QOL was associated with physical disability, gender, income, living area, and education. Methods: A cross-sectional questionnaire study in which the World Health Organization Quality of Life-Bref was used to collect self-reported data. A total of 277 participants from India were included, 155 with disability and 122 without. Group comparisons were conducted using the Mann-Whitney U and the Kruskal-Wallis tests and associations were explored using regression analyses of the four QOL domains: physical health, psychological, social relationships, and environment. Results: Participants with physical disability scored significantly lower than did participants without disability in three of the four QOL domains, i.e., physical health, (Median 14.29 vs 16.29; p &lt;.001) psychological, (Median 14.67 vs. 15.33; p =.017) and environment (Median13.00 vs 14.00; p =.006). For people with disability those with no or irregular income and those not attending school having the lowest QOL scores in all four domains. Education was associated with all four QOL domains and income was associated with psychological and environment. Living in urban slums was associated with a higher risk of lower QOL in three QOL domains, i.e., physical health, psychology, and environment. Conclusions: Despite rehabilitation services, people with physical disability experienced lower QOL in terms of the physical health, psychological, and environmental domains than did people without disability. Community-based rehabilitation programmes for prosthetic and orthotic users need to increase and improve their rehabilitation services to increase income and improve access to education. Priority could be given to those who have no or irregular income, live in urban slums, and have not attended school to further improve their QOL.</p>},
  articleno    = {50},
  author       = {Magnusson, Lina and Ghosh, Ritu and Jensen, Katrine Randbøll and Göbel, Katharina and Wågberg, Jenny and Wallén, Sofia and Svensson, Alma and Stavenheim, Rebecka and Ahlström, Gerd},
  issn         = {1477-7525},
  keyword      = {Assistive technology,Community-based rehabilitation,Disability,India,Low-income country,Orthosis,Prosthesis,Quality of life,WHOQOL-Bref},
  language     = {eng},
  month        = {03},
  number       = {1},
  publisher    = {BioMed Central},
  series       = {Health and Quality of Life Outcomes},
  title        = {Quality of life of prosthetic and orthotic users in South India : A cross-sectional study},
  url          = {http://dx.doi.org/10.1186/s12955-019-1116-y},
  volume       = {17},
  year         = {2019},
}