The Determinants of the Rural Disabled Person’s Behavior of Receiving Rehabilitation

Xia Luo^*, Xiang Wu, Shuangzhou Liang, Pu Bu

School of Management, Anhui University, Hefei, China.

DOI: 10.4236/jss.2015.39031                

Abstract

People with disabilities in rural areas form a special social group in straitened circumstances. They are suffering from impairments, activity limitations, and participation restrictions, which make their situation more severe. As a basic civil right for the disabled, rehabilitation service is an important approach to the recovery of their health and a great help for them to step into society confidently. The objective of this study is to survey the rural disabled people with regard to the important factors that affect their behavior of receiving rehabilitation. 373 questionnaires were sent out and 360 questionnaires were returned (96.5% return rate). The regression analysis was used to analyze the determinants of receiving rehabilitation. The Binary Logistic Regression Model showed that individual factors, family factors, disability characteristic factors and cognitive factors had significant influence on the choice of rehabilitation for the rural disabled. Among these factors, the variables like level of education (P < 0.01), life not fully providing for oneself (P < 0.05), level of understanding of rehabilitation service (P < 0.01), degree of satisfaction about work on the disabled (P < 0.05), cognition of rehabilitation demand (P < 0.01), and net income of households (P < 0.1) had significantly positive correlation with the choice. While other variables like the number of the disabled in a family (P < 0.01) and congenital disability (P < 0.01) had significantly negative correlation with the choice. Rehabilitation for the people with disabilities could be improved by enhancing the education of the disabled in rural areas, paying more attention to impoverished disabled family, perfecting and enforcing implement of the rehabilitation policies, raising the work efficiency of the relative agents, and advocating the rehabilitation policies more sufficiently.

Keywords

The People with Disabilities, Behavior of Receiving Rehabilitation, Determinants

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Law of the People’s Republic of China on the Protection of Disabled Persons (Revised Edition).
[2]	WHO. International Day of Persons with Disabilities. http://www.who.int/mediacentre/events/annual/day_disabilities/en/index.html
[3]	Office of the Second China National Sample Survey on Disability (2007) Handbook on the Main Data of the Second China National Sample Survey on Disability. Huaxia Publishing House, Beijing.
[4]	Wiener, R.L. and Willborn, S.L. (2010) Disability and Aging Discrimination: Perspectives in Law and Psychology. Springer-Verlag Inc., New York.
[5]	David, B. (1999) Social Exclusion. USA Open University Press, New York.
[6]	Sinclair, S. (1981) Rehabilitation Mentally Handicapped in India. The Indian Journal of Pediatrics, 48, 715-720. http://dx.doi.org/10.1007/BF02758535
[7]	Mukherjee, A.K. (1981) Rehabilitation of the Physically Handicapped. The Indian Journal of Pediatrics, 48, 709-713. http://dx.doi.org/10.1007/BF02758534
[8]	Hornik-Lurie, T., Zilber, N. and Lerner, Y. (2012) Trends in the Use of Rehabilitation Services in the Community by People with Mental Disabilities in Israel; The Factors Involved. Israel Journal of Health Policy Research, 1, 24. http://dx.doi.org/10.1186/2045-4015-1-24
[9]	Huang, G., Liu, X., He, J., Klawonn, F. and Yao, G. (2013) Health Information Science. Second International Conference, London, 25-27 March 2013. http://dx.doi.org/10.1007/978-3-642-37899-7
[10]	Ushikubo, M. (1998) A Study of Factors Facilitating and Inhibiting the Willingness of the Institutionalized Disabled Elderly for Rehabilitation: A United States-Japanese Comparison. Journal of Cross-Cultural Gerontology, 13, 127- 157. http://dx.doi.org/10.1023/A:1006503909886
[11]	Smith, J.N. (1984) Community Responsibility for the Disabled. Annals of the American Academy of Political and Social Science, 239, 87-92. http://dx.doi.org/10.1177/000271624523900112
[12]	Hammell, K.W. (1995) Spinal Cord Injury Rehabilitation. Springer US Press, New York. http://dx.doi.org/10.1007/978-1-4899-4451-1
[13]	Wagner, C. (2011) Encyclopedia of Clinical Neuropsychology. Springer Press, New York.
[14]	Langman, C. (2011) Introduction to Vocational Rehabilitation: Policies, Practices and Skills. Routledge Press, London.
[15]	Escorpizo, R., Finger, M.E., Glassel, A. and Cieza, A. (2011) An International Expert Survey on Functioning in Vocational Rehabilitation Using the International Classification of Functioning, Disability and Health. Journal of Occupational Rehabilitation, 21, 147-155. http://dx.doi.org/10.1007/s10926-010-9276-y
[16]	Dutta, A., Gervey, R., Chan, F., Chou, C.-C. and Ditchman, N. (2008) Vocational Rehabilitation Services and Employment Outcomes for People with Disabilities: A United States Study. Journal of Occupational Rehabilitation, 18, 326-334. http://dx.doi.org/10.1007/s10926-008-9154-z
[17]	Solberg, A. and Raschmann, J.K. (1980) The Effects of Vocational Services Provided to the Mentally Disabled. Community Mental Health Journal, 16, 112-120. http://dx.doi.org/10.1007/BF00778583
[18]	Chino, N. and Melvin, J.L. (1996) Functional Evaluation of Stroke Patients. Springer Press, Tokyo. http://dx.doi.org/10.1007/978-4-431-68461-9
[19]	Chan, F., Da Silva Cardoso, E. and Chronister, J.A. (2009) Understanding Psychosocial Adjustment to Chronic Illness and Disability: A Handbook for Evidence-Based Practitioners in Rehabilitation. Springer Publishing, New York.
[20]	Langman, C. (2011) Introduction to Vocational Rehabilitation: Policies, Practices and Skills. Routledge Press, London.
[21]	Gittelman, M. (1997) Psychosocial Rehabilitation for the Mentally Disabled: What Have We Learned? Psychiatric Quarterly, 68, 393-406. http://dx.doi.org/10.1023/A:1025451215976
[22]	Auerbach, E.D. and Pattison, E.M. (1976) Outcome of Social Rehabilitation: Whom Does It Help? Social Psychiatry, 11, 33-40. http://dx.doi.org/10.1007/BF00578798
[23]	Engel, G.L. (1977) The Need for a New Medical Model: A Challenge for Biomedicine. Science, 196, 129-136. http://dx.doi.org/10.1126/science.847460
[24]	Engel, G.L. (1980) The Clinical Application of the Biopsychosocial Model. American Journal of Psychiatry, 137, 534-544.
[25]	Väänänen-Tomppo, I., Janatuinen, E. and Törnqvist, R. (2001) All Well at Work Evaluation of Workplace-Based Early Rehabilitation in the Finnish State Administration. International Journal of Rehabilitation Research, 24, 171-180. http://dx.doi.org/10.1097/00004356-200109000-00002
[26]	Rubin, S.E., Chan, F. and Thomas, D. (2003) Assessing Changes in Life Skills and Quality of Life Resulting from Rehabilitation Services. Journal of Rehabilitation, 69, 4-9.
[27]	Reinkensmeyer, D.J. and Boninger, M.L. (2012) Technologies and Combination Therapies for Enhancing Movement Training for People with a Disability. Journal of NeuroEngineering and Rehabilitation, 9, 17. http://dx.doi.org/10.1186/1743-0003-9-17
[28]	Topping, M. (2000) An Overview of the Development of Handy 1, a Rehabilitation Robot to Assist the Severely Disabled. Artificial Life and Robotics, 4, 188-192. http://dx.doi.org/10.1007/BF02481173
[29]	Sim, H.J., Won, J.Y. and Han, C.S. (2004) A Feasibility Study on a Robotic Exercise System for MDOF Physical Rehabilitation Therapy. KSME International Journal, 18, 1949-1960.
[30]	Chen, Q. and Li, J.A. (1993) Investigation and Analysis on the Rehabilitation Demands of People with Disabilities. Chinese Journal of Rehabilitation Medicine, 8, 218-219.
[31]	Dai, H., Xue, H., Yin, Z.J. and Xiao, Z.X. (2004) The Need of Rehabilitation Objects at Xuanwu District in Beijing to Community-Based Rehabilitation Services and Analysis to Its Influence Factors. Chinese Journal of Rehabilitation Medicine, 19, 915-918.
[32]	Liu, B.F. and Yan, X.Q. (2012) Analysis on the Factors Influencing Rehabilitation Service of the Community Disabled. Nursing Practice and Research, 14, 155-156.
[33]	Gu, C.F. and Li, Y. (2009) Logistic Regression Analysis of Rehabilitation Needs of Children with Mental Retardation in Beijing. Chinese Journal of Rehabilitation Theory and Practice, No. 2, 185-187.
[34]	Liu, C. and Liu, M. (2011) Study on the Medical Rehabilitation and Related Factors of Disabled Children Aged 0-18 in Guangzhou and Dongying Cities. Chinese Journal of Rehabilitation Medicine, 26, 754-758.
[35]	Xu, Y.M., Wang, Y. and Hu, Q.F. (2012) Influencing Factors of Hemiplegic Patients’ Rehabilitation and the Effect of Nursing Intervention. Military Medical Journal of Southeast China, 14, 262-263.
[36]	Che, X.W. and Ren, N.J. (2012) Analysis for the Influencing Factors of Rehabilitation Needs for Rural Elderly People with Disabilities. Journal of Nurses Training, 22, 2021-2023.
[37]	Sen, A. and Srivastava, M.S. (1990) Regression Analysis: Theory, Methods, and Applications. Springer-Verlag, New York.
[38]	Jia, H.L., Xie, J.Y. and Zhang, G. (2009) Multivariate Analysis of Rehabilitation Services Needs of People with Disability at Zhabei District in Shanghai. Chinese Journal of Rehabilitation Theory and Practice, No. 2, 194-196.
[39]	Jiang, X.Q., Hu, L.Y., Li, Y. and Shan, N. (2011) Status and Requirement of Social Security for the Handicapped in Rural China. Population Journal, 3, 53-60.
[40]	Lin, C., Luo, H.B., Chen, X.H. and Ni, G.X. (2009) Analysis of Rehabilitation Demands of the Disabled in Taijiang District of Fuzhou City and Influence Factors. Journal of Fujian Medical University (Social Science Edition), No. 1, 38-41.
[41]	Johnson, M.J., Loureiro, R.C.V. and Harwin, W. (2008) Collaborative Tele-Rehabilitation and Robot-Mediated Therapy for Stroke Rehabilitation at Home or Clinic. Intelligent Service Robotics, 1, 109-121. http://dx.doi.org/10.1007/s11370-007-0010-3
[42]	Xu, L. (2010) The Difficulty of the Disabled Employment and the Perfection of Employment Promotion Policy. Journal of Northwest University (Philosophy and Social Sciences Edition), No. 1, 116-120.