Zhengrong Zhou1, Li Dai1, Zhicai Chen2, Faming Chen1
1Funing Rehabilitation and Care Hospital, Yancheng, Jiangsu, 224400, China
2Grace Service Center for the Disabled, Dafeng District, Yancheng, Jiangsu, 224100, China
China is confronted with a substantial population of individuals with disabilities, warranting heightened attention to their health and the fulfillment of their care requisites, making it a prevailing public health concern. To address this matter comprehensively, we conducted a cross-sectional study in Yancheng, China, spanning from January to June 2023. The primary objectives were to elucidate the fundamental characteristics and health status of individuals with disabilities availing themselves of the government's home-based care service program and to conduct a comparative analysis between urban and rural areas. Our study findings unveiled significant disparities in the Modified Barthel Index (MBI) scores between individuals with disabilities in rural and urban areas (p=0.021). Notably, individuals with disabilities residing in rural regions demonstrated considerably lower MBI scores in comparison to their urban counterparts. Moreover, the Symptom Checklist-90 (SCL-90) scores for individuals with disabilities in rural areas exhibited a remarkable increase when compared to those in urban areas (p<0.001). This discrepancy indicates a higher burden of mental health challenges experienced by individuals with disabilities in rural settings, underscoring the relative neglect of mental health needs in the care provision for this population. Given the diverse care needs of individuals with disabilities, it is evident that mental health requirements merit greater attention. Hence, there is an exigent demand to enhance the accuracy in discerning the specific care necessities of individuals with disabilities and to devise refined and tailored care plans, which can be further adapted based on the unique contexts prevailing in distinct urban and rural areas.
Disabled People; Home Care Services; Urban and Rural Areas; Cross-sectional Study
Zhengrong Zhou, Li Dai, Zhicai Chen, Faming Chen. Observational Survey Research Regarding People with Disabilities Receiving Home Care Services. Academic Journal of Medicine & Health Sciences (2023) Vol. 4, Issue 9: 22-27. https://doi.org/10.25236/AJMHS.2023.040904.
 Persons’Federation CD. Development Report on the Cause for Persons with Disabilities in China (2018). China Disabl Pers Fed Beijing China 2018.
 Tan X, Liu X, Shao H. Healthy China 2030: A Vision for Health Care. Value Health Reg Issues 2017;12:112–4. https://doi.org/10.1016/j.vhri.2017.04.001.
 Feng Z, Glinskaya E, Chen H, Gong S, Qiu Y, Xu J, et al. Long-term care system for older adults in China: policy landscape, challenges, and future prospects. The Lancet 2020;396:1362–72. https:// doi.org/ 10.1016/S0140-6736(20)32136-X.
 Wang Z, Peng W, Li M, Li X, Yang T, Li C, et al. Association between multimorbidity patterns and disability among older people covered by long-term care insurance in Shanghai, China. BMC Public Health 2021;21:418. https://doi.org/10.1186/s12889-021-10463-y.
 Tang Q, Yuan M, Wu W, Wu H, Wang C, Chen G, et al. Health Status and Individual Care Needs of Disabled Elderly at Home in Different Types of Care. Int J Environ Res Public Health 2022;19. https:// doi.org/10.3390/ijerph191811371.
 Lee SY, Kim DY, Sohn MK, Lee J, Lee S-G, Shin Y-I, et al. Determining the cut-off score for the Modified Barthel Index and the Modified Rankin Scale for assessment of functional independence and residual disability after stroke. PLOS ONE 2020;15:e0226324. https://doi.org/ 10.1371/ journal. pone. 0226324.
 Dang W, Xu Y, Ji J, Wang K, Zhao S, Yu B, et al. Study of the SCL-90 Scale and Changes in the Chinese Norms. Front Psychiatry 2021;11.
 Sjölund B-M, Wimo A, Engström M, von Strauss E. Incidence of ADL Disability in Older Persons, Physical Activities as a Protective Factor and the Need for Informal and Formal Care – Results from the SNAC-N Project. PLOS ONE 2015;10:e0138901. https://doi.org/10.1371/journal.pone.0138901.
 Choliq I, Nasrullah D, Sukadiono S. Role of Family in Caring Patient with Post Stroke at Home: A Systematic Review. International Journal of Psychosocial Rehabilitation, 2020, 24.10: 11004-11013.
 Zhang Y, Yu X. Evaluation of Long-Term Care Insurance Policy in Chinese Pilot Cities. Int J Environ Res Public Health 2019;16. https://doi.org/10.3390/ijerph16203826.
 Kubenz V, Kiwan D. The impact of the COVID-19 pandemic on disabled people in Low- and Middle-Income Countries: A literature review. 2021. https://doi.org/10.13140/RG.2.2.33735.01446.
 Berrigan P, Scott CWM, Zwicker JD. Employment, Education, and Income for Canadians with Developmental Disability: Analysis from the 2017 Canadian Survey on Disability. J Autism Dev Disord 2023;53:580–92. https://doi.org/10.1007/s10803-020-04603-3.
 Alison Jayne Doherty, Helen Atherton, Paul Boland, Richard Hastings, Lucy Hives, Kerry Hood, et al. Barriers and facilitators to primary health care for people with intellectual disabilities and/or autism: an integrative review. BJGP Open 2020; 4: bjgpopen20X101030. https://doi.org/ 10.3399/ bjgpopen 20X101030.
 Staunton E, Kehoe C, Sharkey L. Families under pressure: stress and quality of life in parents of children with an intellectual disability. Ir J Psychol Med 2023;40:192–9. https://doi.org/ 10.1017/ipm.2020.4.
 Luo Y, Su B, Zheng X. Trends and Challenges for Population and Health During Population Aging — China, 2015–2050. China CDC Wkly 2021;3:593–8. https://doi.org/10.46234/ccdcw2021.158.
 Zhang Z, Muthu B, Sivaparthipan CB. The necessary of constructing preventive health intervention policy under the trend of deep aging in China. J Ambient Intell Humaniz Comput 2021;12:3539–47. https://doi.org/10.1007/s12652-020-02594-8.
 Zhang L, Fu S, Fang Y. Prediction of the Number of and Care Costs for Disabled Elderly from 2020 to 2050: A Comparison between Urban and Rural Areas in China. Sustainability 2020;12. https://doi. org/10.3390/su12072598.
 Xin Y, Ren X. Predicting depression among rural and urban disabled elderly in China using a random forest classifier. BMC Psychiatry 2022;22:118. https://doi.org/10.1186/s12888-022-03742-4.
 Tian T, Chen Y, Zhu J, Liu P. Effect of Air Pollution and Rural-Urban Difference on Mental Health of the Elderly in China. Iran J Public Health 2015;44.
 Fiorillo A, Gorwood P. The consequences of the COVID-19 pandemic on mental health and implications for clinical practice. Eur Psychiatry 2020;63:e32. https://doi.org/10.1192/j.eurpsy.2020.35.