Validation of the Polish version of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) in an elderly population (60–70 years old)

Purpose. To assess the reliability and validity of the Polish version of the 36-point World Health Organization Disability Assessment Schedule (WHODAS 2.0) in an elderly population. Method. One thousand randomly selected individuals, aged 60–70 years, living in south-eastern Poland were assessed using the Polish version of the WHODAS 2.0. Results. The analysis confirmed the high reliability and validity of the tool. Cronbach’s α index was 0.89. The tool had high stability, and the correlation between test and retest results was high. The relevance of the domain selection was high or very high. A factor analysis confirmed the relevance of assigning questions to domains. High theoretical relevance was also demonstrated. Statistically significant differences between those who were and were not suffering from health problems were observed. An analysis of the internal structure of the WHODAS 2.0 revealed strong correlations between the components of each domain and the final result. Conclusion. The Polish version of the WHODAS 2.0 showed high reliability and validity; thus, it can be used to assess health, functioning and disability in the elderly population of Poland.     

Working Life of Women With Disabilities—A Review

The aim of this study was to present the situation of women with disabilities on the labour market. Women with disabilities suffer from social and professional discrimination. They are discriminated because of their gender and disability. The Q1 Labour Force Participation Study (2013) showed that, in Poland, labour force participation for men and women with disabilities was 29.4% and 14.7%, respectively, while the unemployment rate was 16.1% for men and 17.2% for women. Quarterly information on employment, unemployment and economic inactivity was gathered from a Labour Force Survey in the first quarter of 2013; data from the Ministry of Labour and Social Policy were also included. The participants of the survey were 15 years old or older; they were members of a sample household. The methodology was based on definitions recommended by the International Labour Office and Eurostat. It is important that women with disabilities are substantially less professionally active, while the unemployment rate for them is only slightly higher.     

燃煤发电职业危害暴露健康负担评价方法*

为评估煤电行业从业人员因遭受职业危害暴露引起的健康负担大小,根据工作暴露矩阵法对燃煤发电职业暴露程度进行估算,利用健康效应分析和伤残调整寿命年指标构建燃煤发电职业暴露健康负担评价体系,实现职业暴露健康负担的量化评价。将所构建的评价体系应用于3个燃煤电厂进行对比分析,结果表明:各类危害因素中,粉尘所致健康危害最大,人均健康负担约为8.861 a;各生产环节中,运输煤系统所致健康影响最大,约占整个生产过程的45.53%。     

Infrared thermography reveals effect of working posture on skin temperature in office workers

Introduction. Musculoskeletal symptoms related to using traditional computer workstations are common. Quantitative methods for measuring muscle stress and strain are needed to improve ergonomics of workstations. We hypothesize that infrared thermography (IRT) is suited for this purpose. Methods. This hypothesis was evaluated by estimating muscle activity in upright and traditional working postures with IRT and surface electromyography (sEMG). IRT and sEMG measurements were conducted in 14 female participants with both working postures. First, measurements with the traditional posture were performed. Later, participants had 1?month to adjust to the upright working posture before repeating the measurements. IRT images were acquired before and after a full working day, with sEMG recordings being conducted throughout the measurement days. Participants evaluated their neck pain severity using neck disability index (NDI) questionnaires before the first and after the second measurement day. Results. Spatial variation in upper back temperature was higher (p?=?0.008) when working in traditional posture and the upright working posture reduced (p?p?=?0.003) after working in the upright posture. Conclusion. IRT was found suitable for evaluating muscle activity and upright working posture to reduce the NDI and muscle activity in the upper back.     

安全生产事故人员伤残间接损失统计研究

针对安全生产事故的人员伤残损失统计,除直接经济损失外,还包括因死亡和伤残而导致的间接经济损失。为了计算我国安全生产事故导致的人员伤残损失,DALY(伤残调整寿命年)是目前国际疾病负担应用较多的统计指标,其将因伤残导致的健康寿命损失和死亡寿命损失综合计算。笔者首次应用DALY来计算2005年我国工矿商贸企业伤亡事故导致的伤残寿命损失,2005年因事故伤亡导致的健康寿命损失至少有3 651 862人年,折合成静态经济损失约878亿元。通过DALY计算健康寿命损失可以从一个全新的角度发现事故造成的间接损失,在调查处理安全生产事故时,除了直接损失外,还应该重视安全生产事故带来的间接损失。     

The Making of Local Agenda 21: An interview with Jeb Brugmann

In the overlaps between the academic and policy fields of disability and the environment lie a myriad of issues, both complementary and conflicting, which have to date received little attention. This paper aims to draw together the small amount of literature – both academic and non-academic – which has addressed such issues and begins to map both the nature and extent of the overlaps. It discusses key themes that have emerged from the literature analysed and points to a number of areas and issues which may well benefit from further research. In particular, it highlights the invisibility of disabled people, and the consequences which arise, in many areas of environmental concern.     

Barriers to the long‐term recovery of individuals with disabilities following a disaster

This study examines how pre‐existing disabling conditions influenced the recovery process of survivors of Hurricane Katrina. It focuses specifically on the barriers that hindered the recovery process in these individuals. Focus groups were convened in four Gulf Coast states with 31 individuals with disabilities who lived in or around New Orleans, Louisiana, prior to Hurricane Katrina in August 2005. Qualitative data were analysed using grounded theory methodology. Five themes emerged as the most significant barriers to recovery: housing; transportation; employment; physical and mental health; and accessing recovery services. While these barriers to recovery were probably common to most survivors of the disaster, the research results suggest that disability status enhanced the challenges that participants experienced in negotiating the recovery process and in acquiring resources that accommodated their disabilities. The findings indicate that, when disaster recovery services and resources did not accommodate the needs of individuals with disabilities, recovery was hindered. Recovery efforts should include building accessible infrastructure and services that will allow for participation by all.     

“Life just keeps throwing lemons”: the lived experience of food insecurity among Aboriginal people with disabilities in the West Kimberley

This paper reports findings of a qualitative study conducted in collaboration with Aboriginal people with disabilities and their carers residing in the rural and remote Kimberley region of Western Australia, specifically the impact of chronic food insecurity on their daily lives. Nutritious food is important to maintaining health, particularly for Aboriginal people with disabilities who are at the greatest risk of a range of chronic health conditions, illnesses and secondary disability. In the remote areas of the West Kimberley, the high cost of living, including food expenses and the generally low incomes of residents mean that food insecurity is common. A large portion of the population living in remote and rural areas of the Kimberley is Aboriginal, and chronic illness and disability are twice as likely among this group. Lack of access to nutritious food has a cyclical interaction with disability, resulting in secondary impairments and ill health, which leads to greater economic exclusion and further food insecurity. Participants in this research consistently reported that they coped with food insecurity by fishing and crabbing on their traditional lands, “in country”. This link between land sovereignty, food sovereignty and food security for Aboriginal Australians has echoes with global food sovereignty movements.     

Hepatitis B triple series vaccine and developmental disability in US children aged 1–9 years

This study investigated the association between vaccination with the Hepatitis B triple series vaccine prior to 2000 and developmental disability in children aged 1–9 years (n = 1824), proxied by parental report that their child receives early intervention or special education services (EIS). National Health and Nutrition Examination Survey 1999–2000 data were analyzed and adjusted for survey design by Taylor Linearization using SAS version 9.1 software, with SAS callable SUDAAN version 9.0.1. The odds of receiving EIS were approximately nine times as great for vaccinated boys (n = 46) as for unvaccinated boys (n = 7), after adjustment for confounders. This study found statistically significant evidence to suggest that boys in United States who were vaccinated with the triple series Hepatitis B vaccine, during the time period in which vaccines were manufactured with thimerosal, were more susceptible to developmental disability than were unvaccinated boys.     

Implications of Functional Capacity Loss and Fatality for Vehicle Safety Prioritization

Objective: We investigate the use of the Functional Capacity Index (FCI) as a tool for establishing vehicle safety priorities by comparing the life year burden of injuries to the burden of fatality in frontal and side automotive crashes. We demonstrate FCI’s utility by investigating in detail the resulting disabling injuries and their life year costs.

Methods: We selected occupants in the 2000–2013 NASS-CDS database involved in frontal and side crashes, merged their injuries with FCI, and then used the merged data to estimate each occupant’s overall functional loss. Lifetime functional loss was assessed by combining this measure of impairment with the occupants’ expected future life spans, estimated from the Social Security Administration’s Actuarial Life Table.

Results: Frontal crashes produce a large number of disabling injuries, particularly to the lower extremities. In our population, these crashes are estimated to account for approximately 400,000 life years lost to disability in comparison with 500,000 life years lost to fatality. Victims of side crashes experienced a higher rate of fatality but a significantly lower rate of disabling injury (0.3 vs. 1.0%), resulting in approximately 370,000 life years lost to fatality versus 50,000 life years lost to disability.

Conclusions: The burden of disabling injuries to car crash survivors should be considered when setting vehicle safety design priorities. In frontal crashes this burden in life years is similar to the burden attributable to fatality.