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

Cong Xia, Qi Jing, Gang Chen, Mei Sun () and Jun Lu ()
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Cong Xia: School of Public Health, Fudan University, Shanghai 200032, China
Qi Jing: School of Management, Weifang Medical University, Weifang 261053, China
Gang Chen: School of Public Health, Fudan University, Shanghai 200032, China
Mei Sun: School of Public Health, Fudan University, Shanghai 200032, China
Jun Lu: School of Public Health, Fudan University, Shanghai 200032, China

IJERPH, 2022, vol. 20, issue 1, 1-12

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.

Keywords: children; caregiver report; disability; participation; association (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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