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Self-esteem and women with disabilities
Margaret A Nosek1, Rosemary B Hughes, Nancy Swedlund
1Department of Physical Medicine, Center for Research on Women with Disabilities, Baylor College of Medicine, 3440 Richmond, Suite B, 77046, Houston, TX, USA. mnosek@bcm.tmc.edu
Social Science & Medicine (1982)
|March 18, 2003
Summary
Women with physical disabilities experience lower self-esteem and self-cognition, and greater social isolation. These factors significantly impact intimacy, employment, and health behaviors.
Area of Science:
- Psychology
- Sociology
- Rehabilitation Science
Background:
- The sense of self, encompassing self-esteem and self-cognition, is crucial for well-being.
- Physical disabilities can influence an individual's self-perception and social integration.
- Understanding these dynamics is vital for effective support and interventions.
Purpose of the Study:
- To investigate the sense of self (self-esteem, self-cognition, social isolation) in women with physical disabilities.
- To examine how precursor variables (age, education, disability severity, childhood experiences) and sense of self influence life outcomes (intimacy, employment, health behaviors).
- To determine the mediating roles of self-esteem, self-cognition, and social isolation in these relationships.
Main Methods:
- Cross-sectional study utilizing correlation and path analysis.
- Data collected from 881 community-dwelling women in the USA (475 with physical disabilities, 406 without).
- Assessed precursor variables, sense of self mediators, and outcome variables through surveys.
Main Results:
- Women with disabilities reported lower self-cognition, self-esteem, and higher social isolation compared to controls.
- Self-esteem and social isolation were linked to health promoting behaviors; self-esteem also related to employment.
- Sense of self mediators significantly influenced intimacy.
- Childhood experiences like overprotection and familial affection, alongside age and education, affected self-perception and social isolation.
Conclusions:
- The sense of self is significantly impacted by physical disability, affecting social integration and personal well-being.
- Interventions should address self-esteem and social isolation to improve health behaviors and life satisfaction.
- Early life experiences and socioeconomic factors play a role in shaping the self-perception of women with disabilities.