在赞比亚,针对残疾儿童的社区反污名化干预
Paula Rabaey1, Bridget Ring Kumar2, Renee Hepperlen3
1Graduate Program in Occupational Therapy, University of Minnesota, Children's Rehabilitation Center, Minneapolis, MN, USA.
Disability and rehabilitation
|February 2, 2026
概括
社区干预措施显著减少了对残疾儿童的耻辱和歧视. 参与更多的宣传活动改善了人们的态度,突出了为CWD创造支持性环境的潜力.
科学领域:
- 公共卫生 公共卫生
- 关于残疾人的研究.
- 社区心理学 社区心理学
背景情况:
- 残疾儿童 (CWD) 面临重大障碍,包括贫困,有限的医疗保健和教育,以及社会耻辱.
- 耻辱和歧视对CWD及其家人的生活质量产生负面影响.
研究的目的:
- 探索社区干预措施对减少对CWD的耻辱和歧视的影响.
- 评估Kusumala+干预措施在改善CWD家庭生活质量的有效性.
主要方法:
- 在赞比亚卢萨卡 (2019/2021) 采用了一种重复的横截面调查设计.
- 社区成员参加了作为Kusumala+干预的一部分的宣传活动.
- 使用描述性统计和线性回归分析来评估随时间变化的变化.
主要成果:
- 与耻辱相关的态度和歧视从基线到随访均显著下降.
- 对于改善态度 (d=0.67),观察到一个强大的效果大小,而对于歧视 (d=0.28),则发现一个弱到中度的效果.
- 随着活动出席率的增加,人们的态度有所改善,而歧视减少与参加至少一个活动有关.
结论:
- 基于社区的宣传活动是有希望的干预措施,以减少对CWD的耻辱和歧视.
- 这些干预措施可以为CWD及其家人提供更有支持的社区环境.
- 有针对性的参与可以使残疾儿童的社会包容性得到可衡量的改善.
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