eprintid: 10039990 rev_number: 20 eprint_status: archive userid: 608 dir: disk0/10/03/99/90 datestamp: 2017-12-13 14:47:27 lastmod: 2021-10-09 22:44:06 status_changed: 2017-12-13 14:47:27 type: article metadata_visibility: show creators_name: Mahmud, I creators_name: Clarke, L creators_name: Ploubidis, GB title: Socio-demographic determinants of the severity of locomotor disability among adults in Bangladesh: a cross-sectional study, December 2010-February 2011 ispublished: pub divisions: UCL divisions: B16 divisions: B14 divisions: J81 keywords: Bangladesh, Determinants, Disability, Locomotor disability, Physical disability note: © The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. abstract: BACKGROUND: Socio-demographic variables are widely known to have an association with the presence of any disability. However, the association between the severity of locomotor disability and socio-demographic variables has never been investigated in Bangladesh. METHODS: A cross sectional survey of adults with locomotor disabilities was conducted between December 2010 and February 2011 at the Centre for the Rehabilitation of the Paralysed (CRP), Dhaka, Bangladesh. During the study period 328 adults with locomotor disabilities met our selection criteria, but 316 consented and participated in the study. The 55-item Locomotor Disability Scale was used to measure disability. This study investigated the socio-demographic determinants of the severity of locomotor disability: age, gender, marital status, educational attainment, occupation, income status, type of house, living in own/rented house, household monthly income, household population and area of residence. RESULTS: Participants' age was positively associated with the severity of their locomotor disability (β = 0.01; 95% CI: 0.004 to 0.02), adjusting for diagnosis and other socio-demographic variables studied. Individuals who had an income experienced 0.35 (95% CI: -0.63 to -0.07) points decrease in the severity of disability than those did not have an income, adjusting for diagnosis and rest of the socio-demographic variables studied. In comparison to the unemployed individuals, students, homemakers, and individuals in elementary occupation respectively experienced 0.75 (95% CI: -1.08 to -0.43), 0.51 (95% CI: -0.82 to -0.19) and 0.37 (95% CI: -0.66 to -0.08) points decrease in the severity of locomotor disability, adjusting for diagnosis and rest of the socio-demographic variables studied. CONCLUSIONS: The severity of locomotor disability has an association with individuals' age, income status and occupation of the adults with such disability in Bangladesh. No such association was evident with other socioeconomic position and demographic variables. This finding suggests that people with locomotor disabilities in Bangladesh experience similar disabling built and attitudinal environments irrespective of their socioeconomic positions and demographic characteristics. Further community-based studies are needed to confirm such conclusions. date: 2017-11 date_type: published official_url: http://dx.doi.org/10.1186/s13690-017-0217-5 oa_status: green full_text_type: pub pmcid: PMC5694906 language: eng primo: open primo_central: open_green article_type_text: Journal Article verified: verified_manual elements_id: 1513904 doi: 10.1186/s13690-017-0217-5 pii: 217 lyricists_name: Ploubidis, George lyricists_id: GPLOU01 actors_name: Smith, Daniel actors_id: DSMIT53 actors_role: owner full_text_status: public publication: Archives of Public Health volume: 75 article_number: 47 event_location: England issn: 0778-7367 citation: Mahmud, I; Clarke, L; Ploubidis, GB; (2017) Socio-demographic determinants of the severity of locomotor disability among adults in Bangladesh: a cross-sectional study, December 2010-February 2011. Archives of Public Health , 75 , Article 47. 10.1186/s13690-017-0217-5 <https://doi.org/10.1186/s13690-017-0217-5>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10039990/1/document%2833%29.pdf