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dc.contributor.authorNaidoo, P.
dc.contributor.authorSewpaul, Ronel
dc.contributor.authorNyembezi, Anam
dc.contributor.authorReddy, Priscilla
dc.contributor.authorLouw, K.
dc.contributor.authorDesai, R.
dc.contributor.authorStein, Dan J.
dc.date.accessioned2018-01-18T08:34:14Z
dc.date.available2018-01-18T08:34:14Z
dc.date.issued2017
dc.identifier.citationNaidoo, P. et al. (2017). The association between biopsychosocial factors and disability in a national health survey in South Africa. Psychology, Health & Medicine, 2017en_US
dc.identifier.issn1354-8506
dc.identifier.urihttp://dx.doi.org/10.1080/13548506.2017.1417606
dc.identifier.urihttp://hdl.handle.net/10566/3399
dc.description.abstractThe association between psychosocial factors and disability is less clear. This study investigated the biological and psychosocial (employment and psychological distress) factors associated with level of disability in an adult sample in South Africa. Data were analysed from a cross-sectional survey among adults aged 18–64 (n = 4974). Multiple linear regression was used to investigate the associations of the selected variables with disability. The mean percentage score on the WHODAS scale of disability was 5.31% (95% CI: 4.74–5.88). Age (p < 0.001) and race (p = 0.0002) were significantly associated with disability, and history of stroke (β = 7.19, 95% CI: 3.19–11.20) and heart-related conditions (β = 2.08, 95% CI: [0.23–3.93) showed positive associations. Of the psychosocial variables, psychological distress (β = 10.49 [8.63–12.35]) showed a strong positive association while employment (−1.62 [−2.36 to −0.88]) showed a negative association with disability. The association between demographic factors, medical conditions and increased disability confirms the findings in the literature. The finding that psychological distress is associated with increased disability has not been frequently reported. This study highlights specific psychosocial targets that may be usefully addressed by health policies and interventions in order to improve disability management.en_US
dc.language.isoenen_US
dc.publisherTaylor & Francisen_US
dc.rightsThis is the author-version of the article published online at: http://dx.doi.org/10.1080/13548506.2017.1417606
dc.subjectPsychological distressen_US
dc.subjectDisabilityen_US
dc.subjectNoncommunicable diseases (NCDs)en_US
dc.titleThe association between biopsychosocial factors and disability in a national health survey in South Africaen_US
dc.typeArticleen_US
dc.privacy.showsubmitterFALSE
dc.status.ispeerreviewedTRUE


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