Determinants of Quality of Life Person with Disabilities in Malaysia

Abd Aziz Alias, Rohana Jani, Hanira Hanafi

Abstract


To maximize the quality of life (QoL) among persons with disabilities (PWDs) in Malaysia, it is important to identify factors that are strongly associated with the QoL of PWDs. The aim of this study is to identify the determinants of QoL among PWDs in Malaysia. A cross-sectional study approach was applied covering 340 participants with hearing impairments, visual impairments, and physical disabilities. A multiple regression analysis was performed to determine the determinants of QoL. The seven QoL domains namely physical health, psychological, social relationships, environment, discrimination, autonomy, and inclusion were considered as dependent variables while demographic profile, socio-economic status, and disability history were considered independent variables. The contribution of independent variables to most of the QoL domains was modest. This study found that type of disabilities is a significant determinant for physical health, psychological, environment, discrimination, and inclusion domains. Meanwhile, the level of education is a significant determinant in the environment and autonomy domain. It was also found that age group is a significant determinant in the psychological domain. Meanwhile, employment status is a significant determinant in physical health domains. However, self-rated health is not significant in the discrimination domain. Both PWDs with good health conditions or PWDs with unhealthy conditions face the same experience of discrimination. These findings supplement the existing knowledge and contribute to future research, service planning initiatives, public education, and policy formulation. Furthermore, this study may aid social service stakeholders in evaluating the effectiveness of current activities and identifying trends for future planning.

Keywords: determinant; person with disabilities; Malaysia; quality of life; regression analysis

References

Abdul Rahim, A., Samad, A., Amirah, N., Said, I., Seman, W., & Amin, W. (2017). Malaysian Plan of action for people with disabilities 2016-2022: Way Forward.

Abdullah, N. B., Hanafi, H. B., & Hamdi, N. I. B. M. (2017). The rights of persons with disabilities in Malaysia: The underlying reasons for ineffectiveness of persons with disabilities Act 2008. International Journal for Studies on Children, Women, Elderly and Disabled, 1.

Addabbo, T., Sarti, E., & Sciulli, D. (2016). Disability and life satisfaction in Italy. Applied Research in Quality of Life, 11(3), 925-954.

Ang, M. C. (2014). Do persons with disabilities act. 2008 and organizational culture influence managerial intention to hire persons with disabilities?: The Malaysian perspective. Jurnal Pengurusan (UKM Journal of Management), 41.

Bakas, T., McLennon, S. M., Carpenter, J. S., Buelow, J. M., Otte, J. L., Hanna, K. M., Ellett, M. L., Hadler, K. A., & Welch, J. L. (2012). Systematic review of health-related quality of life models. Health and Quality of Life Outcomes, 10, 134.https://doi.org/10.1186/1477-7525-10-134

Bredemeier, J., Wagner, G. P., Agranonik, M., Perez, T. S., & Fleck, M. P. (2014). The World Health Organization quality of life instrument for people with intellectual and physical disabilities (WHOQOL-Dis): Evidence of validity of the Brazilian version. BMC Public Health, 14(1), 1. https://doi.org/10.1186/1471-2458-14-538

Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J. P., Chastin, S., Chou, R., Dempsey, P. C., DiPietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., Lambert, E., … Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955

Burchardt, T. (2003). Being and becoming: Social exclusion and the onset of disability. CASE Report 21. London: LSE.

Department of Social Welfare Malaysia, J. (2019). Statistic report Department of Social Welfare Malaysia. https://www.jkm.gov.my/jkm/uploads/files/pdf/laporan_statistik/FINAL%20Web%20Upload%20-%20Laporan%20Statistik%202019.pdf

Drobnič, S., Beham, B., & Präg, P. (2010). Good job, good life?. Working conditions and quality of life in Europe. Social Indicators Research, 99(2), 205-225.

Emerson, E., Fortune, N., Llewellyn, G., & Stancliffe, R. (2021). Loneliness, social support, social isolation and wellbeing among working age adults with and without disability: Cross-sectional study. Disability and Health Journal, 14(1), 100965. https://doi.org/10.1016/j.dhjo.2020.100965

Economic and Social Commission for Asia and the Pacific. (2023). Social Development Disability Inclusive
Development.https://www.unescap.org/our-work/social-development/disability-inclusive-development

Ferrer-i-Carbonell, A. (2005). Income and well-being: An empirical analysis of the comparison income effect. Journal of Public Economics, 89(5-6), 997-1019.

Goodall, G., Mjøen, O. M., Witsø, A. E., Horghagen, S., & Kvam, L. (2022). Barriers and facilitators in the transition from higher education to employment for students with disabilities: A Rapid Systematic Review [Systematic Review]. 7. https://doi.org/10.3389/feduc.2022.882066

Islam, M. R. (2015). Rights of the people with disabilities and social exclusion in Malaysia. International Journal of Social Science and Humanity, 5(2), 171. https://doi.org/10.7763/IJSSH.2015.V5.447

Islam, M. R., & Cojocaru, S. (2015). Advocacy for empowerment: A case of the learning disabled people in Malaysia. Revista de Cercetare si Interventie Sociala, 50, 38.

Jani, R., Alias, A. A., & Tumin, M. (2022). Persons with disabilities’ education and quality of life: Evidence from Malaysia. International Journal of Inclusive Education, 26(8), 753-765. https://doi.org/10.1080/13603116.2020.1726511

Jelas, Z. M., & Mohd Ali, M. (2014). Inclusive education in Malaysia: policy and practice. International Journal of Inclusive Education, 18(10), 991-1003.

Johansson, L. M., Lingfors, H., Golsäter, M., Kristenson, M., & Fransson, E. I. (2019). Can physical activity compensate for low socioeconomic status with regard to poor self-rated health and low quality-of-life? Health and Quality of Life Outcomes, 17(1), 33. https://doi.org/10.1186/s12955-019-1102-4

Kaur, G., Leong, T. P., Yusof, J. M., & Singh, D. (2015). Perception of people with disability in creating sustainable public policy. Procedia-Social and Behavioral Sciences, 168, 145-155.

Kempin Reuter, T. (2019). Human rights and the city: Including marginalized communities in urban development and smart cities. Journal of Human Rights, 18(4), 382-402. https://doi.org/10.1080/14754835.2019.1629887

Khoo, S. L., Tiun, L. T., & Lee, L. W. (2013a). Unseen challenges, unheard voices, unspoken desires: Experiences of employment by Malaysians with physical disabilities. Kajian Malaysia, 31(1), 37.

Khoo, S. L., Tiun, L. T., & Lee, L. W. (2013b). Workplace discrimination against Malaysians with disabilities: Living with it or fighting against it? Disability Studies Quarterly, 33(3).

Kim, M., Jasper, A. D., Lee, J., & Won, H. (2022). Work, leisure, and life satisfaction for employees with physical disabilities in South Korea. Applied Research in Quality of Life, 17(2), 469-487. https://doi.org/10.1007/s11482-020-09893-4

Kuklek, N. M., Cséplő, M., Pozsonyi, E., & Pusztafalvi, H. (2021). Raising employment and quality of life among people with disadvantages – results of a Hungarian project. BMC public health, 21(1), 1729. https://doi.org/10.1186/s12889-021-11763-z

Lee, K. J., Jang, H. I., & Choi, H. (2017). Korean translation and validation of the WHOQOL-DIS for people with spinal cord injury and stroke. Disability and Health Journal, 10(4), 627-631. https://doi.org/https://doi.org/10.1016/j.dhjo.2016.12.017

Lucas-Carrasco, R., Pascual-Sedano, B., Galán, I., Kulisevsky, J., Sastre-Garriga, J., & Gomez-Benito, J. (2010). Using the WHOQOL-DIS to measure quality of life in persons with physical disabilities caused by neurodegenerative disorders. Neurodegenerative Diseases, 8(4), 178-186.

Lucas-Carrasco, R., Pascual-Sedano, B., Galán, I., Kulisevsky, J., Sastre-Garriga, J., & Gómez-Benito, J. (2011). Using the WHOQOL-DIS to measure quality of life in persons with physical disabilities caused by neurodegenerative disorders. Neurodegenerative Diseases, 8(4), 178-186.

Memisevic, H., Hadzic, S., Ibralic Biscevic, I., & Mujkanovic, E. (2017). Quality of life of people with disabilities in Bosnia and Herzegovina–is there a moderating effect of the health status? Scandinavian Journal of Disability Research, 19(4), 375-382. https://doi.org/https://doi.org/10.1080/15017419.2017.1279076

Mockeviciene, D., & Savenkovienė, A. (2012). Aspects of life quality of persons with physical disabilities. Social Welfare: Interdisciplinary Approach, 2(2), 84-93.

Pande, N. (2022). Social exclusion of the physically disabled. In R. C. Tripathi, B. R. Kar, & N. Pande (Eds.), Towards an Integrative psychological science: Issues, approaches and applications (pp. 213-228). Springer Singapore. https://doi.org/10.1007/978-981-16-9565-0_11

Park, J. Y. (2017). Disability discrimination in South Korea: Routine and everyday aggressions toward disabled people. Disability & Society, 32(6), 918-922. https://doi.org/10.1080/09687599.2017.1321223

Piercy, K. L., Troiano, R. P., Ballard, R. M., Carlson, S. A., Fulton, J. E., Galuska, D. A., . . . Olson, R. D. (2018). The physical activity guidelines for Americans. JAMA, 320(19), 2020-2028. https://doi.org/10.1001/jama.2018.14854 %J JAMA

Power, M. J., & Green, A. M. (2010). Development of the WHOQOL disabilities module. Quality of Life Research, 19(4), 571-584. https://doi.org/http://dx.doi.org/10.1007/s11136-010-9616-6

Shigaki, C. L., Anderson, K. M., Howald, C. L., Henson, L., & Gregg, B. E. (2012). Disability on campus: A perspective from faculty and staff. Work, 42(4), 559-571.

Ta, T. L., & Leng, K. S. (2013). Challenges faced by Malaysians with Disabilities in the World of Employment. Disability, CBR & Inclusive Development, 24(1), 6-21. https://doi.org/http://doi.org/10.5463/dcid.v24i1.142
Tinta, N., Steyn, H., & Vermaas, J. (2020). Barriers experienced by people with disabilities participating in income-generating activities. A case of a sheltered workshop in Bloemfontein, South Africa. Afr J Disabil, 9, 662. https://doi.org/10.4102/ajod.v9i0.662

Tiun, L., Lee, L., & Khoo, S. (2011). Employment of people with disabilities in the Northern State of Peninsular Malaysia: Employers’ perspective. Disability, CBR and Inclusive Development Journal, 22, 79-94. https://doi.org/http://doi.org/10.5463/dcid.v22i2.28

Winters, J. V. (2011). Human capital, higher education institutions, and quality of life. Regional Science and Urban Economics, 41(5), 446-454.

World Bank. (2023). Disability Inclusion. https://www.worldbank.org/en/topic/disability


Full Text:

PDF


DOI: http://dx.doi.org/10.17576/ebangi.2023.2003.15

Refbacks

  • There are currently no refbacks.


-


 

_________________________________________________

eISSN 1823-884x

Faculty of Social Sciences & Humanities
Universiti Kebangsaan Malaysia
43600 UKM Bangi, Selangor Darul Ehsan
MALAYSIA

© Copyright UKM Press, Universiti Kebangsaan Malaysia