Understanding disability and the 'social determinants of health': how does disability affect peoples' social determinants of health?
Abstract
PURPOSE: The purpose of this study was to investigate how an individual's social determinants of health are affected by the acquisition of physical disability in adulthood. The secondary aim was to report the described facilitators and barriers to living with a disability. METHOD: This qualitative study used an exploratory, descriptive approach. Nine individuals with a neurologically derived disability were purposively recruited from a rehabilitation center in northern Queensland. Participation in the study involved semi-structured interviews. QSR NVivo was used for the data analysis process. RESULTS: Changes to social determinants of health resulting from the acquisition of disability had substantial flow-on consequences in all aspects of life for the individual and those close to them. Income had the greatest influence over the other social determinant of health. Following the acquisition of disability, the reduced inflow and increased outflow of finances had subsequent negative effects on housing, transport and social interactions, and also personal relationships. CONCLUSIONS: When considering changes to the social determinants of health resulting from disability acquisition, it is impractical to view these changes and those affected in isolation. Consideration of this multidimensional effect on life associated with the acquisition of disability will be useful in disability research, advocacy and support services. Implications for Rehabilitation Social determinants of health are known to have a direct influence on health status. As social determinants of health decrease, morbidity and mortality rates increase. Following the acquisition of disability, there is a decline in social determinants of health. This decline affects quality of life for individuals' with a disability, and those closest to them. The effects of declining social determinants of health may inhibit the rehabilitation process. Thus, it is important to acknowledge the multifaceted impact the acquisition of disability has on peoples' lives, and the consequences this may have for their rehabilitation.
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Empirical evidence supports the view that both disability as well as mental illness can reduce people's social determinants of health, resulting in a lower quality of life than would have otherwise been the case.
“Empirical evidence supports the view that both disability as well as mental illness can reduce people’s social determinants of health, resulting in a lower quality of life than would have otherwise been the case.”
From Social determinants of health and slippery slopes in assisted dying debates: lessons from Canada (2021) · cites this paper as [18]
The changes to MAiD eligibility for persons with mental illness as their sole underlying condition are not an expansion of the Supreme Court of Canada decision in Carter.
“This is not an expansion of the Supreme Court of Canada decision in Carter.”
From Social determinants of health and slippery slopes in assisted dying debates: lessons from Canada (2021) · cites this paper as [18]
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- Authors
- Frier, A., Barnett, F., Devine, S., & Barker, R.
- Affiliations
- James Cook University (AU)
- Corresponding author
- Frier, Amanda
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2016-12-07
- Volume
- 40
- Issue
- 5
- Pages
- 538-547
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W2559927533
- Cited by
- 101
- References
- 25
- Citations by year
- 2026: 10 · 2025: 19 · 2024: 18 · 2023: 9 · 2022: 12 · 2021: 12 · 2020: 12 · 2019: 7 · 2018: 2
- FWCI
- 7.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disability and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- ResearchOnline - JCU (James Cook University) (submittedVersion)
- Funders
- Australian Government
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Safety Research › Disability Rights and Representation
- Keywords
- social determinants of health, physical disability, income, housing, transportation, interpersonal relationships, quality of life, rehabilitation, barriers and facilitators, family impact
- MeSH terms
- Adult, Aged, Australia, Employment, Female, Persons with Disabilities, Housing, Humans, Income, Interpersonal Relations, Interviews as Topic, Male, Middle Aged, Social Support, Transportation, Social Determinants of Health
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