Cited by 102Medical Practices and RehabilitationAging, Health, and DisabilityDisability Rights and Representation

Understanding disability and the 'social determinants of health': how does disability affect peoples' social determinants of health?

Frier, Amanda, Barnett, Fiona, Devine, Sue, Barker, Ruth·2018·Disability and Rehabilitation

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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Crossref · 10.1080/09638288.2016.1258090

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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.”
  • 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.”

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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
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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