DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20221245

Perceived health versus perceived disability among individuals with lower limb amputation and its associating factors: evidence from an exploratory study in Mumbai and Kolkata, India

Srei Chanda, T. V. Sekher

Abstract


Background: Self-rated health (SRH) has been used to predict the perception of health in objective measures. Understanding the perception of disability goes beyond simple perception of health. Lower limb amputation and locomotors disability has been studied in various aspects, however, measurement of the extent of disability in a single term has hardly been done. This study aims to find the difference between perceived health (SRH) and perceived disability self-rated disability (SRD) and its association with demographic and socio-economic factors.

Methods: A primary study has been conducted on 270 adult lower limb amputees in Mumbai and Kolkata following mixed methodology approach. Descriptive statistics, correlations and narration were used to measure the SRH and SRD among individuals with lower limb amputation.

Results: The 63% of respondents have achieved good SRH, while only 43% have achieved good SRD. Prosthetics satisfaction, perceived support, perceived body shape, and level of education influence the SRH and SRD. Health components explain SRH, whereas, functional components explain SRD more.

Conclusions: SRD can be better in analyzing the coping with the disability status, and promoting the role of health care and rehabilitation programs. It can be used not only for the population having disability, but in a larger population with functional restrictions that can be used to address the health care need.


Keywords


Lower limb amputation, SRH, SRD, Perception

Full Text:

PDF

References


Boehme S, Geiser C, Renneberg B. Functional and self-rated health mediate the association between physical indicators of diabetes and depressive symptoms. BMC Family Practice. 2014;15(157):1-12.

Cai J, Coyete P C, Zhao H. Determinants of and socioeconomic disparities in selfrated health in China. Int J Equity Health. 2017;16(7):1-27.

Cislaghi B, Cislaghi C. Self rated health as a valid indicator for health-equity analyses: evidence from the Italian health interview survey. BMC Public Health. 2001;19(533):1-13.

Burström B, Fredlund P. Self rated health: Is it a good predictor of subsequent mortality among adults in lower as well as in higher social classes? J Epidemiol Community Health. 2001;55:836-40.

Watchler B, Hoebel J, Lampert T. Trends in socio-economic inequalities in self-rated health in Germany: a time-series analysis of repeated cross-sectional health surveys between 2003 and 2012. BMJ Open. 2019;9:e030216:1-10.

Hosseinpoor AR, Williams JAS, Gautam J, Posarac A, Officer A, Verdes E et al. Socioeconomic inequality in disability among adults: A multi-country study using the World Health Survey. Am J Public Health. 2013;103(7):1278-86.

Banerjee K, Chanda S, Dwivedi LK. Temporal decomposition of life years lived with disability in India: a growing demographic concern. BMC Public Health. 2019;19(966);3-10.

Awasthi A, Pandey CM, Dubey M, Rastogi S. Trends, prospects and deprivation index of disability in India: Evidences from Census 2001 and 2011. Disability Health J. 2017;10(2):247-56.

Jeon Y-H, Essue B, Jan H, Wells R, Whitworth JA. Economic hardship associated with managing chronic illness: a qualitative study. BMC Health Service Res. 2009;9(182):1-11.

Palmer M, Groce N, Mont D, Nguyen OH, Mitra S. The economic lives of people with disabilities in Vietnam, PloS One. 2015;10(7):e0133623:1-16.

Dandona R, Pandey A, George S, Kumar GA, Dandona L. India’s disability estimates: limitation and way forward. PloS One. 2019;14(9):e0222159.

Menon G, Singh L, Sharma P, Yadav P, Sharma S, Kalaskar S, Singh H et al. National burden estimates of healthy life lost in India, 2017. Lancet Global Health. 2019;7(12):e1675-84.

WHO. World Report on Disability, World Health Organization, Geneva, Switzerland, 2011. Available at: https://www.who.int/publications/i/item/97892. Accessed on 11 March 2022.

Duckworth MP, Iezzi T. Physical injury, pain and psychological trauma. Psycho Inj Law. 2010;3:241-53.

Holzer LA, Sevelda F, Freberger G, Bluder O, Kickinger W, Holzer G. Body image and self-esteem in Lower Limb Amputees. PloS One. 2014;9(3):e92943.

Rybarczyk B, Behel J. Limb loss and body image. In: Gallgher P, Desmon D, MacLachlan M (eds). Psychoprosthetics. Springer, London. 2008.

Livneh H, Antonak RF. Psychological adaptation to chronic illness and disability: a primer for counselors. J Counselling Development. 2005;83:12-20.

Mewton L, Andrews G. Poor self rated health and its associations with somatisation in two Australian national survey. BMJ Open. 2013;3:e002965.

Turner RJ, Lloyd DA. Lifetime traumas and mental health: the significance of cumulative adversities. J Health Social Behaviour. 1995;36(4):360-76.

Fullilove MT, Lown EA, Fulliove RE. Crack ‘hos and Skeezers: traumatic experiences of women crack user. J Sex Res. 1992;29(2):275-87.

Sawyer AT, Harris SL, Koenig HG. Illness perception and high readmission health outcomes. Health Psychol Open. 2019;6(1):1-11.

Alonzo AA. The experience of chronic illness and post-traumatic stress disorder: the consequences of cumulative adversity. Social Sci Med. 2000;50(10):1475-84.

Aberkane S. Illness perception and disability levels among older adults with chronic illness. Iran J Public Health. 2016;45(5):710-2.

Hale ED, Treharne GJ, Kitas GD. The common sense model of self-regulation of health and illness: how can we use it to understand and respond to our patients’ need? Rheumatology. 2007;46:904-6.

Pietiläinen O, Laaksonen M, Rahkonen O, Lahelma E. Self-rated health as a predictor of disability retirement- The contribution of ill-health and working conditions. PloS One. 2011;6(9):e250004.

Burden N, Simpson J, Murray C, Overton PG, Powell PA. Prosthesis use is associated with reduced physical self-disgust in limb amputees. Body Image. 2018;27:109-17.

Moore JW. What is the sense of agency and why does it matters? Frontier Psychol. 2016:7:1272.

Sinha R, Van den Heuvel WJ, Arokisamy P. Adjustments to amputation and an artificial limb in lower limb amputees. Prosthetics Orthotics Int. 2013;38(2):1-7.

Zimet GD, Dahlem NC, Zimet SG, Farley GK. The multidimensional scale of perceives social support. J Personality Assessment. 2010;52(1):30-41.

Van Brakel WH, Alisons AM, Mutatatkar RK. The participation scale: Measuring a key concept in public health. Disability Rehabilitation. 2006;28(4):193-203.

Lee M, Yoon K, Lee KS. Subjective health status of multimorbidity: verifying the mediating effects of medical and assistive devices. Int J Equity Health. 2018;17(164):1-10.

Cullati S, Mukhopadhyay S, Sieber S, Chakroborty, A, Burton-Jeangros C. Is the single self-rated health item reliable in India? a construct validity study, BMJ Global Health. 2018;3:e000856:1-12.

Jamoom EW, Horner-Johnson W, Suzuki R. Age at disability onset and elf-reported health status. BMC Public Health. 2008;8(10):1-7.

Berzina G, Smilskalne B, Vetra A, Sunnerhagen KS. Living in Latvia after stroke: the association between functional, social and personal factors and the level of self-perceived disability- a cross-sectional study. BMJ Open. 2016;6:e010327.