The 130th Annual Meeting of APHA

3304.0: Monday, November 11, 2002 - 5:00 PM

Abstract #49344

Measuring the developmental environments of children: Contributions of the ICF

Rune J. Simeonsson, PhD, MSPH1, Janey Sturtz McMillen, PhD1, Gail S. Huntington, PhD1, Dawn Carlson, PhD2, and Emmanuel M. Ngui, MS, DrPH(s)3. (1) Frank Porter Graham Child Development Institute, University of North Carolina-Chapel Hill, CB 8185, University of North Carolina, Chapel Hill, NC 27599-8185, (919) 966-7826, rune_simeonsson@unc.edu, (2) National Institute on Disability and Rehabilitation Research, 330 C Street SW, Suite 3421, Washington, DC 20202, (3) Department of Maternal & Child Health, School of Public Health, University of North Carolina at Chapel Hill, CB# 7400, 400 Rosenau Hall, Chapel Hill, NC 27599-7400

The International Classification of Functioning, Disability and Health-ICF (WHO, 2001) views disability within a frame of person-environment interaction. While documentation of person characteristics is well established, measurement of environmental factors and their role in disablement is limited. The first two decades of life defines a period in which the nature and impact of environments are characterized by significant changes (Simeonsson et al, 2002). This report describes findings from a national CATI survey of 1000 households encompassing measurement of children's home, school and community environments. The construction of survey items drew on theoretical contributions (Bronfenbrenner, 1999; Harkness, 1994) and the ICF taxonomy of environmental factors. The analytic approach focuses on defining the environments as a function of the major developmental periods of early childhood, middle childhood and adolescence. Structural equation modeling is used to identify children's environments and their association with children's activities and participation. Disability indicators will be used to compare the environments of children with and without disabilities. The findings will be related to the ICF as a framework for documenting environmental factors of in epidemiological and intervention studies with children.

Learning Objectives:

Keywords: Disability,

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Disability Classification

The 130th Annual Meeting of APHA