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324691
Burden of disability and associated risk factors: Analysis of data from Uganda National Household Survey 2005 – 06


Tuesday, November 3, 2015

Nukhba Zia, MBBS, MPH, PhD Candidate, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Abdulgafoor Bachani, MHS, PhD, Department of International Health, Johns Hopkins International Injury Research Unit, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Helen Nviiri, 3Uganda Bureau of Statistics, Kampala, Uganda
Adnan A Hyder, MD, MPH, PhD, Department of International Health, Johns Hopkins International Injury Research Unit, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Background
Globally 15% people have disability. Africa has 15.3% estimated prevalence of disability and in Uganda varies from 1.1% - 19%. The objective was to assess burden of disability in Uganda and identify risk factors associated with disability.

Methods
The Uganda National Household Survey 2005–06 was carried out from May 2005-April 2006. This two-stage-survey included 7400 households with 42,370 individuals. Individuals were classified as disabled or not (main outcome), using tool by the Washington Group on Disability Statistics. Association between disability and individual characteristics including sex, age, marital status, educational level, area and region of residence, permanent job status and wealth quintiles was examined using logistic regression model.

Results
The survey found 7.12% individuals with disability. The adjusted odds of disability were 1.06 times (p-value<0.001) for every year increase in age. Individuals in rural areas were 9% more likely to be disabled than their urban counterparts (p-value0.001). The adjusted odds of disability were 3.1 times higher for unmarried compared to married (p-value<0.001). The adjusted odds of not having a permanent job were 60% greater among disabled individuals compared to those without disability. The odds of disability were 1.45 times in the poorest (p value<0.001) as compared to richer quintiles.

Conclusion
Disability is an important public health issue in Uganda and significant risk factors associated with disability in Uganda include older age, rural area, unmarried, lack of permanent job, and poor quintile. Longitudinal studies are required to understand the causal relationship between these risk factors and disability.

Learning Areas:

Public health or related research

Learning Objectives:
Define the burden of disability in Uganda Identify risk factors associated with disability in Uganda

Keyword(s): Disabilities, Data Collection and Surveillance

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been involved in injury and emergency medicine research for past 5 years and has over 15 peer-reviewed publications. I am PI on grant related to burns and disability and also a co-PI on projects related to road traffic injuries, injuries among children and women, burns, trauma and emergency care systems in developing countries. She has experience of both quantitative and qualitative research. I am also involve in departmental academic activities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4189.0: Poster #5 - Emerging Issues in Disability and Public Health