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Associations of perceived stigma,perceived environmental inaccessibility,and self-compassion among people with physical disability in Hong Kong
Affiliation:1. Department of Physical Therapy, School of Health Professions, The University of Alabama at Birmingham, 360, 1720 2nd Ave S, Birmingham, AL, 35294, USA;2. Department of Kinesiology and Nutrition, The University of Illinois Chicago, 1919 W Taylor St, Chicago, IL, 60612, USA;1. Research and Training Center on Disability in Rural Communities, University of Montana, USA;2. School of Physical Therapy and Rehabilitation Science, University of Montana, USA;1. Department of Epidemiology, Boston University School of Public Health, University of Wisconsin Madison, USA;2. Department of Population Health Science, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, USA;3. Department of Sociology, Center for Demography and Ecology, University of Wisconsin Madison, USA;4. Department of Population Health Science, University of Wisconsin School of Medicine and Public Health, USA;5. Population Research Center, University of Texas-Austin, USA;6. Sandra Rosenbaum Department of Social Work, University of Wisconsin-Madison, USA;7. Department of Population Health Science, University of Wisconsin Madison, USA;1. Ontario Tech University, Faculty of Health Sciences, 2000 Simcoe St N. Oshawa, ON, L1G 0C5, Canada;2. ICES, 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada;3. University of Victoria, School of Exercise Science, Physical and Health Education, 3800 Finnerty Rd, Victoria, BC, V8P 5C2, Canada;4. SUNY Cortland, Department of Physical Education, P.O Box 2000, Cortland NY, 13045, USA;5. Centre for Addiction and Mental Health, 1001 Queen St. W., Toronto, ON, M6J 1H4, Canada
Abstract:BackgroundPeople with physical disability are chronically stigmatized. They might internalize ableist attitudes and behaviors that they perceive from others, which can negatively affect social participation and well-being. It is essential to explore potential risk and protective factors associated with stigma perceptions.ObjectiveThe present study proposed and tested the positive associations of perceived environmental inaccessibility and self-coldness with perceived stigma, and the negative associations of self-warmth with perceived stigma, respectively, among people with physical disability in Hong Kong.MethodsA cross-sectional sample of 98 adults with physical disability (42.3% female, mean age = 36.4 years) from 10 nongovernmental organizations in Hong Kong participated in the study. They filled in a self-report questionnaire on perceived stigma, perceived environmental inaccessibility, self-compassion, basic activities of daily living (ADL), instrumental activities of daily living (IADL), and demographics.Main resultsHierarchical multiple regression showed that ADL and IADL alone (Model 1) did not significantly predict perceived stigma. The full model of ADL, IADL, perceived environmental inaccessibility, self-warmth, and self-coldness to predict perceived stigma (Model 2) was significant and explained 53.9% variance in perceived stigma. Perceived environmental inaccessibility and self-coldness were significantly and positively associated with perceived stigma, respectively. Self-warmth was significantly and negatively associated with perceived stigma.ConclusionsThe findings supported the important associations of both external contexts (i.e., as environmental inaccessibility) and internal resources (i.e., as self-compassion) with perceived stigma among people with physical disability. The findings inform future research and three-pronged design approaches to stigma reduction programs for people with physical disability.
Keywords:Ableism  Discrimination  Social inclusion  Social participation  Acceptance of disability
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