SOCIO-ECONOMIC CHARACTERISTICS OF PERSONS WITH DISABILITIES AFTER MUSCULOSKELETAL INJURIES
DOI:
https://doi.org/10.11603/1681-2786.2020.3.11621Keywords:
health care organization, disability, rehabilitation, socio-economic factorsAbstract
Purpose: to analyze the socio-economic characteristics of people with disabilities after musculoskeletal injuries.
Materials and Methods. It was conducted a medical and social study on the basis of the Ivano-Frankivsk Bureau of Medical and Social Expertise. A representative sample of 150 people who underwent re-examination due to disability after musculoskeletal injuries was interviewed according to a specially designed author’s program. Statistical processing of the obtained material was performed by calculating the frequency of factors per 100 respondents and standard error (± m) for frequencies. Testing the null hypothesis was performed by calculating the Pearson chi-square test (χ2).
Methods were used: epidemiological, sociological, biostatistical.
Results. It was found that patients after musculoskeletal injuries most often were assigned to the third group of disability (75.5±3.5) %, to the second group – (22.5±3.4) %, and to the first – (2.0±1.1) %. Its causes were fractures of the lower (40.7±4.0) % and upper (18.7±3.2) % limbs, spinal injuries (20.0±3.3) %, traumatic amputation of body parts (11.3±2.6) %, multiple fractures (6.0±1.9) % and thermal or chemical burns (3.3±1.5) %. Almost all respondents are of working age: up to 30 years – 7.3 %, 30–39 years – 31.1 %, 40–49 years – 30.5 %, 50–59 years – 30.5 %, 60 and older – 0.7 %.
It was found that men (69.5 %), rural residents (64.9 %), employed in occupations with a physical nature of work (66.3–65.7 %) are the most vulnerable to disability after musculoskeletal injuries. Presence of disability after musculoskeletal injuries leads to a significant deterioration in material well-being in (51.0±4.1) % of such persons, more pronounced among rural residents (61.2±4.9) %, which is only partially covered by reimbursement of the state social security system (43.5±7.3) %. Disability after musculoskeletal injuries and associated deterioration of health (87.4±3.0) % is accompanied by loss (51.7±4.1) % or change (27.8±3.6) %, as well as the search (41.7±4.0) % for a job, is also more widespread among men from rural areas.
Conclusions. It is necessary to improve the system of rehabilitation of persons with disabilities after injuries of the musculoskeletal system, especially among men employed in agriculture with a physical nature of work.
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