Hostname: page-component-848d4c4894-4hhp2 Total loading time: 0 Render date: 2024-05-31T13:23:33.752Z Has data issue: false hasContentIssue false

Socioeconomic gradient in functional difficulties by domain among youth: evidence from Egypt

Published online by Cambridge University Press:  07 May 2024

Soha Metwally*
Affiliation:
Department of Biostatistics and Demography, Faculty of Graduate Studies for Statistical Research (FGSSR), Cairo University, Giza, Egypt

Abstract

This study aims to measure inequalities in the distribution of functional difficulties and their different domains among youth aged 15–29 years in Egypt, according to selected socioeconomic characteristics (e.g. wealth quantiles and education level of the head of the household). The data come from the nationally representative survey, ‘Household Observatory Survey’, with 10,405 persons aged 15–29 years representing the study sample population. The survey identifies individuals with disabilities using the Washington Group Short questions. Inequalities in disability distribution have been measured by the concentration index (CI). The results indicate that functional difficulties have been concentrated among the poorest youth and households headed by illiterate persons. Rural areas have the highest concentration of disabilities among youth, with the lowest wealth and the lowest educational level of the head of the household. The CI suggests the existence of socioeconomic inequalities in all functional difficulties except for seeing difficulties. Understanding which factors more substantially contribute to inequalities is critical for advancing policies devoted to enhancing the quality of life for individuals with disabilities.

Type
Research Article
Copyright
© The Author(s), 2024. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Andrade, FB, Duarte, Y, Souza Junior, P, Torres, J, Lima-Costa, M and Andrade, MF (2018) Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015. Revista de saude publica 52, 14s.CrossRefGoogle Scholar
Barsoum, G, Kassab, A, Orfy, A, Al-Helewa, A and Alsawahli, H (2018) Employing People with Disability in Egypt. Egypt: The Public Policy HUB the School of Global Affairs and Public Policy. The American University in Cairo.Google Scholar
Cai, J, Coyte, PC and Zhao, H (2017) Decomposing the causes of socioeconomic-related health inequality among urban and rural populations in China: a new decomposition approach. International Journal for Equity in Health 16(1), 114.CrossRefGoogle Scholar
El-Saadani, S and Metwally, S (2018) The quality of life of youth with disabilities in Egypt with a special focus on educational achievement. WP. No. 1215. Economic Research Forum (ERF).Google Scholar
El-Saadani, S and Metwally, S (2019) Inequality of opportunity linked to disability in school enrollment among youth: evidence from Egypt. International Journal of Educational Development 67, 7384. doi: 10.1016/j.ijedudev.2019.04.001.CrossRefGoogle Scholar
Emerson, E and Hatton, C (2007) Contribution of socioeconomic position to health inequalities of British children and adolescents with intellectual disabilities. American Journal on Mental Retardation 112(2), 140150. doi: 10.1352/0895-8017(2007)112[140:COSPTH]2.0.CO;2.CrossRefGoogle ScholarPubMed
Filmer, D (2008) Disability, poverty, and schooling in developing countries: results from 14 household surveys. World Bank Economic Review 22(1). doi: 10.1093/wber/lhm021.CrossRefGoogle Scholar
Gakidou, E, Murray, C and Frenk, J (2000) Defining and measuring health inequality: an approach based on the distribution of health expectancy. Bulletin of the World Health Organization 78(1), 42–54.Google ScholarPubMed
Hosseinpoor, AR, Stewart Williams, JA, Gautam, J, Posarac, A, Officer, A, Verdes, E and Chatterji, S (2013) Socioeconomic inequality in disability among adults: a multicountry study using the world health survey. American Journal of Public Health 103(7), 12781286.CrossRefGoogle ScholarPubMed
Li, C and Tang, C (2022) Income-related health inequality among rural residents in western China. Frontiers. Public Health. doi: 10.3389/fpubh.2022.1065808.CrossRefGoogle ScholarPubMed
Marmot, M, Friel, S, Bell, R, Houweling, TA, Taylor, S, and Commission on Social Determinants of Health (2008) Closing the gap in a generation: health equity through action on the social determinants of health. The Lancet 372(9650), 16611669.CrossRefGoogle Scholar
Miller, K (2016) Summary of Washington Group question evaluation studies. In Altman, BM (Ed.). International Measurement of Disability: Purpose, Method and Application, the Work of the Washington Group. Social indicators research series 61, pp. 6984. Cham: Springer.Google Scholar
Mitra, S (2018). Disability, health, and human development. Disability, Health, and Human Development, 932. doi: 10.1057/978-1-137-53638-9.CrossRefGoogle Scholar
Mitra, S and Yap, J (2021) The Disability Data Report. Disability Data Initiative. New York: Fordham Research Consortium on Disability. URL: https://disabilitydata.ace.fordham.edu/twentyreport/disability-data-initiative-2021-report/.Google Scholar
Mitra, S and Yap, J (2022) The Disability Data Report. Disability Data Initiative. New York: Fordham Research Consortium on Disability. URL: https://disabilitydata.ace.fordham.edu/twentyreport/disability-data-initiative-2022-report/.Google Scholar
Moradi, G, Mostafavi, F, Hajizadeh, M, Amerzade, M, Mohammadi Bolbanabad, A, Alinia, C and Piroozi, B (2018) Socioeconomic inequalities in different types of disabilities in Iran. Iranian Journal of Public Health 47(3), 427–434.Google ScholarPubMed
Murray, C and Chen, L (1992) Understanding morbidity change. Population & Development Review 18(3). doi: 10.2307/1973655.CrossRefGoogle Scholar
National Council for Women (NCW) (2020) Law on the Rights of Persons with Disabilities: Law No. 10 of 2018. The Arab Republic of Egypt: National Council for Women, State Information Service, and the National Council of Persons with Disabilities.Google Scholar
O’Donnell, O, van Doorslaer, E, Wagstaff, A and Lindelow, M (2008) Measurement of Living Standards. Analyzing Health Equity Using Household Survey Data: A Guide to Techniques and Their Implementation. Washington, DC: The World Bank.Google Scholar
Pinilla-Roncancio, M (2018) The reality of disability: multidimensional poverty of people with disability and their families in Latin America. Disability and Health Journal 11(3). doi: 10.1016/j.dhjo.2017.12.007.CrossRefGoogle ScholarPubMed
Pinilla-Roncancio, M and Alkire, S (2021). How poor are people with disabilities? Evidence-based on the global multidimensional poverty index. Journal of Disability Policy Studies 31(4). doi: 10.1177/1044207320919942.CrossRefGoogle Scholar
Prus, SG (2011) Comparing social determinants of self-rated health across the United States and Canada. Social Science & Medicine 73(1), 5059.CrossRefGoogle Scholar
Rabee, M (2019) Measuring the quality of life of people with disabilities in Egypt. [M. Sc. Thesis]. Cairo University, Institute of Statistical Studies and Research, Department of Biostatistics and Demography, Cairo: Egypt [in Arabic].Google Scholar
Schneider, M (2016) Cross-national issues in disability data collection. In Altman, BM (Ed.). International Measurement of Disability: Purpose, Method and Application, the Work of the Washington Group, pp 1528. Social indicators research series 61. Cham: Springer.Google Scholar
Sen, A (2005) Disability and justice [Paper presentation]. Disability and Development and the World Bank.Google Scholar
Sen, A (2011) The idea of justice: a replySocial Philosophy Today 27, 233–239.CrossRefGoogle Scholar
Sieverding, M and Hassan, R (2019) Associations Between Economic Vulnerability and Health and Well-being in Egypt (WP. No. 1364; Economic Research Forum). URL: https://ideas.repec.org/p/erg/wpaper/1364.html.Google Scholar
Trani, J and Barbou-des-Courieres, C (2012) Measuring equity in disability and healthcare utilization in Afghanistan. Medicine, Conflict and Survival 28(3). doi: 10.1080/13623699.2012.714651.CrossRefGoogle ScholarPubMed
Trani, J, Kuhlberg, J, Cannings, T and Chakkal, D (2016) Multidimensional poverty in Afghanistan: who are the poorest of the poor? Oxford Development Studies 44(2). doi: 10.1080/13600818.2016.1160042.CrossRefGoogle Scholar
United Nations-Department of Economic and Social Affairs (UN-DESA) (2013) Youth with Disabilities. URL: http://www.un.org/esa/socdev/documents/youth/fact-sheets/youth-with-disabilities.pdf.Google Scholar
United Nations (2019) Disability and Development Report 2019. Realizing the Sustainable Development Goals by, for, and with Persons with Disabilities: United Nations Department of Economic and Social Affairs. URL: https://social.un.org/publications/UN-Flagship-Report-Disability-Final.pd.Google Scholar
United Nations (UN) (2006) Convention on the rights of persons with disabilities (CRPD). Treaty Series 2515, 3.Google Scholar
Üstün, T, Chatterji, S, Bickenbach, J, Kostanjsek, N and Schneider, M (2003) The international classification of functioning, disability, and health: a new tool for understanding disability and Health. Disability and Rehabilitation 25(11–12). doi: 10.1080/0963828031000137063.CrossRefGoogle ScholarPubMed
Wagstaff, A (2005) The bounds of the concentration index when the variable of interest is binary, with an application to immunization inequality. Health Economics 14(4). doi: 10.1002/hec.953.CrossRefGoogle ScholarPubMed
Wagstaff, A, Paci, P and van Doorslaer, E (1991) On the measurement of inequalities in health. Social Science & Medicine 33(5), 545557. doi: 10.1016/0277-9536(91)90212-U.CrossRefGoogle ScholarPubMed
Wagstaff, A and van Doorslaer, E (2004) Overall versus-socioeconomic health inequality: a measurement framework and two empirical illustrations. Health Economics, 13(3). doi: 10.1002/hec.822.CrossRefGoogle ScholarPubMed
World Health Organization (WHO) (2001) International Classification of Functioning, Disability, and Health: ICF (International classification of functioning and disability: ICIDH-2 (WHO document no. WHO/HSC/ACE/99.2)). World Health Organization. URL: https://apps.who.int/iris/handle/10665/42407.Google Scholar
World Health Organization (WHO) (2010) Measuring health and disability: Manual for WHO disability assessment schedule (WHODAS 2.0), Üstün TB, Kostanjsek N, Chatterji S, Rehm J (ed). Switzerland: World Health Organization, ISBN 978 92 4 154759 8.Google Scholar
World Health Organization (WHO) (2013) Handbook on Health Inequality Monitoring with a Special Focus on Low- and Middle-Income Countries: World Health Organization. URL https://apps.who.int/iris/handle/10665/85345.Google Scholar
World Health Organization (WHO) (2022) Global Report on Health Equity for Persons with Disabilities. Geneva: License: CC BY-NC-SA 3.0 IGO.Google Scholar
World Health Organization (WHO) and World Bank (2011) World Report on Disability. Geneva: WHO.Google Scholar