身体残疾的人长期受到污名化。他们可能会内化他们从他人那里察觉到的能力主义态度和行为,这会对社会参与和福祉产生负面影响。探索与污名感相关的潜在风险和保护因素至关重要。
本研究提出并测试了感知的环境不可接近性和自我冷淡与感知的污名的正相关关系,以及自我温暖与感知到的污名的消极关联,分别,在香港身体残疾人士中。
98名身体残疾成年人的横截面样本(42.3%为女性,来自香港10个非政府组织的平均年龄=36.4岁)参与了这项研究。他们填写了一份关于感知污名的自我报告问卷,感知到的环境不可接近性,自我同情,日常生活基本活动(ADL),日常生活工具活动(IADL),和人口统计。
分层多元回归表明,单独的ADL和IADL(模型1)不能显着预测感知的病耻感。ADL的完整模型,IADL,感知到的环境不可接近性,自我温暖,而预测感知污名的自我冷漠(模型2)是显著的,解释了感知污名的53.9%方差。感知到的环境不可接近性和自我冷淡与感知的污名显着正相关,分别。自我温暖与感知的污名显着负相关。
研究结果支持两种外部环境的重要关联(即,作为环境不可进入性)和内部资源(即,作为自我同情),在身体残疾的人中感受到耻辱。这些发现为未来的研究和三管齐下的设计方法提供了帮助,以减少身体残疾人士的污名化计划。
People 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.
The 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.
A 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.
Hierarchical 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.
The 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.