Ann Rehabil Med.  2024 Dec;48(6):377-388. 10.5535/arm.240056.

Factors Affecting Life Satisfaction Among People With Physical Disabilities During COVID-19: Observational Evidence From a Korean Cohort Study

Affiliations
  • 1Program in Public Health, Korea University Graduate School, Seoul, Korea
  • 2Department of Healthcare and Public Health Research, National Rehabilitation Center, Seoul, Korea

Abstract


Objective
To determine the factors influencing the life satisfaction of people with physical disabilities during the COVID-19 pandemic, considering demographics, disability-related characteristics, health behaviors, and psychosocial characteristics.
Methods
We used cross-sectional data from 301 respondents of the 2021/2022 survey of the Korean Health Cohort Study for People with Physical Disabilities. Descriptive statistics were used to analyze the research subjects’ characteristics, and chi-square tests and multiple logistic regression were used to identify the determinants of life satisfaction.
Results
Among socio demographic variables, occupation had a strong association with life satisfaction. Significant health behavior variables included daily regular meals, weight control effort, and chronic pain. All psychosocial characteristics (perceived stress, depression, suicidal ideation, cognitive function assessment, subjective health status, family satisfaction, income satisfaction) were strongly associated with life satisfaction. Results of the analysis of factors affecting life satisfaction showed that unemployment, lack of regular exercise, elevated stress, suicidal thoughts, and dissatisfaction with family contributed to increased life dissatisfaction.
Conclusion
Economic support through job creation that considers the specific characteristics of people with disabilities, and social access through community integration services that encourage participation in social activities, should be prioritized.

Keyword

COVID-19; People with physical disability; Life satisfaction; Korea

Figure

  • Fig. 1. Study design. ADL, activities of daily living; IADL, instrumental activities of daily living; K-MMSE, Korean version of the Mini-Mental State Examination.


Reference

1. Lee SY, Lee JS. Factors affecting the life satisfaction of the mentally ill people in mental care facilities. J Digit Converg. 2015; 13:231–9.
Article
2. Kim D, Kim M. A study on the factors affecting life satisfaction among people with developmental disabilities. Disabil Employ. 2015; 25:209–33.
Article
3. Pavot W, Diener E. The satisfaction with life scale and the emerging construct of life satisfaction. J Posit Psychol. 2008; 3:137–52.
Article
4. Lee BH, Lee MY. The relationship between satisfaction of activity assistance service and life satisfaction of persons with adult physical disabilities: verification of mediated effectiveness of health promotion behavior. Health Welf. 2021; 23:87–110.
Article
5. Yoon HJ, Shin JE. Determinants of life satisfaction of people with disabilities in Korea: the role of public transfer income. Health Soc Welf Rev. 2015; 35:432–61.
6. Chung JY. A study on the aged’s life satisfaction: focusing on comparison of men and women and poor women [master’s thesis]. Seoul: Myongji University;2007.
7. Kim B, Nam Y. A study on the effects of changes in employment status on life satisfaction for three different modified equivalence scales household income groups of the disabled: low, middle, and high household incomes. Disabil Employ. 2014; 24(3):67–98.
8. Youn H. A study on satisfaction with life in marriage-migrant women: focused on Gyeongsangbuk-do region [master's thesis]. Daegu: Kyungpook National University;2011.
9. Park JK. The acceptance of a disability and the life satisfaction of individuals with severe physical disabilities. Korean J Phys Mult Health Disabil. 2015; 58:1–28.
Article
10. Oh SR. The factors affecting life satisfaction of the disabled people living in residential facilities. J Rehabil Incl Res. 2005; 9:29–52.
11. Lee HN, Park DB. A study on poverty, deprivation, isolation and life satisfaction among disable and non-disabled household: analysis of Seoul welfare panel. J Rehabil Res. 2012; 16:1–23.
12. National Rehabilitation Center. Experiences of people with disabilities related to COVID-19 infection and related problems [Internet]. National Rehabilitation Center; 2020 [cited 2024 Feb 5]. Available from: https://www.nrc.go.kr/viewer/skin/doc.html?fn=20210923134205105199_1.pdf&rs=/viewer/result/202410/.
13. Ministry of Health and Welfare & Korea Institute for Health and Social Affairs. National survey on persons with disabilities [Internet]. Ministry of Health and Welfare; 2020 [cited 2024 Feb 7]. Available from: https://www.mohw.go.kr/synap/doc.html?fn=1646182288560_20220302095129.pdf&rs=/upload/result/202410/.
14. Pyo YH, Park EH, Lee MH, Kim JY. A survey of current status and needs of library-based education and cultural programs for Students with physical disability. Korean J Phys Mult Health Disabil. 2013; 56:97–119.
Article
15. Choi HC, Kim HR, Kim YM. Longitudinal relationships among acceptance of disability, positive interpersonal relationship, and life satisfaction in people with physical disabilities. Disabil Employ. 2021; 31:157–89.
16. Hwang JY, Jeon H. Longitudinal relationship between the quality of life of individuals with disabilities and that of their families: Application of an autoregressive cross-lagged model. J Learn Cent Curric Instr. 2020; 20:243–67.
Article
17. Kang Y, Na DL, Hahn S. A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients. J Korean Neurol Assoc. 1997; 15:300–8.
18. Kim JM, Shin IS, Yoon JS, Lee HY. Comparison of diagnostic validities between MMSE-K and K-MMSE for screening of dementia. J Korean Neuropsychiatr Assoc. 2003; 42:124–30.
19. Lee HJ, Choi HY, Yun KW, Kim YC, Lim WJ, Kim JH, et al. Association between obesity indices and MMSE-K in elderly. J Korean Neuropsychiatr Assoc. 2013; 52:447–53.
Article
20. Lin CY, Cheng TC. Health status and life satisfaction among people with disabilities: evidence from Taiwan. Disabil Health J. 2019; 12:249–56.
Article
21. Fekete C, Siegrist J, Post MWM, Tough H, Brinkhof MWG; SwiSCI Study Group. Does engagement in productive activities affect mental health and well-being in older adults with a chronic physical disability? Observational evidence from a Swiss cohort study. Aging Ment Health. 2020; 24:732–9.
Article
22. McMUNN A, NAZROO J, WAHRENDORF M, BREEZE E, ZANINOTTO P. Participation in socially-productive activities, reciprocity and wellbeing in later life: baseline results in England. Ageing and Society. 2009; 29:765–82.
Article
23. Wahrendorf M, Ribet C, Zins M, Goldberg M, Siegrist J. Perceived reciprocity in social exchange and health functioning in early old age: prospective findings from the GAZEL study. Aging Ment Health. 2010; 14:425–32.
Article
24. Tough H, Fekete C, Brinkhof MWG, Siegrist J. Vitality and mental health in disability: associations with social relationships in persons with spinal cord injury and their partners. Disabil Health J. 2017; 10:294–302.
Article
25. Berkman LF, Glass T. Social integration, social networks, social support, and health. In : Berkman LF, Kawachi I, editors. Social epidemiology. Oxford Academic;2000. p. 137–73.
26. Han H, Lee YR. A study on factors impacting on the mental health level of the elderly people living alone. J Korean Gerontol Soc. 2009; 29:805–22.
27. Ju JY, Kim HS. The effect of home visiting physical therapy based on wellness on ADL, depressive disorder, quality of life in chronic stroke patients. J Korea Entertain Ind Assoc. 2015; 9:423–30.
Article
28. Bae JH, Lee HK, Kim HS, Oh HJ. Activities of daily living, mental status and life satisfaction of the elderly living in home and in institutions. J Korean Soc Phys Ther. 2018; 20:33–41.
29. Ju HJ, Lee U, Kim Y, Harley DA. The relationship between stress, disability acceptance, and quality of life of people with physical disabilities in South Korea: focused on the psychosocial adaptation model. J Appl Rehabil Couns. 2024; 55:143–56.
Article
30. You JD. The relationship between job stress and quality of life of coast guard officers. Korean Assoc Police Sci Rev. 2020; 22:127–49.
Article
31. Lee CS, Kim MS. The study on the psychosocial variabes influencing job satisfaction of the working people with disabilities. Disabil Employ. 2012; 22:29–54.
Article
32. Kim SJ. The Effects of ball exercise on the blood lipid, stress hormones and mental health among aged persons with physical disabilities elderly. Korean J Phys Mult Disabil. 2010; 53:105–25.
Article
33. Tough H, Siegrist J, Fekete C. Social relationships, mental health and wellbeing in physical disability: a systematic review. BMC Public Health. 2017; 17:414.
Article
34. Cho KO, Chung SY. The effects of regular dietary habits on obesity indices and nutrition intakes in adult males. J Korean Diet Assoc. 2007; 13:114–22.
35. HQ Center; Seoul National University; College of Medicine. Effects of exercise [Internet]. HQ Center, Seoul National University, College of Medicine; 2015 [cited 2023 Nov 21]. Available from: https://hqcenter.snu.ac.kr/archives/jiphyunjeon/%EC%9A%B4%EB%8F%99%EC%9D%98-%ED%9A%A8%EA%B3%BC?pnum=0&cat=92.
36. Mollaoğlu M, Tuncay FÖ, Fertelli TK. Mobility disability and life satisfaction in elderly people. Arch Gerontol Geriatr. 2010; 51:e115–9.
Article
37. Kim M, Jasper AD, Lee J, Won H. Work, leisure, and life satisfaction for employees with physical disabilities in South Korea. Appl Res Qual Life. 2022; 17:469–87.
Article
38. Emerson E, Llewellyn G. The wellbeing of women and men with and without disabilities: evidence from cross-sectional national surveys in 27 low- and middle-income countries. Qual Life Res. 2023; 32:357–71.
Article
39. Korea Employment Agency for Persons with Disabilities. Survey on the economic activities of people with disabilities: report for the second half of 2022. Employment Development Institute;2022.
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