"Double Burden of Persons with Disabilities" by Salsabila Kusumawardani, Hardiyani Puspitasari et al.
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Abstract

This study examines the likelihood of persons with disabilities experiencing chronic diseases compared to those without disabilities, emphasizing the role of demographic characteristics. Prior research shows that individuals with disabilities have a higher risk of chronic diseases due to pre-existing health conditions, secondary complications, healthcare access barriers, and limited health education. Beyond these factors, we argue that demographic characteristics—such as age, gender, insurance status, and living environment—also shape daily habits and lifestyles that influence long-term health outcomes. Using probit regression analysis, this study quantifies the probability of chronic disease among persons with disabilities. Our findings indicate that individuals with disabilities who are female, uninsured, unhappy, reside in urban areas, are of productive age, and live in larger households face a higher likelihood of chronic diseases. Compared to their rural and non-productive-age counterparts, they may encounter more significant stressors, unhealthy lifestyle patterns, and limited preventive healthcare. These results highlight the need for targeted health interventions that address both structural and demographic factors to reduce chronic disease risks among persons with disabilities.

Abstrak

Studi ini meneliti kemungkinan individu dengan disabilitas mengalami penyakit kronis dibandingkan dengan mereka yang tidak memiliki disabilitas, dengan menekankan peran karakteristik demografis. Penelitian sebelumnya menunjukkan bahwa individu dengan disabilitas memiliki risiko lebih tinggi terhadap penyakit kronis akibat kondisi kesehatan yang sudah ada sebelumnya, komplikasi sekunder, hambatan dalam akses layanan kesehatan, dan keterbatasan edukasi kesehatan. Selain faktor-faktor tersebut, studi ini berargumen bahwa karakteristik demografis—seperti usia, jenis kelamin, status asuransi, dan lingkungan tempat tinggal—juga berperan dalam membentuk kebiasaan sehari-hari dan gaya hidup yang dapat memengaruhi kondisi kesehatan jangka panjang. Menggunakan analisis regresi probit, penelitian ini mengukur probabilitas penyakit kronis pada penyandang disabilitas. Hasil penelitian ini menunjukkan bahwa individu dengan disabilitas yang berjenis kelamin perempuan, tidak memiliki asuransi kesehatan, merasa tidak bahagia, tinggal di daerah perkotaan, berada dalam usia produktif, dan hidup dalam rumah tangga dengan jumlah anggota lebih dari empat memiliki kemungkinan lebih tinggi mengalami penyakit kronis. Dibandingkan dengan mereka yang tinggal di pedesaan atau berada dalam kelompok usia nonproduktif, kelompok ini cenderung menghadapi lebih banyak stres, memiliki pola hidup yang kurang sehat, serta mengalami keterbatasan dalam akses layanan kesehatan preventif. Temuan ini menegaskan pentingnya intervensi kesehatan yang mempertimbangkan hambatan struktural serta faktor demografis guna mengurangi risiko penyakit kronis pada penyandang disabilitas.

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