Barriers to social participation for people with disabilities in NTD-endemic areas of Benin and Côte d'Ivoire: Assessing scope and associated factors.

People with disabilities (PWDs) due to neglected tropical diseases (NTDs) or other causes experience restrictions on social participation (RSPs). This study aimed to investigate the magnitude of these restrictions and associated factors in NTD-endemic communities in Benin and Côte d'Ivoire. Thi...

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Main Authors: Yévèdo Borel Tossou, Paule Héléna Biaka, Fifamin Noël Christelle Gbaguidi, Vignon Bedie, Sonagnon Inès Elvire Agbo, Fernand Aimé Guedou, Kouakou Jerôme Kouadio, Sèdjro Gimatal Esaï Anagonou, Franck Zinsou Mignanwande, Parfait Djossou, Brunelle Vanessa Yemadje, Flora Sylvie Houndjrebo, Jeanne d'Arc Natacha Lessanh Arrawo, Yvette Faihoun, Harvey Johnson, Ghislain Emmanuel Sopoh, Jean Gabin Houezo, Mamadou Kaloga, Agui Sylvestre Dizoe, Mark Nichter, Anna Gine-March, Roch Christian Johnson
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLOS Global Public Health
Online Access:https://doi.org/10.1371/journal.pgph.0004104
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author Yévèdo Borel Tossou
Paule Héléna Biaka
Fifamin Noël Christelle Gbaguidi
Vignon Bedie
Sonagnon Inès Elvire Agbo
Fernand Aimé Guedou
Kouakou Jerôme Kouadio
Sèdjro Gimatal Esaï Anagonou
Franck Zinsou Mignanwande
Parfait Djossou
Brunelle Vanessa Yemadje
Flora Sylvie Houndjrebo
Jeanne d'Arc Natacha Lessanh Arrawo
Yvette Faihoun
Harvey Johnson
Ghislain Emmanuel Sopoh
Jean Gabin Houezo
Mamadou Kaloga
Agui Sylvestre Dizoe
Mark Nichter
Anna Gine-March
Roch Christian Johnson
author_facet Yévèdo Borel Tossou
Paule Héléna Biaka
Fifamin Noël Christelle Gbaguidi
Vignon Bedie
Sonagnon Inès Elvire Agbo
Fernand Aimé Guedou
Kouakou Jerôme Kouadio
Sèdjro Gimatal Esaï Anagonou
Franck Zinsou Mignanwande
Parfait Djossou
Brunelle Vanessa Yemadje
Flora Sylvie Houndjrebo
Jeanne d'Arc Natacha Lessanh Arrawo
Yvette Faihoun
Harvey Johnson
Ghislain Emmanuel Sopoh
Jean Gabin Houezo
Mamadou Kaloga
Agui Sylvestre Dizoe
Mark Nichter
Anna Gine-March
Roch Christian Johnson
author_sort Yévèdo Borel Tossou
collection DOAJ
description People with disabilities (PWDs) due to neglected tropical diseases (NTDs) or other causes experience restrictions on social participation (RSPs). This study aimed to investigate the magnitude of these restrictions and associated factors in NTD-endemic communities in Benin and Côte d'Ivoire. This cross-sectional quantitative and qualitative study was conducted from 2021 to 2022 among 841 people with disabilities (PWDs) and 90 community members and stakeholders. Questionnaires and interview guides were used for data collection. The World Health Organization P-scale score adapted to the local context, was used to assess RSPs. Univariate and multivariate analyses were performed to identify associated factors. Qualitative data were processed using triangulation or data comparison, categorized, cross-referenced, and synthesized by theme, hypothesis and indicator. Of the 841 PWDs, 65.9% had experienced RSPs. The median age (Q1; Q3) was 38 (22; 52) years, and the M/F ratio was 1.45. Of the respondents, 89.2% had a monthly income between 0 and 50,000 FCFA (76 euros); 43.7% were married, and 64.4% were uneducated. Only 98 (11.7%) were disabled due to NTDs. Factors (OR [95%IC], p-value) associated with RSPs were age (30 to 44 years (1.66 [1.06-2.59], p = 0.026), 45 to 59 years (2.26 [1.43-3.58], p = 0.001), and 60 to 74 years (2.35 [1.29-4.27], p = 0.005); Secondary/University level of education ((0.42 [0.28-0.65], p = 0.000); occupation (shopkeeper/housekeeper (0.40 [0.17-0.91]), p = 0.029), farmer (0.21 [0.11-0.40], p = 0.000), and other professions (0.44 [0.20-0.96], p = 0.038)); and income-generating activities (IGAs) (1.53 [1.06-2.22], p = 0.023). Our results demonstrate that the magnitude of RSPs among PWDs is high. The associated factors were age, education level, occupation, and IGAs.
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spelling doaj-art-4c3518c3e9354b8991b7b57e87dba03d2025-01-08T05:51:33ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752024-01-01412e000410410.1371/journal.pgph.0004104Barriers to social participation for people with disabilities in NTD-endemic areas of Benin and Côte d'Ivoire: Assessing scope and associated factors.Yévèdo Borel TossouPaule Héléna BiakaFifamin Noël Christelle GbaguidiVignon BedieSonagnon Inès Elvire AgboFernand Aimé GuedouKouakou Jerôme KouadioSèdjro Gimatal Esaï AnagonouFranck Zinsou MignanwandeParfait DjossouBrunelle Vanessa YemadjeFlora Sylvie HoundjreboJeanne d'Arc Natacha Lessanh ArrawoYvette FaihounHarvey JohnsonGhislain Emmanuel SopohJean Gabin HouezoMamadou KalogaAgui Sylvestre DizoeMark NichterAnna Gine-MarchRoch Christian JohnsonPeople with disabilities (PWDs) due to neglected tropical diseases (NTDs) or other causes experience restrictions on social participation (RSPs). This study aimed to investigate the magnitude of these restrictions and associated factors in NTD-endemic communities in Benin and Côte d'Ivoire. This cross-sectional quantitative and qualitative study was conducted from 2021 to 2022 among 841 people with disabilities (PWDs) and 90 community members and stakeholders. Questionnaires and interview guides were used for data collection. The World Health Organization P-scale score adapted to the local context, was used to assess RSPs. Univariate and multivariate analyses were performed to identify associated factors. Qualitative data were processed using triangulation or data comparison, categorized, cross-referenced, and synthesized by theme, hypothesis and indicator. Of the 841 PWDs, 65.9% had experienced RSPs. The median age (Q1; Q3) was 38 (22; 52) years, and the M/F ratio was 1.45. Of the respondents, 89.2% had a monthly income between 0 and 50,000 FCFA (76 euros); 43.7% were married, and 64.4% were uneducated. Only 98 (11.7%) were disabled due to NTDs. Factors (OR [95%IC], p-value) associated with RSPs were age (30 to 44 years (1.66 [1.06-2.59], p = 0.026), 45 to 59 years (2.26 [1.43-3.58], p = 0.001), and 60 to 74 years (2.35 [1.29-4.27], p = 0.005); Secondary/University level of education ((0.42 [0.28-0.65], p = 0.000); occupation (shopkeeper/housekeeper (0.40 [0.17-0.91]), p = 0.029), farmer (0.21 [0.11-0.40], p = 0.000), and other professions (0.44 [0.20-0.96], p = 0.038)); and income-generating activities (IGAs) (1.53 [1.06-2.22], p = 0.023). Our results demonstrate that the magnitude of RSPs among PWDs is high. The associated factors were age, education level, occupation, and IGAs.https://doi.org/10.1371/journal.pgph.0004104
spellingShingle Yévèdo Borel Tossou
Paule Héléna Biaka
Fifamin Noël Christelle Gbaguidi
Vignon Bedie
Sonagnon Inès Elvire Agbo
Fernand Aimé Guedou
Kouakou Jerôme Kouadio
Sèdjro Gimatal Esaï Anagonou
Franck Zinsou Mignanwande
Parfait Djossou
Brunelle Vanessa Yemadje
Flora Sylvie Houndjrebo
Jeanne d'Arc Natacha Lessanh Arrawo
Yvette Faihoun
Harvey Johnson
Ghislain Emmanuel Sopoh
Jean Gabin Houezo
Mamadou Kaloga
Agui Sylvestre Dizoe
Mark Nichter
Anna Gine-March
Roch Christian Johnson
Barriers to social participation for people with disabilities in NTD-endemic areas of Benin and Côte d'Ivoire: Assessing scope and associated factors.
PLOS Global Public Health
title Barriers to social participation for people with disabilities in NTD-endemic areas of Benin and Côte d'Ivoire: Assessing scope and associated factors.
title_full Barriers to social participation for people with disabilities in NTD-endemic areas of Benin and Côte d'Ivoire: Assessing scope and associated factors.
title_fullStr Barriers to social participation for people with disabilities in NTD-endemic areas of Benin and Côte d'Ivoire: Assessing scope and associated factors.
title_full_unstemmed Barriers to social participation for people with disabilities in NTD-endemic areas of Benin and Côte d'Ivoire: Assessing scope and associated factors.
title_short Barriers to social participation for people with disabilities in NTD-endemic areas of Benin and Côte d'Ivoire: Assessing scope and associated factors.
title_sort barriers to social participation for people with disabilities in ntd endemic areas of benin and cote d ivoire assessing scope and associated factors
url https://doi.org/10.1371/journal.pgph.0004104
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