title: The White Book on Disability in Italy: an ICF-based Italian survey.
abstract: OBJECTIVE
  To describe the functioning and disability profiles of Italian person with disability (PwD) getting invalidity pension.
  
  
  METHODS
  Adult subjects were selected within the registries of local health agencies that provide invalidity certificates. The International Classification of Functioning Disability and Health (ICF) checklist was administered by trained interviewers. Count-based indexes were calculated for each ICF chapter and domain. Descriptive analysis and paired-sample t-test for evaluating differences between capacity and performance indexes in Activities and Participation (A&P) were employed.
  
  
  RESULTS
  A total of 742 persons were enrolled. Mean age among children and youth (N = 106) was 8.6 years, and among adults (N = 636) was 47.6 years. Most common health conditions are neurological diseases (30.2%), tumors (18.1%) and mental disorders (13.5%). Body Functions and Structures impairments are consistent with sample compositions. In A&P, capacity indexes are higher than performance ones, and facilitators are essentially reported among Environmental Factors (EF).
  
  
  CONCLUSIONS
  ICF-based tools are adequate to capture difficulties in different A&P areas, and to estimate EF's effect. In our study, the widest difficulties and the widest impact of EF are reported in areas describing activities of daily living, while areas describing communication, employment and leisure time activities are less problematic but, at the same time, less influenced by EF.
authors.affiliation: Neurology, Public Health and Disability Unit - Scientific Directorate, Neurological Institute C. Besta IRCCS Foundation, Milan, Italy. leonardi@istituto-besta.it
authors.forename: Matilde
authors.initials: M
authors.lastname: Leonardi
authors.forename: Paolo
authors.initials: P
authors.lastname: Meucci
authors.forename: Francesca
authors.initials: F
authors.lastname: Albanesi
authors.forename: Veronica
authors.initials: V
authors.lastname: Invernizzi
authors.forename: Alberto
authors.initials: A
authors.lastname: Raggi
authors.forename: Rosalba
authors.initials: R
authors.lastname: Lembo
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: Franco
authors.forename: Bruno
authors.initials: B
authors.lastname: Genetti
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D002648:Child; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012042:Registries; D018582:Sick Leave / Q000706:statistics & numerical data*; D018875:Vocabulary, Controlled; D014942:Workers' Compensation / Q000706:statistics & numerical data*; D055815:Young Adult