title: Movement disability: situations and factors influencing access to health services in the northeast of Thailand.
abstract: BACKGROUND
  Persons with movement disability (PWMDs) are the biggest group of persons with disabilities (PWDs) with needs helps especially on health. There has been no evident to show health services accessibility situation of PWMDs in the Northeast of Thailand, the biggest region.
  
  
  OBJECTIVE
  This study aimed to explore the current situation of accessibility to health services among PWMDs, and factors influencing such access.
  
  
  METHODS
  This cross-sectional study used a multistage stratified random sampling to select 462 subjects from the national registered PWMDs poll to response to a structured questionnaire. This study complies with the principles of the Declaration of Helsinki and was approved by the Khon Kaen University Ethics Committee for Human Research prior to the data collection.
  
  
  RESULTS
  We found that most of PWMDs (66%) had overall health service accessibility at medium level. Factors influencing the access to health services were living in rural area (adj. mean diff.= -24.01; 95 % CI: -45.88 to-2.31; p-value=0.032), high income (adj. mean diff.=0.002; 95 % CI: 0.001 to 0.005; p-value = 0.044), and having offspring or spouse as care givers (adj. mean diff.=40.44; 95% CI: 7.69 to 73.19; p-value=0.044; and adj. mean diff.=48.99; 95%CI: 15.01-82.98; p-value=0.016, respectively). PWMDs who lived in rural areas had better access to health services especially to the subdistrict health promoting hospital than those in the urban area.
  
  
  CONCLUSIONS
  Accessibly to health services of PWMDs still limited. Income, care givers and residential areas had influences on their access.
authors: Faculty of Public Health, Research and Training Center for Enhancing Quality of Life of Working-Age People, Khon Kaen University, 123 Moo 16 Mittapap Road, Nai-Mueang, Mueang District, Khon Kaen 40002, Thailand.
authors: A
authors: A
authors: Wongkongdech
authors: Faculty of Public Health, Research and Training Center for Enhancing Quality of Life of Working-Age People, Khon Kaen University, 123 Moo 16 Mittapap Road, Nai-Mueang, Mueang District, Khon Kaen 40002, Thailand.
authors: W
authors: W
authors: Laohasiriwong
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity / Q000639:trends; D009069:Movement Disorders / Q000453:epidemiology* / Q000534:rehabilitation; D011795:Surveys and Questionnaires; D013785:Thailand / Q000453:epidemiology