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Cross-cultural validation of the London Handicap Scale and comparison of handicap perception between Chinese and UK populations
Author(s)Raymond See Kit Lo, Timothy Chi Yui Kwok, Joanna Oi Yue Cheng
Journal titleAge and Ageing, vol 36, no 5, September 2007
Pagespp 544-548
Sourcehttp://www.ageing.oupjournals.org
KeywordsPhysical disabilities ; Evaluation ; Attitude ; Cross cultural surveys ; Comparison ; Hong Kong ; China ; United Kingdom.
AnnotationThe concept of handicaps of limitation in participation is universally recognised. Utility ratings of most handicap scenarios apply consistently across mainland Chinese, Hong Kong and UK populations. Cultural and socio-economic differences in valuation of perceived handicap have been noted. The authors report on validation of the London Handicap Scale (LHS) with 201 Sichuan Chinese (mean age 63.3) comprising healthy (31.8%) and disabled individuals with stroke, fracture, cancer or other chronic conditions (69.2%) recruited to the study. Overall ratings for health scenarios were found to be highly correlated between Sichuan Chinese and UK subjects and between Sichuan Chinese and UK Chinese subjects, with one exception. Interesting differences in valuation were also observed between Sichuan sub-groups in three scenarios. Self-perceived health status of the Sichuan Chinese can be accurately reflected by the severity of their handicap as measured by the LHS. For Sichuan Chinese, the economic domain of handicap was related with poorer scores compared with the other domains. Overall, the LHS proved to be valid and applicable in the older population of mainland China. (RH).
Accession NumberCPA-080508206 A
ClassmarkBN: 4C: DP: 3KA: 48: 7DR: 7DC: 8

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