身心障礙者老化現象之概念探討與初探性實證研究

Premature Ageing Phenomena among Disabled Persons in Taiwan: An Exploratory Study

10.29734/SJSW.200812.0002

林昭吟(Chao-Yin Lin)

身心障礙者 ； 老年 ； 提前老化 ； 伴隨障礙老化 ； 生命歷程取向 ； disability ； elderly ； premature aging ； aging with disability ； life course approach

東吳社會工作學報

19期（2008 / 12 / 01）

37 - 80

繁體中文

本研究目的在探討近年來身心障礙與老年議題的連結。本研究首先藉由文獻與官方統計資料分析，發現此二福利人口群的重疊性愈來愈高，但其中仍包含差異性。其次，運用生命歷程與社會老人學觀點，以結構式問卷隨機抽樣面訪202位設籍台北市25-64歲身障者。研究發現：與2000年老人狀況調查結果相比，成年身障者在生理面與社會面的老化現象，較接近老人；但在心理感受與自我認同方面，多數成年身障者不認為自己是老人。其次，與障礙有關之特質如障別。障礙等級。與障礙發生時間，較易彰顯老化現象的差異。第三，以整體時序年齡來看，身障者多數在50歲以前即出現老化現象，故相關之社會保險給付或福利服務，也可考慮彈性調整身障者的受益年齡。

This research is aimed at exploring the connection of the issues between disability and aging. Next to a review of literature, an exploratory sampling survey of 202 disabled adults in Taipei City was conducted in order to delineate their aging phenomena. Moreover, the research intends to provide suggestions on policy and research about those who are aging with disabilities in Taiwan. According to the examination of literature and official statistics, the features of disabled people and elderly people are becoming closer, as the number of disabled elderly has grown swiftly since 30 years ago. Nevertheless, the population of disabled elderly may contain two sub-populations: the one is those who are aging with disabilities, and the other is those who becoming disabled due to diseases or senescence in their later life. Both groups have different self-identity and disability experiences, and this difference has to be borne in mind by welfare providers and policy makers. According to the sampling survey and its comparison with the Living-Status Survey of the Elderly in 2000, key research findings are drawn as follows. First, disabled adults did experience early biological and social aging; however, they did not regard themselves as elders and showed normal status to mildly depressed according to Geriatric Depression Scale. Second, disabled adults with different disability categories, degree of disability, and onset of disability aged variously in terms of the results of statistical tests. But, the demographic character of sex generated no significant difference in aging phenomena. Third, compared to the official elderly age set at 65, the elderly age for aging disabled persons could be advanced to some extent, in order to receive elderly-related welfare services and social insurance benefits.

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