Exploring the experiences of ableism among Asian children and youth with disabilities and their families: a systematic review of qualitative studies.

Yiyan Li, Sharmigaa Ragunathan, Kristina Fuentes, Shaelynn Hsu, Sally Lindsay
Author Information
  1. Yiyan Li: Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.
  2. Sharmigaa Ragunathan: Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.
  3. Kristina Fuentes: Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.
  4. Shaelynn Hsu: Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.
  5. Sally Lindsay: Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.

Abstract

PURPOSE: Asian children and youth with disabilities often experience multiple barriers, stigmas and discrimination within and outside their families; yet less is understood about their lived experiences. This systematic review explored the experiences of ableism among Asian children and youth with disabilities and their families.
METHODS: We conducted a systematic review of qualitative studies and a qualitative meta-synthesis. We searched six databases including Ovid Medline, Embase, PsychInfo, Healthstar, Web of Science, and Scopus.
RESULTS: Forty-two articles met our inclusion criteria involving 17 countries and regions over a 22-year period. The findings were synthesized into four themes: (1) individual- and family-level ableism (i.e., stigma, fears, concerns, stress and anxieties, physical abuse, bullying, reduced engagement in community activities); (2) institutional-level ableism (i.e., barriers to accessing and navigating supports, ableist attitudes among service providers, unavailable services); (3) societal-level ableism (i.e., cultural and religious stigma, social rejection, discrimination, environmental and policy barriers); and (4) coping strategies (i.e., self-care activities, supports from family, friends and people with similar conditions, religious beliefs).
CONCLUSIONS: Our results highlight the ableist experiences that Asian children and youth with disabilities and their caregivers often encounter and the strong need for further supports to address ableism using culturally responsive strategies.

Keywords

MeSH Term

Adolescent
Child
Humans
Adaptation, Psychological
Asian People
Children with Disabilities
Disability Discrimination
Family
Qualitative Research
Social Stigma

Word Cloud

Created with Highcharts 10.0.0ableismAsianchildrenyouthdisabilitiesexperiencesiebarriersdiscriminationsystematicreviewamongqualitativesupportsoftenfamiliesstudiesstigmaactivitiesableistreligiousstrategiesPURPOSE:experiencemultiplestigmaswithinoutsideyetlessunderstoodlivedexploredMETHODS:conductedmeta-synthesissearchedsixdatabasesincludingOvidMedlineEmbasePsychInfoHealthstarWebScienceScopusRESULTS:Forty-twoarticlesmetinclusioncriteriainvolving17countriesregions22-yearperiodfindingssynthesizedfourthemes:1individual-family-levelfearsconcernsstressanxietiesphysicalabusebullyingreducedengagementcommunity2institutional-levelaccessingnavigatingattitudesserviceprovidersunavailableservices3societal-levelculturalsocialrejectionenvironmentalpolicy4copingself-carefamilyfriendspeoplesimilarconditionsbeliefsCONCLUSIONS:resultshighlightcaregiversencounterstrongneedaddressusingculturallyresponsiveExploringfamilies:Ableismdiversity

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