Self-Care Question: Cognitive Testing Results

1. Self-Care Question:Cognitive Testing Results 6th Annual Mtg UN Washington Group on Disability Statistics Kampala, Uganda October 10-13, 2006

2. Self- Care Question • Do you have difficulty with self-care, such as washing all over or dressing? • No, no difficulty • Yes, some difficulty • Yes, a lot of difficulty • Can not do at all

3. More detailed functioning questions • By yourself and not using aids, do you have any difficulty… • Reaching up over your head? • Reaching out as if to shake someone’s hand? • Using your fingers to button a shirt or dress? • Putting on socks or stocking? • Tying your shoelaces? • Combing your hair? • Feeding yourself • Response categories: Yes/No

4. Pattern Responses • Non-Problematic • No disability (based on main question) and no functional problems • Disability and at least three functional problems • Problematic • Disability, but no functional problems reported • No disability, but three or more functional difficulties reported

5. Pattern Responses (continued) • Borderline • No disability (based on main question) but 1 or 2 functional problems reported • Disability but 1 or 2 functional problems reported • Why is this borderline and not problematic? • Because 1 or 2 functional problems may or may not create a situation where a person has difficulty with self care – more of an issue because of Yes/No response categories

6. Overall Distribution of Answers by Disability Threshold • Disability defined as ANY difficulty • Non-Problematic – 81.0% • Problematic – 9.5% • Borderline – 9.5% • Disability defined as “A lot” or “Cannot do” • Non-Problematic – 80.5% • Problematic – 11.1% • Borderline – 8.4%

7. Lower Disability Threshold: problem responses (red) are younger, borderline (blue) are younger for “non-disabled” with 1 functional problem

8. Higher Disability Threshold: problem responses (red) and borderline (blue) non-disabled tend to be older

9. Questions: Why do people ended up in the borderline and problem responses? -- because they belong there, because of ambiguity in the questions, some misinterpretation? For example, in the Vietnam report they mentioned that some people were confused by the self-care question because they weren't sure if it was asking if they ACTUALLY cared for themselves or if they had the ABILITY to. Or, the self-care question had two examples (washing and dressing) and some respondents weren't sure if the question meant ONLY those activities, and not necessarily things. Why might cross-country differences exist? Translation, interviewer training, sample selection, cultural differences, living conditions?