Document Detail

Vocational rehabilitation acceptance in the USA: controlling for education, type of major disability, severity of disability and socioeconomic status.
MedLine Citation:
PMID:  14754625     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The aim of the study was to investigate whether there were differences in acceptance rates for VR services among African Americans, White Americans, Native American or Alaskan Natives, and Asian or Pacific Islanders with disabilities in the USA? METHOD: The study was based on a population 599 444 customers who sought VR or Bureau of Visual Service Agency services in the USA from 1 October, 1997, through 30 September, 1998. The subsample of customers with no missing values on the variables under investigation included African Americans (n = 13 287), White Americans (n = 38 048), Native American or Alaskan Natives (n = 599), and Asian or Pacific Islanders (n = 596). The chi-square test of homogeneity of proportions was the test statistic. The final random subsample included African Americans (n = 300), White Americans (n = 300) Native American or Alaskan Natives (n = 300), and Asian or Pacific Islanders (n = 300) was drawn from the population of VR customers in the USA. RESULTS: The study supports the hypothesis that African Americans were more likely to be found ineligible for VR services, while Asian or Pacific Islanders were more likely to be accepted for VR services. CONCLUSION: While discovering that African Americans are more likely to be rejected for VR services was not surprising, discovering that Asians or Pacific Islanders are more likely to be accepted for VR services than African Americans was unexpected, given that past VR acceptance research adduced that White Americans, not Asian or Pacific Islanders, are more likely to be accepted for VR services when compared to African Americans with disabilities. While a preponderance of VR research indicates that White Americans are more likely to be accepted for VR services than African Americans, it was also unexpected that White Americans were not statistically significant when education, type of major disability, disability severity, and SES were controlled.
Keith B Wilson
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Disability and rehabilitation     Volume:  26     ISSN:  0963-8288     ISO Abbreviation:  Disabil Rehabil     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-02-02     Completed Date:  2004-05-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9207179     Medline TA:  Disabil Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  145-56     Citation Subset:  IM    
Department of Counselor Education, Counseling Psychology, and Rehabilitation Services, The Pennsylvania State University, USA.
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MeSH Terms
African Americans / statistics & numerical data
Cultural Diversity
Ethnic Groups / statistics & numerical data*
European Continental Ancestry Group
Indians, North American / statistics & numerical data
Oceanic Ancestry Group / statistics & numerical data
Patient Selection*
Rehabilitation, Vocational / statistics & numerical data*,  utilization
Social Class
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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