02045nas a2200289   4500000000100000008004100001653001000042653001100052653002800063653002100091653001100112653001100123653000900134653001600143653002500159653001600184100001200200700001400212700001600226700001600242700001200258245008800270300001000358490000700368520136600375022001401741       2013                            d10aAdult10aBrazil10aCross-Sectional Studies10aDisabled Persons10aFemale10aHumans10aMale10aMiddle Aged10aSocial Participation10aYoung Adult1 aSilva F1 aSampaio R1 aFerreira FR1 aCamargos VP1 aNeves J00aInfluence of context in social participation of people with disabilities in Brazil.  a250-60 v343 a<p><strong>OBJECTIVE: </strong>To identify environmental and personal factors associated with social participation in adults with various diseases/health conditions residing in the urban areas of the Belo Horizonte Metropolitan Region, Minas Gerais, Brazil.</p>

<p><strong>METHODS: </strong>Individual characteristics, social participation, and perception of environmental barriers of 226 patients treated at a public rehabilitation referral service were evaluated. Regression analyses with hierarchical entry of data were performed to verify the association of personal and environmental factors with social participation.</p>

<p><strong>RESULTS: </strong>More years of schooling, being engaged in the labor market, and consuming alcohol are conditions that increase the social participation of patients. Natural environment, transportation, access to health services, and social capital are perceived as the most important barriers to participation. Based on the linear regression analysis, the adjusted coefficient (R²(adj)) of the full model was 0.42 (P = 0.000).</p>

<p><strong>CONCLUSIONS: </strong>The results of this study may contribute to the planning and implementation of interventions and public policies at the individual and contextual level that are considered appropriate for reducing barriers and facilitate full participation.</p>
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