身心障礙者生存機會與社會適應

Abstract

過去，我們常以旁觀者的觀點出發，以局外人的角度設想身心障礙者所面對的問題，對身心障礙者的了解十分有限。不當的對待或歧視，往往限制了身心障礙者的生存機會，使其處於弱勢中的弱勢，導致身心障礙者及其家庭陷於重重困境之中。\n\n鑒於過去研究對於身心障礙者之統計資訊的缺乏，以及個案分析難以釐清人口群之特徵，本研究著眼於解析障礙圖像，並以不同生命階段可能面對之危機及重要生命事件做為切入的角度，探討身心障礙者在過去三十餘年生存機會與社會適應之差異。由於公務統計之資訊無法呈現細部的障礙者生命歷程，本研究輔以身心障礙國民生活需求調查資料，釐清導致障礙的時點對障礙者可能產生的影響，並分析其需求與福利資源之契合度，以檢討政策施行對身心障礙者造成行為或生存機會的改變。\n\n研究使用民國101年（2012）內政部統計處社會經濟資料庫，以及衛生福利部之統計資訊為主，透過地理資訊系統的呈現，描繪出身心障礙者的分布狀況，以及資源分配的情況。有關生存機會的差異，採用民國99年人口及住宅普查全臺閩地區資料與民國100年身心障礙者生活狀況調查原始資料相互對照，以不同生命歷程作為主要的軸線，釐清障礙者與非障礙者的生存機會（就學、就業、婚育）與多元差異。\n\n研究發現，都會區的障礙人口龐大，偏鄉、山地區域的障礙人口佔總人口比例卻十分驚人。身心障礙者之教育程度較低、成為非勞動力的比例較高，此外，身心障礙者較一般人不易進入婚姻，在進入婚姻後，又曝露於更高的離婚風險。從不同致障時間來看，先天致障者面臨較低的教育、婚育機會，但是在就業部分沒有較大的差異；智能障礙者、慢性精神病患者面臨各種機會的弱勢，然而，兩者致障的時間卻有不一樣的情境；自閉症則是在婚育機會中與智能障礙者同等弱勢，但是在教育和就業面向則有較好的表現。\n\n研究建議，障礙發生的時程反映不同的情境，如以同一套的處遇模式，是無法滿足障礙者的需求。在地方資源分配不均的情況下，應考量福利介入最佳的時點與資源，改善身心障礙者不利的處境，增強其社會適應之可能。

In the past, misunderstanding of people with disabled resulted in improper treatment or discrimination. This perspective of an outsider vision limited their life chances, and their families were caught in a predicament.\n\nGiven the lack of previous studies for the disabilities of statistical information, as well as case studies is difficult to clarify the characteristics of population groups, this study focuses on displaying maps of disability, and exploring different life courses in which people may be in face of crisis and major life events. Since the official statistics of the information cannot render detail of life course, researcher supplemented by survey data, to clarify the impact on the time of becoming disabled, to analyze the fitness of welfare resources and needs, and to review the implementation of the policy.\n\nResearch on the use of the Republic of China 101 years (2012) at the Ministry of the Interior statistics socio-economic database, as well as the Ministry of Health and Welfare statistics information mainly through geographic information system, depicting the distribution of people with disabilities, and the distribution of resources. Researcher also use the data of Republic of China 2010 Population and Housing Census in Taiwan and Fujian area, and 2011 Physically and Mentally Disabled Citizens Living and Demand Assessment Survey to clarify differences life chances about education, employment, marriage and child rearing.\n\nThe study found that a large number of people with disability live in urban area; however, the proportion of disability is alarming in mountainous regions and rural area. People with disability are lower educated, have less chances to become labor forces. In addition, compared with people without disability, people with disability have less chances to get married. Even getting married, they are easier to be divorced. People born to be disabled are lower educated, have less chances to get married and to have babies, compared with those who are not born to be disabled. People with mentally disability and chronic psychosis face disadvantaged opportunities, but their time of being disabled are totally different. People with autism and mentally disability have less chances of getting married and having babies, but the former with higher educated and higher chances to be employed.\n\nResearch suggested that the time of becoming disability reflecting different situations. As a result, we have to concern the life course and timing of becoming disabled, and to provide appropriate resources for people with disability. Owing to uneven distribution of resources, we should consider the welfare of the best intervention point with the right resources to improve the well-being of people with disability and enhance their social adaptation.