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Disability in the Brazilian Disability in the Brazilian Census Census Alicia Bercovich Alicia Bercovich Population Census Committee Population Census Committee IBGE, Brazil IBGE, Brazil 8 th Meeting of the Washington Group Meeting of the Washington Group Manila, Philippines Manila, Philippines October 29-31, 2008 October 29-31, 2008

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Page 1: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Disability in the Brazilian CensusDisability in the Brazilian Census

Alicia BercovichAlicia BercovichPopulation Census CommitteePopulation Census CommitteeIBGE, Brazil IBGE, Brazil

88th Meeting of the Washington Group Meeting of the Washington GroupManila, Philippines Manila, Philippines October 29-31, 2008October 29-31, 2008

Page 2: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

OverviewOverview

Legal aspects Census 2000Census 2000Consultation MeetingsConsultation MeetingsSome ResultsSome ResultsCensus 2010: Cognitive tests and Joint Census 2010: Cognitive tests and Joint

Pilot testPilot testQuestionsQuestionsRemarksRemarks

Page 3: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Legal AspectsLegal Aspects

Law Nº 7.853, October 24, 1989 ... Art. 17 - Serão incluídas no censo

demográfico de 1990, e nos subseqüentes, questões concernentes à problemática da pessoa portadora de deficiência, objetivando o conhecimento atualizado do número de pessoas portadoras de deficiência no país ...

Page 4: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Planning for Census 2000Planning for Census 2000

Meetings with users

Joint work IBGE/CORDE

Evaluation of the data obtained from the Pilot Tests and Dress Rehearsal

Questions and Concepts

Page 5: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

IBGE/ CORDE Joint work

• From the beginning of Census Planning (1997) the Coordination for integration of disabled people from the Ministry of Human Rights, worked together with IBGE

• CORDE sent first proposal of contents

• IBGE tested the questions and modified during the planning period

Page 6: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Findings and Decisions 1. Why to include this topic in a population census?

2. Why it was considered necessary to have more than one question in the census form?

3. Screening questions: problems when using them for disability topics

4. False negatives and false positives

5. Minimum number of questions in the census

6. Domains Chosen

7. Degrees of severity

8. What can be asked and what cannot be asked

9. Mercosur experience: cognitive tests and joint pilot test

Page 7: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Prevalence of Disability in Selected Countries by Source

Page 8: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Source: IBGE, 2000 Census.

Proportion of the population with at least one type of disability, by age groups

Brazil - 2000

4,3

15,6

54,0

0

10

20

30

40

50

60

70

80

90

100

0 to 14 years 15 to 64 years 65 years and over

Age Groups

(%)

Proportion of the population with at least one type of disability

Page 9: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Source: IBGE, 2000 Census.

Proportion of the population with at least one type of disability by single years of age

Brazil 2000

0 10 20 30 40 50 60 70 80 90 100

0

4

8

12

16

20

24

28

32

36

40

44

48

52

56

60

64

68

72

76

80 ou +S

ing

le y

ea

rs

Values in percentage (%)

Proportion of the population with at least one type of disability

Page 10: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Source: IBGE, 2000 Census.

Age and sex structure of the population with at least one type of disability Brazil 2000

0

10

20

30

40

50

60

70

80

90

100

300.000 200.000 100.000 0 100.000 200.000 300.000

Males Females

Age and sex structure of the population with at least one type of disability

Page 11: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Source: IBGE, 2000 Census.

Proportion of literate people aged 5 years and over by type of disability and age groups - Brazil 2000

0

10

20

30

40

50

60

70

80

90

100

Age Groups

(%)

Permanentmentaldisability

Physicalimpairment

Seeingdisability

Hearingdisability

Motordisability

No disability

Proportion of literate people aged 5 years and over by type of disability and age groups

Page 12: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Brazil 94,5 88,6 74,9

North.................................................................................................. 88,8 86,8 71,5

Northeast......................................................................................... 92,9 87,5 69,9

Southeast......................................................................................... 96,3 89,7 78,2

South.................................................................................................. 96,5 89,7 78,7

Central West.................................................................................... 95,5 90,9 79,5

Source: IBGE, 2000 Census.

(1) P eople with more than one type of disability were counted only once. (2) Including people without answer to the questions on disability. (3) Excluding people with some permanent difficulty to see, hear, walk or climb stairs.

School attendance rate among children aged 7 to 14 years old with and without disability - Brazil and Regions, 2000

At least one type of disability

Regions

School attendance rate among children aged 7 to 14 years old (%)

Total (1)(2)

At least one type of severe disability

(3)

School attendance rate among children aged 7 to 14 years old with and without disability

Page 13: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Source: IBGE, 2000 Census.

Proportion of people attending school by type of disability and age groups

Brazil - 2000

0

10

20

30

40

50

60

70

80

90

100

Age Groups

(%)

Permanentmentaldisability

Physicalimpairment

Seeingdisability

Hearingdisability

Motordisability

No disability

Proportion of people attending school by type of disability and age groups

Page 14: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

32,9

16,7

10,7 10,0 10,2

0

5

10

15

20

25

30

35

Years of schooling

No education to 3 years 4 to 7 years 8 to 10 years 11 to 14 years 15 years or more

Proportion of population aged 15 years or over, with at least one disability by years of

schooling

Source: IBGE, 2000 Demographic Census

(%)

Proportion of population aged 15 years or over, with at least one disability by years of schooling

Page 15: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

0

10

20

30

40

50

60

70

80

90

100

Age Groups

Permanentmentaldisability

Physical orMotordisability

Hearingdisability

Seeingdisability

None

Employment rate of people with eachkind of disability - Males

Source: IBGE, 2000 Demographic Census

(%)

Employment rate of people with each kind of disability - Males

Page 16: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

0

10

20

30

40

50

60

70

80

90

100

Age Groups

Permanentmentaldisability

Physical ormotordisability

Hearingdisability

Seeingdisability

None

Employment rate of people with eachkind of disability - Females

Source: IBGE, 2000 Demographic Census

(%)

Employment rate of people with each kind of disability - Females

Page 17: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Life expectancy (LE) and disability-free life expectancy (DFLE), by gender and Regions, Brazil 2000

0

10

20

30

40

50

60

70

80

Brasi

l Hom

ens

Norte

Nordes

te

Sudeste Sul

Centro

-Oes

te

Brasi

l M

ulhere

sNorte

Nordes

te

Sudeste Sul

Centro

-Oes

te

Yea

rs

LE-DFLE

DFLE

Life expectancy (LE) and disability-free expectancy (DFLE), by gender and Regions

Page 18: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Final RemarksFinal Remarks

• Evaluation

• Lessons learnt

• Demand for Intercensal Estimates

• Harmonization with Mercosul, Bolivia and Chile

• Joint Pilot Tests methodology

• Washington Group collaboration

Page 19: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Thank you!

Page 20: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Proposal for 2010Census Long Form

After the joint analysis of the pilot test and the After the joint analysis of the pilot test and the evaluation with CORDE we elaborated a proposal for evaluation with CORDE we elaborated a proposal for 2010 Census.2010 Census.

The question tested by IBGE concerning mental The question tested by IBGE concerning mental disability had performance slightly better than the WG´s. disability had performance slightly better than the WG´s.

The core questions proposed by the Washington Group The core questions proposed by the Washington Group were quite similar to the ones asked in 2000 census. were quite similar to the ones asked in 2000 census. The modifications tested were approved. The modifications tested were approved.

Page 21: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

1. Do you have permanent difficulty 1. Do you have permanent difficulty seeing? (If you wear glasses or contact seeing? (If you wear glasses or contact

lenses, make your evaluation while lenses, make your evaluation while wearing them)wearing them)

Cannot do at allYes, great difficultyYes, some difficultyNo, no difficulty

Page 22: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

2. Do you have permanent difficulty 2. Do you have permanent difficulty hearing? (If you use a hearing aid, make hearing? (If you use a hearing aid, make

your evaluation while using it)your evaluation while using it)

Cannot do at allYes, great difficultyYes, some difficultyNo, no difficulty

Page 23: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

3. Do you have difficulty walking or 3. Do you have difficulty walking or climbing stairs? (If you use a prosthesis, climbing stairs? (If you use a prosthesis,

cane or auxiliary device, make your cane or auxiliary device, make your evaluation while using it)evaluation while using it)

Cannot do at allYes, great difficultyYes, some difficultyNo, no difficulty

Page 24: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

4. Do you have any permanent mental 4. Do you have any permanent mental disability that limits you in your daily disability that limits you in your daily activities? (such as working, going to activities? (such as working, going to

school, playing, etc.)school, playing, etc.)

YesNo

Page 25: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

5. Do you have difficulty taking care of 5. Do you have difficulty taking care of yourself, such as dressing or bathing?yourself, such as dressing or bathing?

Cannot do at allYes, great difficultyYes, some difficultyNo, no difficulty

Page 26: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Brazil Brazil Cognitive TestCognitive Test

Carried out on April 2006;Carried out on April 2006;In three Brazilian municipalities:In three Brazilian municipalities:

◦ Rio de Janeiro in the Southeast Region;◦ Curitiba in the South Region; and◦ Olinda in the Northeast Region.

Selection Process:Selection Process:◦ Used 2000 Census Information on Disabled People

and visited the selected households◦ Quota Sample of each domain tested◦ Selected Census Tracts with higher density of

disabled people

Page 27: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

QuestionnaireQuestionnaire

Added four questions, called additional Added four questions, called additional questions, which had been used in 2000 Census;questions, which had been used in 2000 Census;

By request of CORDE we included a question on By request of CORDE we included a question on Body Functions and Structure;Body Functions and Structure;

The order of the categories of response of the The order of the categories of response of the additional questions have been modified additional questions have been modified considering the results of pilot tests preceding considering the results of pilot tests preceding 2000 Census:2000 Census:

The core questions and the categories of The core questions and the categories of response were maintainedresponse were maintained

Page 28: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Response Patterns (%)Cognition

0,00

10,00

20,00

30,00

40,00

50,00

60,00

70,00

80,00

90,00

Consistent Possible Falsenegatives

Falsepositives

Self

Proxy

Response Patterns (%) Cognition

Page 29: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

RemarksRemarks• The answers to the additional questions

were generally consistent with the core questions

• When compared with the 2000 Census questions were also compatible, but seemed to detect better some types of problems

• No problems to understand the core questions

• Not so good for children with mental retardation or other problems

• Small proportion of false-negatives or false-positives

• Use for policy making?

Page 30: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Common Census for Mercosul, Bolivia and Chile: First Joint Pilot Test on Disability

• Brazilian Institute for Geography and Statistics – IBGE, • Instituto Nacional de Estadística y Censos – INDEC,

from Argentina• Dirección General de Estadística, Encuestas y Censos

– DGEEC, from Paraguay

• Carried out in November 2006 in the cities of Foz do Iguaçu, Puerto Iguazú and Ciudad del Este, respectively. This pilot test was planned based on the joint analysis of results from cognitive tests performed by the three countries during the first semester of 2006.

Page 31: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

DISABILITY PREVALENCE BRASIL- ARGENTINA - PARAGUAY

P1 X PE1

0

5

10

15

20

25

30

35

40

BRASIL ARGENTINA PARAGUAY

P1 PE1

Disability Prevalence

Page 32: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

DISABILITY PREVALENCE BRASIL- ARGENTINA - PARAGUAY

P2 X PE2

0

5

10

15

20

25

30

35

40

BRASIL ARGENTINA PARAGUAY

P2 PE2

Disability Prevalence

Page 33: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

ED0 ED1 ED2 ED3 ED0 ED1 ED2 ED3 ED0 ED1 ED2 ED3

D0 0,82 -0,82 -0,75 -0,66 0,61 -0,61 -0,54 -0,49 0,57 -0,57 -0,56 -0,53D1 -0,82 0,82 0,75 0,66 -0,61 0,61 0,54 0,49 -0,57 0,57 0,56 0,53D2 -0,73 0,73 0,83 0,77 -0,64 0,64 0,70 0,64 -0,58 0,58 0,63 0,62D3 -0,60 0,60 0,73 0,85 -0,60 0,60 0,74 0,77 -0,55 0,55 0,62 0,66

Source: I Prova Piloto Conjunta sobre Deficiência, Brazil, Argentina and Paraguay, Nov. 2006.

Chart 11

CORE QUESTIONS

SELF CAREEXTENDED QUESTIONS

BRASIL ARGENTINA PARAGUAI

CORRELATION MATRIX BY COUNTRY AND DOMAIN I JOINT PILOT TEST: BRAZIL - ARGENTINA - PARAGUAY

Correlation Matrix by Country and Domain

Page 34: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Brazil 87,1 72,0 61,6

North........................................................ 84,3 71,6 59,5

Northeast................................................. 75,1 57,9 46,7

Southeast................................................ 92,3 79,8 69,8

South........................................................ 92,8 81,1 70,9

Central West............................................ 89,8 75,0 63,3

Source: IBGE, 2000 Census.

Literacy rate among adults aged 15 years old and over in population with and without disability - Brazil and Regions, 2000

At least one type of disability

(1) P eople with more than one type of disability were counted only once. (2) Including people without answer to the questions on disability. (3) Excluding people with some permanent difficulty to see, hear, walk or climb stairs.

Regions

Literacy rate among adults aged 15 years old and over (%)

Total (1)(2)

At least one type of severe disability

(3)

Literacy rate among adults aged 15 years old and over in population with and without disability

Page 35: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

0 to 4

5 to 9

10 to 14

15 to 19

20 to 24

25 to 29

30 to 34

35 to 39

40 to 44

45 to 49

50 to 54

55 to 59

60 to 64

65 to 69

Source: IBGE, 2000 Census.

Proportion of people attending school by type of disability and age groups

Brazil - 2000

0

10

20

30

40

50

60

70

80

90

100

Age Groups

(%)

Permanentmentaldisability

Physicalimpairment

Seeingdisability

Hearingdisability

Motordisability

No disability

Proportion of people attending school by type of disability and age groups

Page 36: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

Interviewers from IBGE staff on household Interviewers from IBGE staff on household surveyssurveys

1515

MenMen 66

WomenWomen 99

QualificationQualification High SchoolHigh School

CollegeCollege

TrainingTraining 2 days2 days

Forms, Handbook, CD2000 Address File, MapsForms, Handbook, CD2000 Address File, Maps

ObserversObservers 77

RespondentsRespondents 406406

–Persons with at least one type of disabilityPersons with at least one type of disability 227227

–Persons with no disabilityPersons with no disability 179179

Implementation of the cognitive testImplementation of the cognitive testImplementation of the cognitive test

Page 37: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

ED0 ED1 ED2 ED3 ED0 ED1 ED2 ED3 ED0 ED1 ED2 ED3

D0 0,51 -0,51 -0,42 -0,27 0,67 -0,67 -0,59 -0,40 0,62 -0,62 -0,66 -0,55

D1 -0,51 0,51 0,42 0,27 -0,67 0,67 0,59 0,40 -0,62 0,62 0,66 0,55

D2 -0,38 0,38 0,58 0,45 -0,66 0,66 0,75 0,52 -0,70 0,70 0,91 0,78

D3 -0,24 0,24 0,40 0,56 -0,47 0,47 0,58 0,72 -0,46 0,46 0,58 0,69

Source: I Prova Piloto Conjunta sobre Deficiência, Brazil, Argentina and Paraguay, Nov. 2006.

Chart 12

CORE QUESTIONS

COMMUNICATIONEXTENDED QUESTIONS

BRAZIL ARGENTINA PARAGUAY

CORRELATION MATRIX BY COUNTRY AND DOMAIN I JOINT PILOT TEST: BRAZIL - ARGENTINA - PARAGUAY

Correlation Matrix by Country and Domain

Page 38: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

1. Do you have any permanent 1. Do you have any permanent mental disabilities that limit you in mental disabilities that limit you in your daily activities? (As working, your daily activities? (As working,

getting school, playing, etc.)getting school, playing, etc.)

Yes / NoYes / No

Page 39: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

2. How do you evaluate your capacity to see? (Even with glasses or contact

lenses, if used)

Unable Severe permanent

difficulty Some permanent

difficulty No difficulty

Page 40: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

3. How do you evaluate your 3. How do you evaluate your capacity to hear?capacity to hear? (Even with

hearing aid, if used)

Unable Severe permanent

difficulty Some permanent

difficulty No difficulty

Page 41: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

4.4. How do you evaluate your How do you evaluate your capacity to walk / climb stairs?capacity to walk / climb stairs?

(Even with walking aids, if used) UnableUnableSevere permanent difficultySevere permanent difficultySome permanent difficultySome permanent difficultyNo difficultyNo difficulty

Page 42: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

5. Do you have some of the following 5. Do you have some of the following impairments?impairments?

Permanent total paralysisPermanent total paralysis Permanent paralysis of legsPermanent paralysis of legs Permanent paralysis of one Permanent paralysis of one

side of the bodyside of the body Loss of a member: leg, arm, Loss of a member: leg, arm,

hand, foot or thumbhand, foot or thumb None of the preceding optionsNone of the preceding options

Page 43: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

WHY TO INCLUDE THIS TOPIC IN A POPULATION CENSUS?

WHY WE CONSIDERED NECESSARY TO HAVE MORE THAN ONE QUESTION IN THE CENSUS FORM?

MINIMUM NUMBER OF QUESTIONS IN THE CENSUSMERCOSUR EXPERIENCE: COGNITIVE TESTS AND

PILOT TESTFALSE NEGATIVES AND FALSE POSITIVESWHAT CAN BE ASKED AND WHAT CANNOT BE ASKEDSCREENING QUESTIONS: PROBLEMS WHEN USING

THEM FOR DISABILITY TOPICSREMARKS

Page 44: Disability in the Brazilian Census Alicia Bercovich Population Census Committee IBGE, Brazil 8 Meeting of the Washington Group 8 th Meeting of the Washington

People with disability in Brazil: a look at 2000 Census

results