Are we promoting the health of people with physical mobility impairments? A literature review

Purpose - This paper aims to examine whether the health education and health promotion literature is inclusive of people with physical mobility impairments. The English government Department of Health statistics indicate that the number of people living with physical mobility impairments is increasing and this is largely a result of chronic illness survival. The current UK Government has set targets to reduce inequalities that disproportionally affect those with disabilities. In light of the above points, it was expected that this interest would be reflected by a growing health promotion literature.Design methodology approach - In order to achieve an overview of health promotion offered for those with physical mobility impairments, a literature review was conducted. The literature was systematically reviewed using keywords and inclusion criteria. The range of published literature searched included research journals, health promotion texts, health and disability policy documents, as well as web sites offered on the internet.Findings - There is a dearth in the information and development of health promotion for those with physical mobility impairments. Health policy documents offer little that is specifically focused for this group of people in particular. The majority of the relevant literature comes from the USA. Two theoretical positions are offered in the literature: one argues that those with physical impairments require a medical model approach to support individual's adjustment to society; and the other argues that emphasis should be placed on social change to accommodate those with physical impairments. While there are a range of initiatives in legislation and policy that utilise the social model position, the lack of UK health promotion interventions and the small number of US studies for improving the health of those with physical mobility impairments tends to encourage the medical model approach.Research limitations implications - This review focuses particularly on health promotion for those with physical mobility impairments. Although not exhaustive, it highlights the need for further research into effective development of health promotion for those with physical mobility impairments in the UK.Practical implications - Far more needs to be done to promote the health of those with physical mobility impairments. Both the medical model and social change approaches are required to deliver health promotion for this segment of the population.Originalit