Prevalence of Wheelchair and Scooter Use Among Community-Dwelling Canadians

Abstract

Background: Mobility impairments are the third leading cause of disability for community-dwelling Canadians. Wheelchairs and scooters help compensate for these challenges. There are limited data within the last decade estimating the prevalence of wheelchair and scooter use in Canada.

Objective: The aims of this study were: (1) to estimate the prevalence of wheelchair and scooter use in Canada and (2) to explore relevant demographic characteristics of wheelchair and scooter users.

Design: This study was a secondary analysis of a cross-sectional national survey.

Methods: The Canadian Survey on Disability (2012) collected data on wheelchair and scooter use from community-dwelling individuals aged 15 years and over with a self-identified activity limitation on the National Household Survey. Prevalence estimates were calculated as weighted frequencies, with cross-tabulations to determine the number of wheelchair and scooter users in Canada, by province, and demographic characteristics (ie, age, sex) and bootstrapping to estimate the variance of all point estimates.

Results: There were approximately 288,800 community-dwelling wheelchair and scooter users aged 15 years and over, representing 1.0% of the Canadian population. The sample included 197,560 manual wheelchair users, 42,360 powered wheelchair users, and 108,550 scooter users. Wheelchair and scooter users were predominantly women, with a mean age of 65 years. Approximately 50,620 individuals used a combination of 2 different types of devices.

Limitations: The results are representative of individuals living in the community in Canada and exclude individuals in residential or group-based settings; estimates do not represent the true population prevalence.

Conclusion: This analysis is the first in more than 10 years to provide a prevalence estimate and description of wheelchair and scooter users in Canada. Since 2004, there has been an increase in the proportion of the population who use wheelchairs and scooters, likely related to an aging Canadian population. These new prevalence data have potential to inform policy, research, and clinical practice.

© 2016 American Physical Therapy Association.

Figures

Figure 1.

Cause of activity limitation for WCS users by device type and sex. WCS=wheelchair and scooter, MWC=manual wheelchair, PWC=powered wheelchair.

Figure 2

Wheelchair and scooter prevalence and proportion of use by single and multiple device types. MWC=manual wheelchair, PWC=powered wheelchair. Area of circles is proportional to prevalence estimates for each category. a Marginal results; should be interpreted with caution due to high level of error associated with the results. b These estimates do not meet Statistics Canada's quality standards. Conclusions based on these data will be unreliable and, most likely, invalid.

Figure 3.

Proportion of wheelchair and scooter users who have difficulty walking 15 m.