Literal question
<span class="h2">Population Census Questions</span></p>
<p><span class="em"> For all 5 years old and over.</span>
<br />[Questions P13 to P16 were asked of persons 5 years or over.]</p>
<p>P13. Functional difficulty
<br />Does [the respondent] have any difficulty/problem in ...?</p>
<div class="i1">Write X in the box corresponding to the answer for each difficulty/problem.</div><div class="i1">c. Walking or climbing stairs</div><div class="i2">[] Yes<br />[] No</div>
Interviewer instructions
<span class="em">Columns P13, P14 and P16 for All 5 Years Old and Over</span>
<br />Columns P13, P14 and P16 are to be accomplished only for household members five years old and over. Thus, if a household member is less than five years old leave columns P13, P14 and P16 blank.</p>
<p><span class="em">P13-Functional Difficulty</span>
<br />As defined by the International Classification of Functioning, Disability, and Health (ICF) of the World Health Organization, functioning is an umbrella term for body functions, body structures, activities, and participation. It denotes the positive aspects of the interaction between an individual (with a health condition) and that individual's contextual factors (environmental and personal factors). Environmental factors include the physical world and its features, the human-made physical world, other people in different relationships and roles, attitudes and values, social systems and services, and policies, rules and laws. Personal factors are factors that relate to individual such as age, gender, social status, life experiences, and so on.
<br />A person with difficulty in functioning may have activity limitations, which means difficulties an individual may have in executing activities. An activity limitation may range from a slight to a severe deviation in terms of quality or quantity in executing the activity in a manner or to the extent that is expected of people without the health condition. In general, functional difficulties experienced by people may have been due to their health conditions. Health conditions refer to diseases or illnesses, other health problems that may be short
<br />or long lasting injuries, mental or emotional problems, and problems with alcohol or drugs. A health condition may also include other circumstances such as pregnancy, ageing, stress, congenital anomaly, or genetic predisposition. Difficulty is usually manifested when a person is doing an activity with increased effort, discomfort or pain, slowness, or changes in the way he/she does the activity.
<br /><span class="pg">[pg. 119]</span>
<br />For the purpose of this census, functional difficulty is classified into six core categories. The concepts and definitions are based on ICF. These difficulties are the following:</p>
<p>Difficulty in walking or climbing steps</p>
<div class="i1">Walking refers to an individual using his/her legs in such a way as to propel himself/herself over the ground to get from one point or place to another. The capacity to walk should be without assistance of any device or human. If such assistance is needed, the person has difficulty in walking.<br />The purpose of this question is to identify persons who have some serious limitation or problems of any kind getting around on foot. It may or may not contribute to difficulty in doing their daily activities. They can have a problem walking more than a block or some short distance, or the problem can be that they cannot walk up or down the steps without difficulty. They may not be able to walk any distance without stopping to rest or they may not be able to walk without using some types of device such as cane, a walker, or crutches. In some instances, they may be totally unable to stand for more than a minute or two and need a wheelchair to get from one place to another. Any difficulty with walking (whether it is on flat land or up or down steps) that they consider a problem should be reported.</div>
