Community participation disparities among people with disabilities during the COVID-19 pandemic.
Purpose: To describe disparities in community participation during the COVID-19 pandemic among people with disabilities. Methods: Respondents to Phase 3.3 of the COVID Household Pulse Survey (US Census Bureau) were classified by disability status. Risk ratios and risk differences were computed to co...
| Publicado en: | Disability & Rehabilitation Vol. 47; no. 4; pp. 919 - 926 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Feb2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=182876852&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 182876852 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Feb2025 vid: 47 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 182876852 177644752 182876852 182876852 10.1080/09638288.2024.2360639 182876852 ppf: 919 ppct: 7 formats: tig: atl: Community participation disparities among people with disabilities during the COVID-19 pandemic. aug: au: Kersey, Jessica Lane, Rachel Kringle, Emily A. Hammel, Joy affil: Department of Occupational Therapy, College of Applied Health Sciences, University of Illinois Chicago, Chicago, IL, USA sug: subj: COVID-19 Pandemic Psychosocial Factors Persons with Disabilities Psychosocial Factors Social Participation Health Inequities Resource Allocation United States Human Male Female Adult Middle Age Surveys Descriptive Statistics Confidence Intervals Sampling Error Social Isolation Race Factors Ethnic Groups Healthcare Disparities Health Services Accessibility Access to Information Socioeconomic Factors Educational Status Funding Source Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Purpose: To describe disparities in community participation during the COVID-19 pandemic among people with disabilities. Methods: Respondents to Phase 3.3 of the COVID Household Pulse Survey (US Census Bureau) were classified by disability status. Risk ratios and risk differences were computed to compare the risk of poor outcomes on economic participation, community service use, and community activities by disability status - both overall (compared to the nondisabled reference) and by race/ethnicity (each subgroup compared to the White nondisabled reference). Results: At least one type of disability was reported by 59.6% of respondents. People with disabilities were more likely to report in-person medical appointments but were at greater risk of poor outcomes across all other outcomes [risk ratio range = 1.01(1.01–1.02) to 1.91(1.80–2.01), risk difference range = 1.0(0.5–1.5) to 13.4(12.6–14.2)]. The disabled Black and disabled Hispanic/Latino groups experienced disproportionately high risk of poor outcomes across all indicators [risk ratio range = 1.0 (1.0–1.1) to 6.1 (5.0–7.1), risk difference range = 3.2 (1.9–4.4) to 33.1 (30.1–35.4)]. Conclusions: The high number of people reporting disability, along with the notable disparities in community participation outcomes among those reporting disability, suggest the need for expanded rehabilitation services and community supports to enhance participation. IMPLICATIONS FOR REHABILITATION: People with disabilities experienced disparities in community participation outcomes during the pandemic, particularly in indicators of economic participation (paid employment, income, and education). Disabled people from racial and ethnic minority groups experienced the most severe disparities in outcomes. Stronger rehabilitation services are critical to address new disability or pandemic-related changes in the experience or severity of existing disability. Stronger community and social supports (employment supports, accessible assistive technology, and safe transportation options) may also reduce the disparities in community participation experienced by people with disabilities. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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