The Impact of COVID-19 and Pandemic Mitigation Measures on Persons With Sensory Impairment.

The Impact of COVID-19 and Pandemic Mitigation Measures on Persons With Sensory Impairment.
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DOI:
10.1016/j.ajo.2021.06.019
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发表时间:
2022-03
影响因子:
4.2
通讯作者:
Ehrlich JR
Ehrlich JR
中科院分区:
医学1区
文献类型:
--
作者:
Bernard A;Weiss S;Rahman M;Ulin SS;D'Souza C;Salgat A;Panzer K;Stein JD;Meade MA;McKee MM;Ehrlich JR

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评估 COVID-19 大流行及相关缓解措施对感官障碍 (SI) 人士的影响,包括视觉障碍 (VI) 和听力障碍 (HI)。横断面调查。从密歇根大学招募了患有 VI(视力较好的眼睛的最佳矫正视力 <20/60)、HI(国际疾病分类,第十版修订版,代码)的成年人以及年龄和性别匹配的对照者 (n = 375)。进行了 34 项冠状病毒残疾调查。 χ2 检验和逻辑回归均用于比较组间的调查反应。所有群体都报告日常生活受到严重干扰,其中 80% 的人报告“相当多”或“很多”受到干扰(VI:76%,HI:83%,CT:82%,P = .33)。患有 VI 的参与者在日常活动中遇到更大困难,更有可能引用以下原因:看护者担心 COVID-19(比值比 [OR]VI = 7.2,95% CI = 3.5-14.4,P < .001)以及公共交通可用性下降(ORVI = 5.0,95% CI = 1.5-15.6, P=.006)。患有 VI(而非 HI)的参与者表现出获得医疗护理难度增加的趋势(ORVI = 2.0,95% CI = 0.99-4.0,P = .052),并开始更多地依赖他人进行日常援助(ORVI = 3.1,95% CI = 1.6-5.7,P < .001)。总体而言,30% 的人表示很难获得有关这一流行病的可信信息。患有 VI 的人报告说更难以看到或听到可信信息(ORVI = 6.1,95% CI = 1.6-22.1,P = .006)。患有 HI 的就业参与者更有可能报告工资减少(ORHI = 2.5,95% CI = 1.2-5.3,P = .02)。 VI 患者在与大流行相关的日常活动中经历了更多的干扰和挑战。 SI 患者可能会受益于针对当前流行病和未来压力源的有针对性的政策方法。一些调查措施的微小差异可能是由于大流行对整个人口的巨大影响。 SARS-CoV-2 (COVID-19) 大流行和公共卫生缓解措施在全球范围内产生了巨大影响。截至撰写本文时,全球已诊断出超过 1.14 亿例病例(美国为 2800 万例),因 COVID-19 死亡的人数超过 250 万人(美国为 51.7 万人)。
To assess the impact of the COVID-19 pandemic and associated mitigation measures on persons with sensory impairments (SI), including visual impairments (VI) and hearing impairments (HI). Cross-sectional survey. Adults with VI (best-corrected visual acuity <20/60 in the better-seeing eye), HI (International Classification of Diseases, Tenth Revision, codes), and age- and sex-matched controls (n = 375) were recruited from the University of Michigan. The 34-item Coronavirus Disability Survey was administered. Both χ2 tests and logistic regression were used to compare survey responses between groups. All groups reported high levels of disruption of daily life, with 80% reporting “a fair amount” or “a lot” of disruption (VI: 76%, HI: 83%, CT: 82%, P = .33). Participants with VI had greater difficulty with day-to-day activities and were more likely to cite the following reasons: caregiver was worried about COVID-19 (odds ratio [OR]VI = 7.2, 95% CI = 3.5-14.4, P < .001) and decreased availability of public transportation (ORVI = 5.0, 95% CI = 1.5-15.6, P = .006). Participants with VI, but not HI, showed a trend toward increased difficulty accessing medical care (ORVI = 2.0, 95% CI = 0.99-4.0, P = .052) and began relying more on others for day-to-day assistance (ORVI = 3.1, 95% CI = 1.6-5.7, P < .001). Overall, 30% reported difficulty obtaining trusted information about the pandemic. Those with VI reported more difficulty seeing or hearing trusted information (ORVI = 6.1, 95% CI = 1.6-22.1, P = .006). Employed participants with HI were more likely to report a reduction in wages (ORHI = 2.5, 95% CI = 1.2-5.3, P = .02). Individuals with VI have experienced increased disruption and challenges in daily activities related to the pandemic. People with SI may benefit from targeted policy approaches to the current pandemic and future stressors. Minimal differences in some survey measures may be due to the large impact of the pandemic on the population as a whole. The SARS-CoV-2 (COVID-19) pandemic and public health mitigation measures have had an exceedingly large impact around the globe. As of the time of writing, more than 114 million global cases (28 million US) had been diagnosed, and there had been more than 2.5 million fatalities attributed to COVID-19 (517,000 US).
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