Access to food and health care during the COVID-19 pandemic by disability status in the United States.
Access to food and health care during the COVID-19 pandemic by disability status in the United States.
复制标题
DOI：
10.1016/j.dhjo.2022.101271
复制
发表时间：
2022-07
影响因子：
4.5
通讯作者：
Swenor BK
中科院分区：
文献类型：
--
作者：
Assi L;Deal JA;Samuel L;Reed NS;Ehrlich JR;Swenor BK
COVID-19大流行影响了人们获得食物和医疗保健的机会。由于结构和社会障碍，残疾人可能会受到这些结果的不成比例的影响。通过视力、听力、认知和行动能力残疾来检查美国居民中食物不足和未满足的医疗保健需求的相对患病率。我们使用了2021年4月14日至4月26日进行的家庭脉搏调查波的数据，当时首次纳入了有关功能障碍的问题。参与者被问及视力、听力、记忆或集中力以及行走或爬楼梯的困难。关注的结果是食物不足，延迟所需的医疗护理和没有得到所需的医疗护理。Poisson回归模型（具有针对潜在混杂因素调整的稳健方差）用于检查每种残疾类型的残疾状态在单独模型中的每种结局的患病率。在2021年4月14日至26日期间，39.5%的美国成年人报告了认知残疾，30.8%的人报告了视力残疾，23.2%的人报告了行动残疾，14.9%的人报告了听力残疾。患有任何类型残疾的成年人比没有残疾的成年人更有可能经历食物不足（患病率比范围：1.67-1.96），延迟（PRR范围：1.48-1.87）或得不到（PRR范围：1.60-2.07）所需的医疗护理。这些差异表明，迫切需要解决COVID-19大流行对残疾人的负面影响。优先收集残疾数据是实现这一目标的关键。
The COVID-19 pandemic has impacted people's access to food and health care. People with disabilities may be disproportionately affected by these outcomes due to structural and social barriers. To examine the relative prevalence of food insufficiency and unmet health care needs among the U.S. residents by vision, hearing, cognition, and mobility disability. We used data from the Household Pulse Survey wave conducted from April 14 to April 26, 2021, when questions about functional disability were first included. Participants were asked about difficulty seeing, hearing, remembering or concentrating, and walking or climbing stairs. The outcomes of interest were food insufficiency, delaying needed medical care and not getting needed medical care. Poisson regression models with robust variance adjusted for potential confounders were used to examine the prevalence ratio of each of these outcomes by disability status in separate models for each type of disability. During April 14–26, 2021, 39.5% adults in the U.S. reported cognitive disability, 30.8% reported vision disability, 23.2% reported mobility disability, and 14.9% reported hearing disability. Adults with any type of disability were more likely than those without to experience food insufficiency (range of prevalence rate ratios [PRR]: 1.67–1.96), and delay (range of PRR: 1.48–1.87) or not get (range of PRR: 1.60–2.07) needed medical care. These disparities suggest there is an urgent need to address the negative impact of the COVID-19 pandemic on people with disabilities. The prioritization of disability data collection is key in achieving that goal.
登录
查看更多内容
影响因子：
6.3
作者：
Kotwal AA;Cenzer IS;Waite LJ;Covinsky KE;Perissinotto CM;Boscardin WJ;Hawkley LC;Dale W;Smith AK
通讯作者：
Smith AK
影响因子：
4.5
作者：
Heflin, Colleen M.;Altman, Claire E.;Rodriguez, Laura L.
通讯作者：
Rodriguez, Laura L.
影响因子：
33.9
作者：
Okoro, Catherine A.;Hollis, NaTasha D.;Griffin-Blake, Shannon
通讯作者：
Griffin-Blake, Shannon
影响因子：
13.8
作者：
Anderson KE;McGinty EE;Presskreischer R;Barry CL
通讯作者：
Barry CL
影响因子：
3.3
作者：
Reading Turchioe, Meghan;Grossman, Lisa V.;Creber, Ruth Masterson
通讯作者：
Creber, Ruth Masterson