Health Risks and Consequences of a COVID-19 Infection for People with Disabilities: Scoping Review and Descriptive Thematic Analysis.
Health Risks and Consequences of a COVID-19 Infection for People with Disabilities: Scoping Review and Descriptive Thematic Analysis.
复制标题
DOI：
10.3390/ijerph18084348
复制
发表时间：
2021-04-20
影响因子：
--
通讯作者：
Refugee Empowerment Task Force International Networking Group Of The American Congress Of Rehabilitation Medicine
中科院分区：
文献类型：
--
作者：
Kamalakannan S;Bhattacharjya S;Bogdanova Y;Papadimitriou C;Arango-Lasprilla JC;Bentley J;Jesus TS;Refugee Empowerment Task Force International Networking Group Of The American Congress Of Rehabilitation Medicine
本研究旨在综合有关COVID-19感染对残疾人的任何不成比例的健康风险或后果的文献。进行了范围界定审查和描述性专题分析。截至2020年9月中旬，我们检索了7个科学数据库和3个预印本服务器，以识别经验或观点论文。还进行了滚雪球式搜索和专家咨询。筛选和数据提取使用了两名独立审查员。在1027篇参考文献中，纳入58篇，其中15篇为经验性文章。专题分析显示：（1）住在住宿或长期护理设施的残疾人更有可能有更高的感染率;（2）感染风险更大的交叉媒介是多种多样的（例如，（3）残疾人在受到感染时往往面临更大的健康问题;（4）在配给救生和重症护理方面，残疾人可能处于不道德的不利地位。结论：除了任何与健康有关的脆弱性（例如，尽管这些因素可能会影响残疾人的健康，但多种可改变的环境因素可能会为残疾人带来不成比例的健康风险和COVID-19感染的后果。公共卫生和政策措施必须预防或减少可改变的环境风险。
This study aims to synthesize the literature on any disproportionate health risks or consequences of a COVID-19 infection for people with disabilities. Scoping review with a descriptive thematic analysis was carried out. Up to mid-September 2020, seven scientific databases and three preprint servers were searched to identify empirical or perspective papers. Snowballing searches and expert’ consultations also took place. Two independent reviewers were used for the screenings and data extractions. Of 1027 references, 58 were included, 15 of which were empirical articles. The thematic analysis showed that: (1) People with disabilities living in residential or long-term care facilities were more likely to have greater infection rates; (2) Intersecting mediators of greater infection risks were multiple (e.g., lack of accessible information); (3) People with disabilities often face greater health problems when infected; and (4) Unethical disadvantages in the rationing of lifesaving and critical care can be experienced by people with disabilities. Conclusions: Beyond any health-related vulnerabilities (e.g., comorbidity rates), multiple yet modifiable environmental factors can provide disproportionate health risks and consequences of a COVID-19 infection for people with disabilities. Public health and policy measures must prevent or reduce modifiable environmental risks.
登录
查看更多内容
影响因子：
6.3
作者：
Chase, Jocelyn
通讯作者：
Chase, Jocelyn
影响因子：
16.4
作者：
Andrews, Erin E.;Ayers, Kara B.;Pilarski, Carrie R.
通讯作者：
Pilarski, Carrie R.
影响因子：
6.9
作者：
Banks, Lena Morgon;Davey, Calum;Kuper, Hannah
通讯作者：
Kuper, Hannah
影响因子：
2.7
作者：
De Cauwer, Harald;Spaepen, Ann
通讯作者：
Spaepen, Ann
影响因子：
1
作者：
Eskyte, Ieva;Lawson, Anna;Andrews, Elizabeth
通讯作者：
Andrews, Elizabeth