Lockdown-Related Disparities Experienced by People with Disabilities during the First Wave of the COVID-19 Pandemic: Scoping Review with Thematic Analysis.
Lockdown-Related Disparities Experienced by People with Disabilities during the First Wave of the COVID-19 Pandemic: Scoping Review with Thematic Analysis.
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DOI：
10.3390/ijerph18126178
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发表时间：
2021-06-08
影响因子：
--
通讯作者：
The Refugee Empowerment Task Force International Networking Group Of The American Congress Of Rehabilitation Medicine
中科院分区：
文献类型：
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作者：
Jesus TS;Bhattacharjya S;Papadimitriou C;Bogdanova Y;Bentley J;Arango-Lasprilla JC;Kamalakannan S;The Refugee Empowerment Task Force International Networking Group Of The American Congress Of Rehabilitation Medicine
2019冠状病毒病大流行可能对残疾人造成不成比例的影响。我们综合了有关封锁相关措施对残疾人产生的更广泛的健康和社会影响的文献。方法：采用专题分析方法进行范围综述。截至2020年9月中旬，对七个科学数据库和三个预印本服务器进行了搜索，以确定针对残疾人遭遇的封锁相关差异的实证或观点论文。滚雪球式的搜索和专家咨询也出现了。两名独立审稿人做出合格决定并执行数据提取。结果：在1026篇独特的参考文献中，有85篇涉及残疾人经历的与封锁相关的差异。确定了10个主要主题和2个中心主题：(1)获得医疗保健的渠道中断（COVID-19除外）；(2)体力活动减少，导致健康和功能下降；(3)从身体距离和不活动到社会孤立和孤独；个人援助和社区支助网络中断；(5)受学校关闭影响最大的残疾儿童；(6)日常生活、活动和支持中断的心理后果；(7)家庭和非正式照顾者的负担和压力；(8)遭受虐待、暴力和自残的风险；(9)就业减少和（或）收入差距扩大；（10）获得保健、教育和支助服务方面的数字鸿沟。缺乏包容残疾的反应和应急准备以及大流行病前的结构性差异是中心主题。结论：为遏制COVID-19大流行而采取的封锁相关措施可能对残疾人产生不成比例的影响，对他们的健康和社会基础产生更广泛的影响。缺乏包容残疾的应对和应急准备以及大流行病前的差距造成了结构性劣势，在大流行病期间加剧了这种劣势。结构性差异及其大流行的后果都要求制定和实施包容残疾人的公共卫生和政策措施。
People with disabilities may be disproportionally affected by the COVID-19 pandemic. We synthesize the literature on broader health and social impacts on people with disabilities arising from lockdown-related measures. Methods: Scoping review with thematic analysis. Up to mid-September 2020, seven scientific databases and three pre-print servers were searched to identify empirical or perspective papers addressing lockdown-related disparities experienced by people with disabilities. Snowballing searches and experts’ consultation also occurred. Two independent reviewers took eligibility decisions and performed data extractions. Results: Out of 1026 unique references, 85 addressed lockdown-related disparities experienced by people with disabilities. Ten primary and two central themes were identified: (1) Disrupted access to healthcare (other than for COVID-19); (2) Reduced physical activity leading to health and functional decline; (3) From physical distance and inactivity to social isolation and loneliness; (4) Disruption of personal assistance and community support networks; (5) Children with disabilities disproportionally affected by school closures; (6) Psychological consequences of disrupted routines, activities, and support; (7) Family and informal caregiver burden and stress; (8) Risks of maltreatment, violence, and self-harm; (9) Reduced employment and/or income exacerbating disparities; and (10) Digital divide in access to health, education, and support services. Lack of disability-inclusive response and emergency preparedness and structural, pre-pandemic disparities were the central themes. Conclusions: Lockdown-related measures to contain the COVID-19 pandemic can disproportionally affect people with disabilities with broader impact on their health and social grounds. Lack of disability-inclusive response and emergency preparedness and pre-pandemic disparities created structural disadvantages, exacerbated during the pandemic. Both structural disparities and their pandemic ramifications require the development and implementation of disability-inclusive public health and policy measures.
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DOI：
10.1177/0008417419898930
发表时间：
2020-01-22
影响因子：
1.8
作者：
Bailliard, Antoine L.;Dallman, Aaron R.;Szendrey, Susan
通讯作者：
Szendrey, Susan
影响因子：
2.2
作者：
Bickenbach, Jerome
通讯作者：
Bickenbach, Jerome
影响因子：
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作者：
Andrews, Erin E.;Ayers, Kara B.;Pilarski, Carrie R.
通讯作者：
Pilarski, Carrie R.
影响因子：
3.9
作者：
Asbury, Kathryn;Fox, Laura;Toseeb, Umar
通讯作者：
Toseeb, Umar
影响因子：
6.9
作者：
Banks, Lena Morgon;Davey, Calum;Kuper, Hannah
通讯作者：
Kuper, Hannah