残疾和COVID-19:少数群体社区的挑战,测试,接种疫苗,推迟和避免医疗保健
Haley R Martin1, Nan Hu2, Qingyun Liu1
1Florida International University, Robert Stempel College of Public Health and Social Work, Department of Dietetics and Nutrition, 11200 SW 8th Street, AHC5, Miami, FL, 33199, United States.
Disability and health journal
|December 9, 2023
概括
残疾人经历了更多的COVID-19挑战,避免了医疗护理. 那些有就业残疾的人不太可能接受COVID-19的测试,这突出了公共卫生响应的差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 在COVID-19等大流行期间,残疾人面临更高的风险.
- 了解这些差异对于有效的公共卫生干预至关重要.
研究的目的:
- 检查残疾和COVID-19挑战,测试,疫苗接种和感染之间的联系.
- 在大流行期间确定预测医疗保健覆盖率损失和延迟/避免医疗保健的因素.
主要方法:
- 佛罗里达州迈阿密的一项横截面研究 (2021年3月至2022年2月).
- 使用标准的残疾测量来评估六个通用功能.
- 收集社会人口统计,COVID-19和医疗保健数据;通过医疗记录和PCR测试确认接种疫苗和感染.
- 在统计分析中使用多变量逻辑回归.
主要成果:
- 障碍与医疗保健,住房,食物,水,药物和交通挑战的可能性增加相关.
- 具有就业残疾的个人显示COVID-19测试率较低,感染史较低.
- 残疾是避免和推迟医疗护理的重要预测因素.
结论:
- 残疾与更大的COVID-19相关困难和减少医疗护理的机会有关.
- 就业残疾与COVID-19检测的减少有关.
- 公共卫生战略必须在卫生危机期间解决残疾人的独特需求.
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