People With Functional Disability and Access to Health Care During the Covid-19 Pandemic
A US Population-based Study
Bibliographic Data
| ID | 9098381 |
|---|---|
| Authors | Zhigang Xie (0000-0003-2007-1706, University of North Florida, corresponding author), Young-Rock Hong (0000-0002-0366-5687, University of Florida), Rebecca Tanner (University of Florida), Nicole M Marlow (0000-0001-8593-2090, University of Florida) |
| Year | 2023 |
| Volume | 61 |
| Issue | 2 |
| Pages | 58-66 |
| Publication date | 2023-02-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000001765 |
| PMID | 36040096 |
| OpenAlex | W4293569064 |
| Language | EN |
| Citations received | 4 |
| References cited | 30 |
INTRODUCTION: The COVID-19 pandemic and nationwide restriction measures have disrupted health care delivery and access for the general population. There is limited evidence about access to care issues (delayed and forgone care) due to the pandemic among people with disability (PWD). METHODS: This study used the 2020 National Health Interview Survey data. Disability status was defined by disability severity (moderate and severe disability), type, and the number of disabling limitations. Descriptive analysis and multivariate logistic regression (adjusted for sociodemographic and health-related characteristics) were conducted to estimate delayed/forgone care (yes/no) between PWD and people without disability (PWoD). RESULTS: Among 17,528 US adults, 40.7% reported living with disability. A higher proportion of respondents with severe and moderate disability reported delaying care than PWoD (severe=33.2%; moderate=27.5%; PWoD=20.0%, P <0.001). The same was true for forgone medical care (severe=26.6%; moderate=19.0%; PWoD=12.2%, P <0.001). Respondents with a moderate disability {delayed [odds ratio (OR)=1.33, 95% confidence interval (CI)=1.19, 1.49]; forgone [OR=1.46, 95% CI=1.28, 1.67]} and a severe disability [delayed (OR=1.52, 95% CI=1.27, 1.83); forgone (OR=1.84, 95% CI=1.49, 2.27)] were more likely to report delayed medical care and forgone medical care compared with PWoD. These findings were consistent across the models using disability type and the number of limitations. CONCLUSIONS: PWD were more likely to experience COVID-19-related delays in or forgone medical care compared with PWoD. The more severe and higher frequency of disabling limitations were associated with higher degrees of delayed and forgone medical care. Policymakers need to develop disability-inclusive responses to public health emergencies and postpandemic care provision among PWD
Confidence interval · Coronavirus disease 2019 (COVID-19) · Disease · Environmental health · Health care · Logistic regression · National Health Interview Survey · Odds · Odds ratio · Pandemic · Population · COVID-19 and healthcare impacts · Disability Rights and Representation · Down syndrome and intellectual disability research · Internal Medicine · Medicine
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| Unique citing works | 4 |
|---|---|
| Citations per year | 1,33 |
| Citation span | 2023 - 2025 (3) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 4 |