Back to Search
Start Over
Lockdown-Related Disparities Experienced by People with Disabilities during the First Wave of the COVID-19 Pandemic: Scoping Review with Thematic Analysis
- Source :
- International Journal of Environmental Research and Public Health, International Journal of Environmental Research and Public Health, Vol 18, Iss 6178, p 6178 (2021)
- Publication Year :
- 2021
- Publisher :
- MDPI, 2021.
-
Abstract
- 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.\ud \ud 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.\ud \ud 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.\ud \ud 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.
- Subjects :
- Gerontology
medicine.medical_specialty
L400
Health, Toxicology and Mutagenesis
L500
Review
03 medical and health sciences
0302 clinical medicine
Health care
medicine
Humans
Disabled Persons
030212 general & internal medicine
Social determinants of health
Social isolation
Child
Pandemics
health equity
business.industry
SARS-CoV-2
Public health
public health
Public Health, Environmental and Occupational Health
COVID-19
Loneliness
Caregiver burden
people with disabilities
healthcare disparities
Health equity
stigma
social determinants of health
Communicable Disease Control
Medicine
medicine.symptom
Thematic analysis
social inclusion
business
Psychology
030217 neurology & neurosurgery
discrimination
Subjects
Details
- Language :
- English
- ISSN :
- 16604601 and 16617827
- Volume :
- 18
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....70bdf1d2621f0fae61c1793c547b639a