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Lockdown-related disparities experienced by people with disabilities during the first wave of the COVID-19 pandemic
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Orientador(es)
Resumo(s)
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 net-works; (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.
Descrição
Funding Information: Funding: This work was supported by the DBT/Wellcome Trust India Alliance Fellowship [grant IA/CPHE/16/1/502650], awarded to Dr. Sureshkumar Kamalakannan. Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Palavras-chave
COVID-19 Discrimination Health equity Healthcare disparities People with disabilities Public health SARS-CoV-2 Social determinants of health Social inclusion Stigma Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being SDG 5 - Gender Equality SDG 9 - Industry, Innovation, and Infrastructure SDG 10 - Reduced Inequalities SDG 11 - Sustainable Cities and Communities SDG 16 - Peace, Justice and Strong Institutions SDG 17 - Partnerships for the Goals