关键词: COVID-19 disability pandemic policy public health adherence qualitative

Mesh : Humans COVID-19 / epidemiology Disabled Persons Female Male Qualitative Research United States Middle Aged Adult Health Services Accessibility Community Participation Aged SARS-CoV-2 Mobility Limitation Interviews as Topic Health Policy Social Determinants of Health

来  源:   DOI:10.3389/fpubh.2024.1401777   PDF(Pubmed)

Abstract:
UNASSIGNED: This study explores the influence of COVID-19 public health mandates on people with mobility disabilities in the United States in their everyday lives. It highlights the intersection of disability with social determinants of health, emphasizing the need for a comprehensive policy response.
UNASSIGNED: Qualitative data were collected through 76 semi-structured interviews with people with mobility disabilities. Interviews focused on experiences with COVID-19 mandates and community access, analyzed using thematic analysis and coded for emergent subthemes.
UNASSIGNED: The relationship between community participation and COVID-19 compliance was complex for people with disabilities. Inaccessible environments and inflexible policies made it difficult for people with disabilities to practice good safety measures, while widespread noncompliance by community members limited their community participation. The findings revealed additional mixed lived experiences of COVID-19 policies on community participation, accessibility, and access to resources and support. While technology facilitated some aspects of community participation, issues with accessibility, public transportation, and personal assistance services were exacerbated.
UNASSIGNED: COVID-19 policies have complex implications for people with mobility disabilities. Findings suggest a need for inclusive policymaking, improved disability awareness, and continued support for accessible technology and services. Future research should further explore these dynamics to inform policy and practice.
摘要:
本研究探讨了COVID-19公共卫生任务对美国行动不便者日常生活的影响。它强调了残疾与健康的社会决定因素的交叉,强调需要采取全面的政策应对措施。
定性数据是通过对行动不便者进行的76次半结构化访谈收集的。访谈侧重于COVID-19任务授权和社区访问的经验,使用主题分析进行分析,并对紧急次主题进行编码。
社区参与与COVID-19依从性之间的关系对于残疾人来说很复杂。难以接近的环境和不灵活的政策使残疾人难以实施良好的安全措施,虽然社区成员普遍不遵守限制了他们的社区参与。调查结果显示,COVID-19社区参与政策的其他混合生活经验,可访问性,获得资源和支持。虽然技术促进了社区参与的某些方面,可访问性问题,公共交通,个人援助服务加剧。
COVID-19政策对行动不便的人有复杂的影响。调查结果表明,有必要制定包容性的政策,提高残疾意识,并继续支持可获得的技术和服务。未来的研究应该进一步探索这些动态,为政策和实践提供信息。
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