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本文引用的文献

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Demographic Characteristics, Experiences, and Beliefs Associated with Hand Hygiene Among Adults During the COVID-19 Pandemic - United States, June 24-30, 2020.在 COVID-19 大流行期间成年人手卫生的人口统计学特征、经验和信念-美国,2020 年 6 月 24 日至 30 日。
MMWR Morb Mortal Wkly Rep. 2020 Oct 16;69(41):1485-1491. doi: 10.15585/mmwr.mm6941a3.
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Characteristics Associated with Adults Remembering to Wash Hands in Multiple Situations Before and During the COVID-19 Pandemic - United States, October 2019 and June 2020.与成年人在 COVID-19 大流行前后多个场景下记得洗手相关的特征 - 美国,2019 年 10 月和 2020 年 6 月。
MMWR Morb Mortal Wkly Rep. 2020 Oct 9;69(40):1443-1449. doi: 10.15585/mmwr.mm6940a2.
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Case-Control Study of Use of Personal Protective Measures and Risk for SARS-CoV 2 Infection, Thailand.个人防护措施使用与 SARS-CoV-2 感染风险的病例对照研究,泰国。
Emerg Infect Dis. 2020 Nov;26(11):2607-2616. doi: 10.3201/eid2611.203003. Epub 2020 Sep 15.
4
Unraveling the Invisible but Harmful Impact of COVID-19 on Deaf Older Adults and Older Adults with Hearing Loss.揭示新冠病毒对老年聋人和听力损失老年人无形却有害的影响。
J Gerontol Soc Work. 2020 Aug-Oct;63(6-7):598-601. doi: 10.1080/01634372.2020.1799282. Epub 2020 Aug 3.
5
Assessing the impact of COVID-19 on persons with disabilities: development of a novel survey.评估2019冠状病毒病对残疾人的影响:一项新型调查的开展
Int J Public Health. 2020 Jul;65(6):755-757. doi: 10.1007/s00038-020-01433-z. Epub 2020 Jul 23.
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Impact of COVID-19 pandemic on people living with visual disability.COVID-19 大流行对视力障碍者的影响。
Indian J Ophthalmol. 2020 Jul;68(7):1367-1370. doi: 10.4103/ijo.IJO_1513_20.
7
Disparities in Coronavirus 2019 Reported Incidence, Knowledge, and Behavior Among US Adults.美国成年人中 2019 年冠状病毒报告发病率、知识和行为的差异。
JAMA Netw Open. 2020 Jun 1;3(6):e2012403. doi: 10.1001/jamanetworkopen.2020.12403.
8
The public health response to the COVID-19 pandemic for people with disabilities.应对新冠肺炎大流行中的残疾人士的公共卫生对策。
Disabil Health J. 2020 Jul;13(3):100943. doi: 10.1016/j.dhjo.2020.100943. Epub 2020 May 24.
9
Intellectual and developmental disability and COVID-19 case-fatality trends: TriNetX analysis.智力和发育障碍与 COVID-19 病死率趋势:TriNetX 分析。
Disabil Health J. 2020 Jul;13(3):100942. doi: 10.1016/j.dhjo.2020.100942. Epub 2020 May 24.
10
Using a motion-controlled game to teach four elementary school children with intellectual disabilities to improve hand hygiene.使用运动控制游戏来教导四名智障的小学生改善手部卫生。
J Appl Res Intellect Disabil. 2019 Jul;32(4):942-951. doi: 10.1111/jar.12587. Epub 2019 Apr 2.

美国残疾成年人在 2020 年春季为预防 COVID-19 而进行的自我报告的洗手和表面消毒行为。

Self-reported handwashing and surface disinfection behaviors by U.S. adults with disabilities to prevent COVID-19, Spring 2020.

机构信息

COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA, USA; Commissioned Corps, U.S. Public Health Service, Atlanta, GA, USA.

COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA, USA.

出版信息

Disabil Health J. 2021 Jul;14(3):101096. doi: 10.1016/j.dhjo.2021.101096. Epub 2021 Apr 4.

DOI:10.1016/j.dhjo.2021.101096
PMID:33896737
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8019492/
Abstract

BACKGROUND

Handwashing and surface cleaning and disinfection are two hygiene behaviors promoted to prevent the spread of COVID-19. Persons with disabilities may be at increased risk for severe COVID-19 illness due to underlying medical conditions that have been associated with COVID-19.

OBJECTIVE

This study aims to describe self-reported hygiene behaviors among U.S. adults with disabilities to prevent transmission of COVID-19.

METHODS

Data were obtained from the March 2020 Porter Novelli ConsumerStyles survey. This study includes 6463 U.S. adults (≥18 years) who participated in the survey (58.2% response rate). Participants were asked about frequent handwashing and surface disinfection. Participants were also asked six questions to assess disability status and disability type. Prevalence estimates with 95% confidence intervals were calculated; chi-square tests were conducted.

RESULTS

A total of 1295 (20.3%) of survey participants reported at least one disability and their hygiene-related behavior. Overall, 91.3% of respondents with disabilities reported frequent handwashing; only 72% reported frequent surface disinfection. Those with hearing, vision, cognition, mobility, self-care, and independent living disabilities (range: 77.9%-90.6%) were significantly less likely than those without any disability (94.0%) to report frequent handwashing. People with vision (62.2%) and independent living (66.8%) disabilities were less likely to report frequent surface disinfection than those without any disability (74.6%).

CONCLUSIONS

Practices such as handwashing and disinfecting surfaces are effective for reducing and preventing the spread of COVID-19. Promotion of hygiene-related practices among people with disabilities is essential. Tailored communications and implementation of evidence-based strategies are needed to address hygiene-related behaviors among the subgroups of people with disabilities most affected.

摘要

背景

洗手和表面清洁与消毒是预防 COVID-19 传播的两种卫生行为。由于某些基础疾病与 COVID-19 相关,残疾人患 COVID-19 重症的风险可能增加。

目的

本研究旨在描述美国残疾成年人为预防 COVID-19 传播而报告的卫生行为。

方法

数据来自 2020 年 3 月的波特诺埃利消费者风尚调查。本研究包括 6463 名美国成年人(≥18 岁),他们参与了这项调查(回应率为 58.2%)。参与者被问及频繁洗手和表面消毒情况。参与者还被问到六个问题,以评估残疾状况和残疾类型。计算了患病率估计值和 95%置信区间;进行了卡方检验。

结果

共有 1295 名(20.3%)调查参与者报告了至少一种残疾及其与卫生相关的行为。总体而言,91.3%的残疾受访者报告频繁洗手;只有 72%的人报告频繁表面消毒。有听力、视力、认知、行动能力、自我护理和独立生活障碍(范围:77.9%-90.6%)的受访者报告频繁洗手的可能性明显低于无任何残疾(94.0%)的受访者。有视力(62.2%)和独立生活(66.8%)障碍的人报告频繁表面消毒的可能性低于无任何残疾的人(74.6%)。

结论

洗手和消毒表面等做法可有效减少和预防 COVID-19 的传播。促进残疾人的卫生相关行为至关重要。需要制定有针对性的宣传和实施循证策略,以解决受影响最大的残疾人群体的卫生相关行为问题。