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2019冠状病毒病疫情对智力和发育障碍者的健康、福祉及服务可及性的影响。

The impact of the COVID-19 pandemic on the health, wellbeing, and access to services of people with intellectual and developmental disabilities.

作者信息

Rosencrans Margaret, Arango Paulina, Sabat Camila, Buck Andrew, Brown Christine, Tenorio Marcela, Witwer Andrea

机构信息

Ohio State University, 1581 Dodd Drive, #357, Nisonger Center, Ohio State University, Columbus, OH 43210, United States.

Universidad de los Andes, Monseñor Álvaro del Portillo 12.455, Las Condes, Santiago, Chile; Millenium Institute for Caregiving Research (MICARE), Chile.

出版信息

Res Dev Disabil. 2021 Jul;114:103985. doi: 10.1016/j.ridd.2021.103985. Epub 2021 May 3.

Abstract

BACKGROUND

Individuals with intellectual and developmental disabilities (IDD) may be especially vulnerable to changes associated with the COVID-19 pandemic given an increased likelihood of health concerns, low socioeconomic status, and difficulty accessing services.

AIMS

The purpose of this study was to explore mental health problems and services in individuals with IDD during the pandemic. We explored whether number of mental health problems differed by disability, age, gender, living situation, physical health, and access to services.

METHODS AND PROCEDURES

An online survey about experiences during the pandemic was administered to adults with IDD and their caregivers in the United States and in Chile.

OUTCOMES AND RESULTS

In both Chile and the United States, few people endorsed increased health problems. Half of the sample in Chile and 41 % of the sample in the United States endorsed increased mental health problems. Approximately 15 % of the sample in the US reported no longer receiving state developmental disability services.

CONCLUSIONS AND IMPLICATIONS

Healthcare and disability-specific agencies should consider strategies to tailor supports to improve mental health functioning and access to community.

摘要

背景

鉴于智力和发育障碍(IDD)患者存在更多健康问题、社会经济地位较低且难以获得服务,他们可能特别容易受到与2019冠状病毒病大流行相关的变化的影响。

目的

本研究旨在探讨大流行期间IDD患者的心理健康问题及服务情况。我们探究了心理健康问题的数量是否因残疾类型、年龄、性别、生活状况、身体健康状况以及获得服务的情况而有所不同。

方法与程序

对美国和智利的成年IDD患者及其照料者进行了一项关于大流行期间经历的在线调查。

结果

在智利和美国,很少有人认可健康问题增多。智利样本中有一半、美国样本中有41%认可心理健康问题增多。美国约15%的样本报告不再接受州发育障碍服务。

结论与启示

医疗保健和特定残疾机构应考虑制定策略,以调整支持措施,改善心理健康状况并增加社区服务的可及性。

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