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新冠疫情对残疾人士的心理社会福祉的影响。

The effects of the COVID-19 pandemic on the psychosocial well-being of people with disabilities.

机构信息

Department of Public Health and Welfare, Finnish Institute for Health and Welfare, P.O. Box 30, FI-00271 Helsinki, Finland.

出版信息

Disabil Health J. 2022 Apr;15(2):101224. doi: 10.1016/j.dhjo.2021.101224. Epub 2021 Oct 19.

Abstract

BACKGROUND

Before the COVID-19 pandemic, people with mobility, vision, hearing, and cognitive disabilities were at a higher risk of lower psychosocial well-being than people without disabilities. It is, therefore, of great importance to investigate whether the pandemic has exacerbated this difference.

OBJECTIVE

This study examines whether people with disabilities (categorized as mobility, vision, hearing, cognitive, and any disabilities) report more COVID-19-related negative effects on psychosocial well-being (loneliness, decreased social contact, decreased hope for the future, concerns about being infected) than people without disabilities.

METHODS

We analyzed population-based data from the Finnish Health, Welfare, and Services (FinSote) survey carried out in 2020-2021 (N = 22 165, age 20+). Logistic regression models were applied, controlling for the effects of age, sex, partnership, living alone, and education.

RESULTS

All disability groups, except those with vision disabilities, reported significantly more often that the pandemic increased loneliness than people without disabilities. There were no significant differences between the disability groups and people without disabilities in decreased social contacts. People with only mobility and cognitive disabilities reported significantly more often that the pandemic decreased their hope for the future than those without disabilities. All disability groups were more often concerned about being infected than people without disabilities, but this effect was not significant among people 75 or older.

CONCLUSION

The psychosocial well-being of people with specific types of disabilities should receive special attention during crises like the COVID-19 pandemic.

摘要

背景

在 COVID-19 大流行之前,与没有残疾的人相比,行动不便、视力、听力和认知障碍的人心理健康状况较差的风险更高。因此,研究大流行是否加剧了这种差异具有重要意义。

目的

本研究调查了是否残疾者(分为行动不便、视力、听力、认知和任何残疾)比非残疾者报告更多与 COVID-19 相关的心理健康问题(孤独感、社交接触减少、对未来的希望减少、对感染的担忧)。

方法

我们分析了 2020-2021 年在芬兰健康、福利和服务(FinSote)调查中进行的基于人群的数据(N=22165,年龄 20 岁及以上)。应用逻辑回归模型,控制年龄、性别、伴侣关系、独居和教育的影响。

结果

除视力障碍者外,所有残疾组报告称,大流行导致孤独感增加的比例明显高于非残疾者。在社交接触减少方面,残疾组与非残疾者之间没有显著差异。仅有行动不便和认知障碍的人报告称,大流行降低了他们对未来的希望,这一比例明显高于非残疾者。所有残疾组比非残疾者更担心感染,但在 75 岁及以上的人群中,这种影响并不显著。

结论

在 COVID-19 大流行等危机期间,应特别关注特定类型残疾者的心理健康。

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