Queen's University, Kingston, ON; MAPS, Lakehead University, Thunder Bay, ON.
Lakehead University, Thunder Bay, ON.
Ann Epidemiol. 2022 Nov;75:10-15. doi: 10.1016/j.annepidem.2022.08.041. Epub 2022 Aug 27.
This study describes factors associated with COVID-19 precautions (i.e., self-isolation and the use of personal protective equipment) among a sample of adults with intellectual and developmental disabilities (IDD) in Ontario, Canada.
The sample included 756 home care recipients with IDD who did not test positive for COVID-19 between March 2020 and July 2021. Among these, some received COVID-19 precautions. Precaution data were obtained from a large metropolitan organization serving persons with IDD in Ontario, and linked to home care assessment data. Unadjusted and adjusted odds ratios with 95% confidence intervals were calculated using logistic regression models to examine the association between COVID-19 cautions and demographic and clinical factors. Effect modification and interactions were explored.
One hundred twenty-seven (16.8%) home care clients experienced precautions. After adjustment, congregate setting, aggression, and limited mobility were significantly associated with COVID-19 precautions. Age modified the relationship between congregate setting and precautions.
Pandemic responses need to recognize the impact on subgroups of adults with IDD, such as those living in congregate settings (including younger individuals) or engaging in responsive behaviors. How these precautions impacted individuals-in the short and long term-warrants further investigation.
本研究描述了加拿大安大略省一组智力和发育障碍（ID）成年人中与 COVID-19 预防措施（即自我隔离和使用个人防护设备）相关的因素。
该样本包括 756 名在 2020 年 3 月至 2021 年 7 月期间未检测出 COVID-19 呈阳性的家庭护理受助人。其中一些人接受了 COVID-19 预防措施。预防措施数据来自安大略省一家为 IDD 患者提供服务的大都市组织，并与家庭护理评估数据相关联。使用逻辑回归模型计算未经调整和调整后的优势比及其 95%置信区间，以检验 COVID-19 预防措施与人口统计学和临床因素之间的关联。探索了效应修饰和相互作用。
127 名（16.8%）家庭护理客户经历了预防措施。调整后，聚集场所、攻击行为和行动受限与 COVID-19 预防措施显著相关。年龄改变了聚集场所与预防措施之间的关系。
大流行应对措施需要认识到对 IDD 成年人群体的影响，例如居住在聚集场所（包括年轻人）或表现出反应性行为的人。这些预防措施对个人的短期和长期影响需要进一步调查。
