残疾老年人 COVID-19 经历中的种族差异。
Racial Disparities in COVID-19 Experiences Among Older Adults With Disabling Conditions.
机构信息
Mathematica, Princeton, NJ, USA.
Oregon Health and Science University, Portland, OR, USA.
出版信息
J Aging Health. 2024 Jun;36(5-6):320-336. doi: 10.1177/08982643231185689. Epub 2023 Jul 1.
OBJECTIVES
This paper examines the health, work, and financial experiences of older adults with disabling conditions during the COVID-19 pandemic. It also explores the role of county- and state-level conditions in these experiences.
METHODS
Using data from the 2020 Health and Retirement Study, we estimated regression models to assess differences in outcomes between those with and without disabling conditions and by race/ethnicity. We used multilevel modeling to assess whether and how county or state factors might be associated with the differences in these effects.
RESULTS
Older adults with disabilities were more likely to report experiencing financial hardships, delaying health care, and experiencing effects on work than those without disabilities; these differences are heighted between race and ethnicity. Older adults with disabilities were more likely to live in counties with greater social vulnerability.
DISCUSSION
This work underscores the importance of developing a robust, disability-inclusive public health response that protects older adults.
目的
本文考察了 COVID-19 大流行期间患有残疾的老年人的健康、工作和财务状况。还探讨了县和州一级的条件在这些经验中的作用。
方法
利用 2020 年健康与退休研究的数据，我们估计了回归模型，以评估有和没有残疾状况的人群以及不同种族/族裔之间的结果差异。我们使用多层次模型来评估县或州的因素是否以及如何与这些影响的差异相关。
结果
与没有残疾的老年人相比，有残疾的老年人更有可能报告经济困难、延迟医疗保健和工作受到影响；这些差异在种族和族裔之间更为明显。有残疾的老年人更有可能生活在社会脆弱性更大的县。
讨论
这项工作强调了制定一个强大的、包容残疾的公共卫生应对措施来保护老年人的重要性。
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