Banks Lena Morgon, Goyal Divya, Ngoc Luong Anh, Rotenberg Sara, Marks Sarah, Hunt Xanthe, Hameed Shaffa, Minh Hoang Van, Mai Vu Quynh
International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, UK.
Independent Consultant, India.
Disabil Health J. 2025 Jan;18(1):101674. doi: 10.1016/j.dhjo.2024.101674. Epub 2024 Jul 26.
The COVID-19 pandemic has had widespread health, social and economic impacts worldwide. In many contexts, it has likely exacerbated existing inequalities.
This study compares the economic impacts of the COVID-19 pandemic amongst people with and without disabilities in Viet Nam.
A telephone survey was conducted in the three largest cities of Viet Nam (Da Nang, Ha Noi, and Ho Chi Minh City) between December 2021 and January 2022. Participants were recruited through convenience sampling (n = 898; 479 people with disabilities; 419 without). The survey collected data on livelihoods, employment, household economic security, and access to social protection and assistance.
People with disabilities were three times more likely to have stopped working completely (PR: 2.8, 95 % CI: 2.0-4.0), 30 % more likely to report reduced earnings (PR: 1.3, 95 % CI: 1.2-1.5), twice as likely to report severe impacts on household finances (PR: 1.9, 95 % CI: 1.6-2.3) and three times more likely to report severe impacts on household food security (PR: 3.2, 95 % CI: 2.3-4.6) since the onset of the pandemic. Amongst people with disabilities, informal workers were particularly negatively affected. Households with members with disabilities were more likely to receive some types of COVID-19-related assistance (e.g. financial or food aid), but less likely to be enrolled in social insurance.
Urgent and inclusive responses are necessary during crises to address the unique challenges faced by people with disabilities. Implementing comprehensive social protection measures is crucial to narrowing disparities, and maintaining well-being and economic security during shocks such as COVID-19.
新冠疫情在全球范围内产生了广泛的健康、社会和经济影响。在许多情况下，它可能加剧了现有的不平等现象。
本研究比较了越南残疾人和非残疾人在新冠疫情中的经济影响。
2021年12月至2022年1月期间，在越南三个最大的城市（岘港、河内和胡志明市）进行了电话调查。通过便利抽样招募参与者（n = 898；479名残疾人；419名非残疾人）。该调查收集了有关生计、就业、家庭经济安全以及获得社会保护和援助的数据。
自疫情爆发以来，残疾人完全停止工作的可能性是非残疾人的三倍（风险比：2.8，95%置信区间：2.0 - 4.0），报告收入减少的可能性高30%（风险比：1.3，95%置信区间：1.2 - 1.5），报告家庭财务受到严重影响的可能性是两倍（风险比：1.9，95%置信区间：1.6 - 2.3），报告家庭粮食安全受到严重影响的可能性高两倍（风险比：3.2，95%置信区间：2.3 - 4.6）。在残疾人中，非正规工人受到的负面影响尤为严重。有残疾成员的家庭更有可能获得某些类型的新冠疫情相关援助（如经济或食品援助），但参加社会保险的可能性较小。
在危机期间，迫切需要采取包容性应对措施，以应对残疾人面临的独特挑战。实施全面的社会保护措施对于缩小差距、在新冠疫情等冲击期间维持福祉和经济安全至关重要。
