Cascavita Catherine T, Santina Ahmad, Kitayama Ken, Yu Fei, Tseng Victoria L, Coleman Anne L
David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA.
Department of Ophthalmology, Stein and Doheny Eye, Los Angeles, CA 90095, USA.
Vision (Basel). 2025 May 2;9(2):40. doi: 10.3390/vision9020040.
This study explores the association between vision/hearing impairment and COVID-19 prevention strategies in the 2020 and 2021 California Health Interview Survey (CHIS). This cross-sectional study used data from the 2020 and 2021 CHIS. The exposure of interest was self-reported history of sensory impairment. The outcome of interest was adherence to COVID-19 mitigation strategies defined as obtaining a COVID-19 vaccine, face mask adherence, hand washing, social distancing, and not gathering with non-household members. Logistic regression models examined the association between sensory impairment and adherence to COVID-19 mitigation strategies, controlling for age, sex, race and ethnicity, general health status, and household income. All analyses were weighted according to the CHIS sampling design. With 24,453 California adults representing 29,649,837 people, the weighted prevalence of sensory impairment was 6.1% (1,808,640/29,649,837). The regression revealed that adults with sensory impairment were 80% more likely not to maintain social distancing (odds ratio: 1.80, 95%CI: 1.03-3.13, = 0.04) compared to those without impairment. No significant differences were found for adherence to other COVID-19 strategies. Individuals with sensory impairment may have increased difficulty with physical distancing due to their underlying impairment. Further studies are needed to explore risk reduction strategies for COVID-19 and the transmission of other infections for those with sensory impairment.
本研究在2020年和2021年加利福尼亚健康访谈调查（CHIS）中探讨了视力/听力障碍与新冠病毒预防策略之间的关联。这项横断面研究使用了2020年和2021年CHIS的数据。感兴趣的暴露因素是自我报告的感觉障碍病史。感兴趣的结果是对新冠病毒缓解策略的遵守情况，定义为接种新冠病毒疫苗、佩戴口罩、洗手、保持社交距离以及不与非家庭成员聚集。逻辑回归模型检验了感觉障碍与遵守新冠病毒缓解策略之间的关联，并对年龄、性别、种族和族裔、总体健康状况以及家庭收入进行了控制。所有分析均根据CHIS抽样设计进行加权。在代表29649837人的24453名加利福尼亚成年人中，感觉障碍的加权患病率为6.1%（1808640/29649837）。回归分析显示，与没有感觉障碍的成年人相比，有感觉障碍的成年人不保持社交距离的可能性高80%（优势比：1.80，95%置信区间：1.03 - 3.13，P = 0.04）。在遵守其他新冠病毒策略方面未发现显著差异。由于潜在的障碍，有感觉障碍的个体在保持身体距离方面可能会增加困难。需要进一步研究以探索针对有感觉障碍者的新冠病毒及其他感染传播的风险降低策略。
