Health risks and consequences of a covid-19 infection for people with disabilities: Scoping review and descriptive thematic analysis

Sureshkumar Kamalakannan, Sutanuka Bhattacharjya, Yelena Bogdanova, Christina Papadimitriou, Juan Carlos Arango-Lasprilla, Jacob Bentley, Tiago S. Jesus

Research output: Contribution to journalReview articlepeer-review

Abstract

This study aims to synthesize the literature on any disproportionate health risks or consequences of a COVID-19 infection for people with disabilities. Scoping review with a descriptive thematic analysis was carried out. Up to mid-September 2020, seven scientific databases and three preprint servers were searched to identify empirical or perspective papers. Snowballing searches and expert’ consultations also took place. Two independent reviewers were used for the screenings and data extractions. Of 1027 references, 58 were included, 15 of which were empirical articles. The thematic analysis showed that: (1) People with disabilities living in residential or long-term care facilities were more likely to have greater infection rates; (2) Intersecting mediators of greater infection risks were multiple (e.g., lack of accessible information); (3) People with disabilities often face greater health problems when infected; and (4) Unethical disadvantages in the rationing of lifesaving and critical care can be experienced by people with disabilities. Conclusions: Beyond any health-related vulnerabilities (e.g., comorbidity rates), multiple yet modifiable environmental factors can provide disproportionate health risks and consequences of a COVID-19 infection for people with disabilities. Public health and policy measures must prevent or reduce modifiable environmental risks.

Original languageEnglish (US)
Article number4348
JournalInternational journal of environmental research and public health
Volume18
Issue number8
DOIs
StatePublished - Apr 2 2021

Keywords

  • COVID-19
  • Disabled persons
  • Health equity
  • Public health
  • Vulnerable populations

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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