Gender Diversity, Disability, and Well-Being: Impact of Delayed and Foregone Care Because of COVID-19

被引:0
作者
McMaughan, Darcy Jones [1 ]
Mulcahy, Abby [2 ]
McGehee, Amy [3 ]
Streed Jr, Carl G. [4 ]
Wallisch, Anna Marie [5 ]
Kurth, Noelle K. [6 ]
Hall, Jean P. [6 ]
机构
[1] Oklahoma State Univ, Coll Educ & Human Sci, Sch Community Hlth Sci Counseling & Counseling Psy, 434 Willard Hall, Stillwater, OK 74078 USA
[2] Portland VA Healthcare Syst, Ctr Improve Vet Involvement Care, Portland, OR USA
[3] Oklahoma State Univ, Coll Educ & Human Sci, Dept Human Dev & Family Sci, Stillwater, OK USA
[4] Boston Univ, Sch Med, Dept Med, Sect Gen Internal Med, Boston, MA USA
[5] Univ Kansas, Juniper Gardens Childrens Project, Kansas City, KS USA
[6] Univ Kansas, Inst Hlth & Disabil Policy Studies, Life Span Inst, Lawrence, KS USA
关键词
access to care; COVID-19; disability; gender diversity; health outcomes; HEALTH-CARE; MEDICAL-CARE; TRANSGENDER ADULTS; US TRANSGENDER; UNITED-STATES; PEOPLE; DISPARITIES; BARRIERS; EXPERIENCES; SERVICES;
D O I
10.1089/lgbt.2022.0385
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Purpose: This study explored the impact of delayed and foregone care due to COVID-19 on well-being among disabled and gender diverse adults.Methods: Using data from the 2021 National Survey on Health and Disability and logistic regression modeling we assessed the impact of delayed or foregone care due to COVID-19 on well-being among disabled people (n = 1638), with comparisons between cisgender (n = 1538) and gender diverse (n = 100) people with disabilities. We report odds ratios (OR) and confidence intervals (CI).Results: Disabled people reported high rates of delayed (79.36%) and foregone (67.83%) care and subsequent negative effects on well-being (72.07%). Gender diverse disabled people were over four times more likely to have delayed any care (OR 4.45, 95% CI 1.86-10.77) and three times more likely to have foregone any care (OR 3.14, 95% CI 1.71-5.79) due to COVID-19 compared to cisgender disabled people. They were three times more likely to report any negative impact on their health and well-being because of delayed and foregone care (OR 2.78, 95% CI 1.43-5.39).Conclusion: The COVID-19 pandemic affected the health care utilization of disabled people, resulting in high rates of delayed care, foregone care, and negative impacts on well-being. These effects were intensified at the intersection of disability and marginalized gender identity, with gender diverse disabled people having higher odds of delayed and foregone care and negative effects on well-being, including physical health, mental health, pain levels, and overall level of functioning.
引用
收藏
页码:210 / 218
页数:9
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