The hidden crisis: Long COVID's association with housing stability and home accessibility among people with disabilities

IF 3.7 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES Disability and Health Journal Pub Date : 2024-06-07 DOI:10.1016/j.dhjo.2024.101650

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Abstract

Background

The COVID-19 pandemic has given rise to the emerging phenomenon known as Long COVID, characterized by persistent symptoms long after the acute infection has passed. However, the relationship of Long COVID on housing stability and home accessibility remains underexplored.

Objective

This manuscript aims to comprehensively examine the association of Long COVID on housing stability and accessibility, identifying challenges faced by people with Long COVID and potential strategies to address them.

Methods

The study employs a cross-sectional mixed-methods approach, combining quantitative and qualitative methods. It analyzes data from 1533 people with disabilities, 514 with Long COVID and 1019 without Long COVID, to compare demographics, housing stability, financial concerns, housing problems, and home accessibility. Qualitative analysis extracts thematic insights from 13 participant narratives.

Results

Individuals with Long COVID exhibit significantly higher rates of housing instability (21.1 % v. 8.1 %, p < 0.001) and financial concerns, such as worries about high rent or mortgage (50.4 % v. 40.0 %, p < 0.001), compared to those without Long COVID. They also report more frequent issues with pests (30.0 % v. 23.5 %, p < 0.01) and mold (22.0 % v. 12.7 %, p < 0.001) in their homes. Qualitative analysis reveals financial setbacks, difficulties in obtaining support, and the challenges of home accessibility.

Conclusions

Associations between Long COVID and challenges related to housing stability and home accessibility highlight the need for systemic changes, financial support, and advocacy. This research contributes to understanding Long COVID's challenges, informing policy development, and promoting compassionate responses, ensuring the well-being of people with Long COVID.

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隐藏的危机：Long COVID 与残疾人住房稳定性和住房无障碍的关系。

背景：在 COVID-19 大流行中出现了一种被称为 "长 COVID "的新现象，其特点是在急性感染过后很长时间仍有持续症状。然而，Long COVID 与住房稳定性和住房可达性之间的关系仍未得到充分探讨：本手稿旨在全面研究长效 COVID 与住房稳定性和无障碍性的关系，确定长效 COVID 患者面临的挑战以及解决这些问题的潜在策略：本研究采用横断面混合方法，结合了定量和定性方法。研究分析了 1533 名残疾人的数据，其中 514 人患有长期慢性病，1019 人不患有长期慢性病，比较了人口统计学、住房稳定性、财务问题、住房问题和住房可达性。定性分析从 13 位参与者的叙述中提炼出主题见解：结果：长 COVID 患者的住房不稳定性明显更高（21.1% 对 8.1%，p 结论：长 COVID 与住房不稳定性之间的关系与长 COVID 的影响密切相关：长期 COVID 与住房稳定性和住房可达性相关的挑战之间的关联凸显了系统性变革、财政支持和宣传的必要性。这项研究有助于了解长期慢性病患者所面临的挑战，为政策制定提供信息，并促进采取富有同情心的应对措施，从而确保长期慢性病患者的福祉。

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来源期刊

Disability and Health Journal HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

7.50

自引率

6.70%

发文量

134

审稿时长

34 days

期刊介绍： Disability and Health Journal is a scientific, scholarly, and multidisciplinary journal for reporting original contributions that advance knowledge in disability and health. Topics may be related to global health, quality of life, and specific health conditions as they relate to disability. Such contributions include: • Reports of empirical research on the characteristics of persons with disabilities, environment, health outcomes, and determinants of health • Reports of empirical research on the Systematic or other evidence-based reviews and tightly conceived theoretical interpretations of research literature • Reports of empirical research on the Evaluative research on new interventions, technologies, and programs • Reports of empirical research on the Reports on issues or policies affecting the health and/or quality of life for persons with disabilities, using a scientific base.