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The Impact of COVID-19 and Pandemic Mitigation Measures on Persons with Sensory Impairment

Authors
  • Bernard, Alec1
  • Weiss, Sara2
  • Rahman, Moshiur2
  • Ulin, Sheryl S.3
  • D'Souza, Clive3
  • Salgat, Anah4
  • Panzer, Kate1
  • Stein, Joshua D.2, 5, 6
  • Meade, Michelle A.4, 5, 7, 8
  • McKee, Michael M.4, 5, 7
  • Ehrlich, Joshua R.2, 5, 7, 9
  • 1 University of Michigan Medical School, Ann Arbor, MI, 48103, USA
  • 2 Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI, 48103, USA
  • 3 Center for Ergonomics, Department of Industrial and Operations Engineering, University of Michigan, Ann Arbor, MI, 48109, USA
  • 4 Department of Family Medicine, University of Michigan, Ann Arbor, MI, 48103, USA
  • 5 Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, 48103, USA
  • 6 Department Health Policy and Management, School of Public Health, University of Michigan, Ann Arbor, MI, 48103, USA
  • 7 Center for Disability Health and Wellness, University of Michigan, Ann Arbor, MI, 48103, USA
  • 8 Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, 48103, USA
  • 9 Institute for Social Research, University of Michigan, Ann Arbor, MI, 48103, USA
Type
Published Article
Journal
American Journal of Ophthalmology
Publisher
Elsevier Inc.
Publication Date
Jun 29, 2021
Identifiers
DOI: 10.1016/j.ajo.2021.06.019
PMID: 34197781
PMCID: PMC8238639
Source
PubMed Central
Disciplines
  • Article
License
Unknown

Abstract

Purpose : To assess the impact of the COVID-19 pandemic and associated mitigation measures on persons with sensory impairments (SI), including visual (VI) and hearing impairments (HI). Design : Cross-sectional survey. Methods : Adults with VI (best-corrected visual acuity <20/60 in the better-seeing eye), HI (ICD-10 codes), and age- and sex-matched controls (n=375) were recruited from the University of Michigan. The 34-item Coronavirus Disability Survey was administered. Chi-squared and logistic regression were used to compare survey responses between groups. Results : All groups reported high levels of disruption of daily life with 80% reporting “a fair amount” or “a lot” of disruption (VI:76%, HI:83%, CT: 82%, p=0.33). Participants with VI had greater difficulty with day-to-day activities and were more likely to cite the following reasons: caregiver was worried about COVID-19 (ORVI=7.2, [95% CI 3.5-14.4], p<.001) and decreased availability of public transportation (ORVI=5.0, [95% CI 1.5-15.6], p=.006). Those with VI, but not HI, showed a trend toward increased difficulty accessing medical care (ORVI=2.0, [95% CI 0.99-4.0], p=.052) and they began relying more on others for day-to-day assistance (ORVI=3.1, [95% CI 1.6-5.7], p<.001). Overall, 30% reported difficulty obtaining trusted information about the pandemic. Those with VI reported more difficulty seeing or hearing trusted information (ORVI=6.1, [95% CI 1.6-22.1], p=.006). Employed participants with HI were more likely to report a reduction in wages (ORHI=2.5, [95% CI 1.2-5.3], p=0.02). Conclusions : Individuals with VI have experienced increased disruption and challenges in daily activities related to the pandemic. People with SI may benefit from targeted policy approaches to the current pandemic and future stressors. Minimal differences in some survey measures may be due to the large impact of the pandemic on the population as a whole.

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