People with Disabilities and Other Forms of Vulnerability to the COVID-19 Pandemic: Study Protocol for a Scoping Review and Thematic Analysis

Abstract

Objectives To develop a protocol for a scoping review mapping as well as thematically analyzing the literature on the effect of, and responses to, the coronavirus disease 2019 (COVID-19) pandemic, focused on people with disabilities with other layers of individual vulnerability or social disadvantage. Methods We will search scientific databases (Medline/PubMed, Web of Science, Scopus, AgeLine, PsycINFO, CINAHL, ERIC) and preprint servers (MedRxiv, SocArXiv, PsyArXiv). Google searches, snowballing, and key-informant strategies were also used, including a focus on the gray literature (eg, official reports). Peer-reviewed and preprint publications will be covered in 6 languages, and the gray literature in English. Publications will be included if they address individuals with disabilities; the COVID-19 pandemic or subsequent socioeconomic or occupational effects; and individual or social vulnerabilities, including any form of discrimination, marginalization, or social disadvantage. Two independent reviewers will perform eligibility decisions and key data extractions. Beyond mapping the literature, the results will thematically analyze any disproportionate risks people with disabilities and other forms of vulnerability experience in terms of being infected by COVID-19, having severe health consequences, and facing negative socioeconomic effects. Actions taken or recommended to reduce identified inequalities will also be synthesized. Our entire research team, with diverse backgrounds, will be involved in the synthesis. Conclusions This review, which we plan to expedite, aims to inform policy makers, health authorities, disability advocates, and other stakeholders regarding the needs and ways to promote equity and disability-inclusive responses to the COVID-19 pandemic and the resultant socioeconomic shockwaves.

Findings from an online survey on the mental health effects of COVID-19 on Canadians with disabilities and chronic health conditions

“…People with disabilities and chronic health conditions disproportionately struggle with physical and mental health challenges that are exacerbated by structural and attitudinal barriers, which make overall health status a more salient aspect of concern in daily life. They are at higher risk of contracting the coronavirus precisely because of these pre-existing or secondary health conditions 10,11 . They are feeling the immediate impacts of the virus and measures meant to mitigate its adverse health and economic effects, and they will experience long-term social, economic, and health disadvantages throughout the recovery and beyond.…”

“…Additionally, many people with disabilities struggle to comply with protective measures, such as physical distancing, effective handwashing, or mask wearing 7,10,16 . Throughout much of the pandemic, public policies have remained oblivious to the negative impacts of these measures on vulnerable groups, including individuals with respiratory issues, individuals who experience debilitating panic attacks, people on the autism spectrum, and people who rely on lip-reading to effectively communicate.…”

Mental Health and Wellbeing Implications of the COVID-19 Quarantine for Disabled and Disadvantaged Children and Young People: Evidence from a Cross-cultural Study in Zambia and Sierra Leone

“…Against this background, this paper focuses on the mental health and wellbeing of children and young people (CYP) during the COVID-19 lockdown in Zambia and Sierra Leone. In Zambia, the Ministry of Health reported its rst two (2) positive cases of novel coronavirus on 18 March 2020. The two patients had travelled to France on holiday.…”

COVID-19; Infection control strategy and public health awareness for disabled individuals in Turkey

“…Additionally, albeit the observations take time to be published, it has been reported that disabled individuals are more affected by COVID-19 and accepted as a risk group. This group has become a subject of the preliminary studies (3,4).…”

“…COVID-19; Infection control strategy and public health awareness for disabled individuals in Turkey.It has been indicated that disabled people, who have a significant population in society, are affected above average by the COVID-19 pandemic(3,4). Indeed, Human Rights Watch has called for the protection of disability rights in the pandemic.…”