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

Alec Bernard; Sara Weiss; Moshiur Rahman; Sheryl S Ulin; Clive D'Souza; Anah Salgat; Kate Panzer; Joshua D Stein; Michelle A Meade; Michael M McKee; Joshua R Ehrlich

doi:10.1016/j.ajo.2021.06.019

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

Am J Ophthalmol. 2022 Feb:234:49-58. doi: 10.1016/j.ajo.2021.06.019. Epub 2021 Jun 29.

Authors

Affiliations

¹ University of Michigan Medical School, Ann Arbor, Michigan, USA.
² Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA.
³ Center for Ergonomics, Department of Industrial and Operations Engineering, University of Michigan, Ann Arbor, Michigan, USA.
⁴ Department of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA.
⁵ Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan, USA; Department Health Policy and Management, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.
⁶ Department of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan, USA; Center for Disability Health and Wellness, University of Michigan, Ann Arbor, Michigan, USA; Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan, USA.
⁷ Department of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan, USA; Center for Disability Health and Wellness, University of Michigan, Ann Arbor, Michigan, USA.
⁸ Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan, USA; Center for Disability Health and Wellness, University of Michigan, Ann Arbor, Michigan, USA; Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan, USA; Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA. Electronic address: joshre@med.umich.edu.

Abstract

Purpose: To assess the impact of the COVID-19 pandemic and associated mitigation measures on persons with sensory impairments (SI), including visual impairments (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 (International Classification of Diseases, Tenth Revision, codes), and age- and sex-matched controls (n = 375) were recruited from the University of Michigan. The 34-item Coronavirus Disability Survey was administered. Both χ² tests 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 = .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 (odds ratio [OR]_VI = 7.2, 95% CI = 3.5-14.4, P < .001) and decreased availability of public transportation (OR_VI = 5.0, 95% CI = 1.5-15.6, P = .006). Participants with VI, but not HI, showed a trend toward increased difficulty accessing medical care (OR_VI = 2.0, 95% CI = 0.99-4.0, P = .052) and began relying more on others for day-to-day assistance (OR_VI = 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 (OR_VI = 6.1, 95% CI = 1.6-22.1, P = .006). Employed participants with HI were more likely to report a reduction in wages (OR_HI = 2.5, 95% CI = 1.2-5.3, P = .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. The SARS-CoV-2 (COVID-19) pandemic and public health mitigation measures have had an exceedingly large impact around the globe. As of the time of writing, more than 114 million global cases (28 million US) had been diagnosed, and there had been more than 2.5 million fatalities attributed to COVID-19 (517,000 US).¹^,².

Publication types

Research Support, N.I.H., Extramural

MeSH terms

Adult
COVID-19*
Cross-Sectional Studies
Humans
Pandemics
SARS-CoV-2
Surveys and Questionnaires

Abstract

Publication types

MeSH terms

Grants and funding