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Abstract

Objectives

This paper examines the health, work, and financial experiences of older adults with disabling conditions during the COVID-19 pandemic. It also explores the role of county- and state-level conditions in these experiences.

Methods

Using data from the 2020 Health and Retirement Study, we estimated regression models to assess differences in outcomes between those with and without disabling conditions and by race/ethnicity. We used multilevel modeling to assess whether and how county or state factors might be associated with the differences in these effects.

Results

Older adults with disabilities were more likely to report experiencing financial hardships, delaying health care, and experiencing effects on work than those without disabilities; these differences are heighted between race and ethnicity. Older adults with disabilities were more likely to live in counties with greater social vulnerability.

Discussion

This work underscores the importance of developing a robust, disability-inclusive public health response that protects older adults.

Keywords

disability chronic conditions epidemiology

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References

Abrams

Lalot

Hogg

M. A.

(2021). Intergroup and intragroup dimensions of COVID-19: A social identity perspective on social fragmentation and unity. Group Processes & Intergroup Relations, 24(2), 201–209. https://doi.org/10.1177/1368430220983440

Andersen

L. M.

Harden

S. R.

Sugg

M. M.

Runkle

J. D.

Lundquist

T. E.

(2021). Analyzing the spatial determinants of local Covid-19 transmission in the United States. Science of the Total Environment, 754(10144), 142396. https://doi.org/10.1016/j.scitotenv.2020.142396

Armitage

Nellums

L. B.

(2020). The COVID-19 response must be disability inclusive. Atlantic monthly group. 2021. The COVID racial data tracker. The Lancet Public Health, 5(5), e257. Accessed June 17, 2020.https://covidtracking.com/race

Baum

C. F.

Henry

(2020). Socioeconomic factors influencing the spatial spread of COVID-19 in the United States. Miguel, Socioeconomic Factors Influencing the Spatial Spread of COVID-19 in the United States. (May 29, 2020) https://ssrn.com/abstract=3614877. or. https://doi.org/10.2139/ssrn.3614877

Bowleg

(2020). We’re not all in this together: On COVID-19, intersectionality, and structural inequality. American journal of public health, 110(7), 917

Bureau of Labor Statistics (2020a). Labor force statistics from the current population survey: Supplemental data measuring the effects of the coronavirus (COVID-19) pandemic on the labor market. https://www.bls.gov/cps/effects-of-the-coronavirus-COVID-19-pandemic.htm#highlights_Oct_2020

Bureau of Labor Statistics (2020b). Persons with a disability: Labor force characteristics—2019. https://www.bls.gov/news.release/archives/disabl_02262020.htm

Bureau of Labor Statistics (2021). Persons with a disability: Labor force characteristics—2020. https://www.bls.gov/news.release/disabl.nr0.htm

Centers for Disease Control and Prevention (Cdc) (2021). COVID-19 recommendations for older adults. (Accessed August 2022).https://www.cdc.gov/aging/covid19/covid19-older-adults.html

10.

Chakraborty

(2021). Social inequities in the distribution of COVID-19: An intra-categorical analysis of people with disabilities in the US. Disability and Health Journal, 14(1), 101007. https://doi.org/10.1016/j.dhjo.2020.101007

11.

Choi

S. L.

Carr

Namkung

E. H.

(2022). Physical disability and older adults’ perceived food and economic insecurity during the COVID-19 pandemic. The Journals of Gerontology: Series B, 77(7), e123–e133. https://doi.org/10.1093/geronb/gbab162

12.

Courtney-Long

E. A.

Romano

S. D.

Carroll

D. D.

Fox

M. H.

(2017). Socioeconomic factors at the intersection of race and ethnicity influencing health risks for people with disabilities. Journal of Racial and Ethnic Health Disparities, 4, 213–222.

13.

Crenshaw

(1989). Demarginalizing the intersection of race and sex: A black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics (p. 139). u. Chi. Legal f.

14.

Davis

(2021) Employment and retirement among older workers during the COVID-19 pandemic. Schwartz Center for Economic Policy Analysis and Department of Economics, The New School for Social Research, Working Paper Series. 6, 1–36

15.

Dixon-Ibarra

Horner-Johnson

(2014). Peer reviewed: Disability status as an antecedent to chronic conditions: National health interview survey, 2006–2012. Preventing Chronic Disease. 11(2014), E15. https://doi.org/10.5888/pcd11.130251

16.

Elnaiem

A. D.

(2021). Intersectionality in the time of COVID-19: dispatches from a contact tracer. American journal of public health, 111(1), 93–94.

17.

Gauthier

G. R.

Smith

J. A.

García

Garcia

M. A.

Thomas

P. A.

(2021). Exacerbating inequalities: Social networks, racial/ethnic disparities, and the COVID-19 pandemic in the United States. The Journals of Gerontology: Series B, 76(3), e88–e92. https://doi.org/10.1093/geronb/gbaa117

18.

Gleason

Ross

Fossi

Blonsky

Tobias

Stephens

(2021). The devastating impact of Covid-19 on individuals with intellectual disabilities in the United States. NEJM Catalyst Innovations in Care Delivery, 2(2), 1–2. https://doi.org/10.1056/CAT.21.0051

19.

Gobbens

R. J.

(2018). Associations of ADL and IADL disability with physical and mental dimensions of quality of life in people aged 75 years and older. PeerJ, 6(e5425). https://doi.org/10.7717/peerj.5425

20.

Hatef

Chang

H. Y.

Kitchen

Weiner

J. P.

Kharrazi

(2020). Assessing the impact of neighborhood socioeconomic characteristics on COVID-19 prevalence across seven states in the United States. Frontiers in Public Health, 8, 571808. https://doi.org/10.3389/fpubh.2020.571808

21.

Health and Retirement Study . (2021). 2020 HRS COVID-19 project, early version 1.0. https://hrsdata.isr.umich.edu/sites/default/files/documentation/data-descriptions/1613082944/2020COVID_DD_Feb2021.pdf

22.

Healthy People 2030 . U.S. Department of health and human services, office of disease prevention and health promotion. Retrieved [date graphic was accessed], from:https://health.gov/healthypeople/objectives-and-data/social-determinants-health. Last accessed June 28, 2023

23.

Heeringa

S. G.

West

B. T.

Berglund

P. A.

(2017). Applied survey data analysis. chapman and hall/CRC.

24.

Jashinsky

T. L.

King

C. L.

Kwiat

N. M.

Henry

B. L.

Lockett‐Glover

(2021). Disability and COVID‐19: Impact on workers, intersectionality with race, and inclusion strategies. The Career Development Quarterly, 69(4), 313–325. https://doi.org/10.1002/cdq.12276

25.

Kirby

(2020). Evidence mounts on the disproportionate effect of COVID-19 on ethnic minorities. The Lancet Respiratory Medicine, 8(6), 547–548. https://doi.org/10.1016/S2213-2600(20)30228-9

26.

Lebrasseur

Fortin-Bédard

Lettre

Bussières

E. L.

Best

Boucher

Routhier

(2021). Impact of COVID-19 on people with physical disabilities: A rapid review. Disability and Health Journal, 14(1), 101014. https://doi.org/10.1016/j.dhjo.2020.101014

27.

Lopez

M. H.

Rainie

Budiman

(2020). Financial and health impacts of COVID-19 vary widely by race and ethnicity.

28.

Mauldin

Brown

R. L.

(2021). Missing pieces: Engaging sociology of disability in medical sociology. Journal of Health and Social Behavior, 62(4), 477–492. https://doi.org/10.1177/00221465211019358

29.

McConkey

Keogh

Bunting

Garcia Iriarte

Watson

S. F.

(2016). Relocating people with intellectual disability to new accommodation and support settings: Contrasts between personalized arrangements and group home placements. Journal of Intellectual Disabilities, 20(2), 109–120. https://doi.org/10.1177/1744629515624639

30.

Millán-Calenti

J. C.

Tubío

Pita-Fernández

González-Abraldes

Lorenzo

Fernández-Arruty

Maseda

(2010). Prevalence of functional disability in activities of daily living (ADL), instrumental activities of daily living (IADL) and associated factors, as predictors of morbidity and mortality. Archives of Gerontology and Geriatrics, 50(3), 306–310. https://doi.org/10.1016/j.archger.2009.04.017

31.

Morris

Z. A.

(2022). Understanding the increased financial hardship experienced by older adults with disabilities during the COVID-19 pandemic. Center for Retirement Research at Boston College. Working Paper 2022-9.

32.

Oppel

R. A.

Robert Gebeloff

K. K.

Rebecc

Wright

Smith

(2020). The fullest look yet at the racial inequity of coronavirus. The New York Times. Accessed February 18, 2022.https://www.nytimes.com/interactive/2020/07/05/us/coronavirus-latinos-african-americans-cdc-data.html

33.

Polyakova

Udalova

Kocks

Genadek

Finlay

Finkelstein

A. N.

(2021). Racial Disparities in Excess All-Cause Mortality during the Early COVID-19 Pandemic Varied Substantially across States: Study examines the geographic variation in excess all-cause mortality by race to better understand the impact of the COVID-19 pandemic. Health Affairs, 40(2), 307–316. https://doi.org/10.1377/hlthaff.2020.02142

34.

Price-Haywood

E. G.

Burton

Fort

Seoane

(2020). Hospitalization and mortality among black patients and white patients with Covid-19. New England Journal of Medicine, 382(26), 2534–2543. https://doi.org/10.1056/NEJMsa2011686

35.

Quinby

Rutledge

M. S.

Wettstein

(2021). How has COVID-19 affected the labor force participation of older workers? Center for Retirement Research at Boston College, CRR WP 2021-13.

36.

Schnake-Mahl

A. S.

Bilal

(2021). Person, place, time and COVID-19 inequities. American Journal of Epidemiology.

37.

Sonnega

Faul

J. D.

Ofstedal

M. B.

Langa

K. M.

Phillips

J. W.

Weir

D. R.

(2014). Cohort profile: The health and retirement study (HRS). International Journal of Epidemiology, 43(2), 576–585. https://doi.org/10.1093/ije/dyu067

38.

Spector

W. D.

Fleishman

J. A.

(1998). Combining activities of daily living with instrumental activities of daily living to measure functional disability. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 53(1), S46–S57. https://doi.otg/10.1093/geronb/53b.1.s46

39.

Stevens

Courtney-Long

Gillespie

Armour

B. S.

(2014). Peer reviewed: Hypertension among US adults by disability status and type, national health and nutrition examination survey, 2001–2010. Preventing Chronic Disease, 11(8), E139. https://doi.org/10.5888/pcd11.140162

40.

Trout

L. J.

Kleinman

(2020). Covid-19 requires a social medicine response. Frontiers in Sociology, 5, 579991. https://doi.org/10.3389/fsoc.2020.579991

41.

Walubita

Beccia

Boama-Nyarko

Goulding

Herbert

Kloppenburg

Mabry

Masters

McCullers

Forrester

(2021). Aging and COVID-19 in minority populations: A perfect storm. Current Epidemiology Reports, 8, 63–71.

42.

Wang

D. X.

Yao

Zirek

Reijnierse

E. M.

Maier

A. B.

(2020). Muscle mass, strength, and physical performance predicting activities of daily living: A meta‐analysis. Journal of Cachexia, Sarcopenia and Muscle, 11(1), 3–25. https://doi.org/10.1002/jcsm.12502

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Racial Disparities in COVID-19 Experiences Among Older Adults With Disabling Conditions