Navigating new normals: the influence of COVID-19 policies on community access and well-being of people with mobility disabilities in everyday life

Front Public Health. 2024 Jul 4:12:1401777. doi: 10.3389/fpubh.2024.1401777. eCollection 2024.

Abstract

Context: This study explores the influence of COVID-19 public health mandates on people with mobility disabilities in the United States in their everyday lives. It highlights the intersection of disability with social determinants of health, emphasizing the need for a comprehensive policy response.

Methods: Qualitative data were collected through 76 semi-structured interviews with people with mobility disabilities. Interviews focused on experiences with COVID-19 mandates and community access, analyzed using thematic analysis and coded for emergent subthemes.

Results: The relationship between community participation and COVID-19 compliance was complex for people with disabilities. Inaccessible environments and inflexible policies made it difficult for people with disabilities to practice good safety measures, while widespread noncompliance by community members limited their community participation. The findings revealed additional mixed lived experiences of COVID-19 policies on community participation, accessibility, and access to resources and support. While technology facilitated some aspects of community participation, issues with accessibility, public transportation, and personal assistance services were exacerbated.

Conclusion: COVID-19 policies have complex implications for people with mobility disabilities. Findings suggest a need for inclusive policymaking, improved disability awareness, and continued support for accessible technology and services. Future research should further explore these dynamics to inform policy and practice.

Keywords: COVID-19; disability; pandemic; policy; public health adherence; qualitative.

MeSH terms

  • Adult
  • Aged
  • COVID-19* / epidemiology
  • Community Participation
  • Female
  • Health Policy
  • Health Services Accessibility
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Mobility Limitation
  • Persons with Disabilities*
  • Qualitative Research*
  • SARS-CoV-2
  • Social Determinants of Health
  • United States

Grants and funding

The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. The contents of this manuscript were developed under a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant number 90RT5043). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this article do not necessarily represent the policy of NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government.