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Risk of COVID-19 and major adverse clinical outcomes among people with disabilities in South Korea

Authors
 Jae Woo Choi  ;  Euna Han  ;  Sang Gyu Lee  ;  Jaeyong Shin  ;  Tae Hyun Kim 
Citation
 DISABILITY AND HEALTH JOURNAL, Vol.14(4) : 101127, 2021-10 
Journal Title
DISABILITY AND HEALTH JOURNAL
ISSN
 1936-6574 
Issue Date
2021-10
MeSH
COVID-19* ; Disabled Persons* ; Humans ; Odds Ratio ; Republic of Korea ; SARS-CoV-2
Keywords
COVID-19 ; Disability ; Korean ; Major adverse clinical outcomes
Abstract
Background: Evidence regarding the risk of coronavirus disease (COVID-19) and the major adverse clinical outcomes of COVID-19 among people with disabilities (PwDs) is scarce. Objective: This study investigated the association of disability status with the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) test positivity and the risk of major adverse clinical outcomes among participants who tested positive for SARS-CoV-2. Methods: This study included all patients (n = 8070) who tested positive for SARS-CoV-2 and individuals without COVID-19 (n = 121,050) in South Korea from January 1 to May 30, 2020. The study variables included officially registered disability status from the government, SARS-CoV-2 test positivity, and major adverse clinical outcomes of COVID-19 (admission to the intensive care unit, invasive ventilation, or death). Results: The study participants included 129,120 individuals (including 7261 PwDs), of whom 8070 (6.3%) tested positive for SARS-CoV-2. After adjusting for potential confounding factors, PwDs had an increased risk of SARS-CoV-2 test positivity compared with people without disabilities (odds ratio [OR]: 1.36, 95% confidence interval [CI]: 1.24-1.48). Among participants who tested positive for SARS-CoV-2, PwDs were associated with an increased risk of major adverse clinical outcomes from COVID-19 compared to those without disabilities (OR: 1.43, 95% CI: 1.11-1.86). Conclusions: PwDs had an increased risk of COVID-19 and major adverse clinical outcomes of COVID-19 compared with people without disabilities. Given the higher vulnerability of PwDs to COVID-19, tailored policy and management to protect against the risk of COVID-19 are required.
Files in This Item:
T202104202.pdf Download
DOI
10.1016/j.dhjo.2021.101127
Appears in Collections:
1. College of Medicine (의과대학) > Others (기타) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Kim, Tae Hyun(김태현) ORCID logo https://orcid.org/0000-0003-1053-8958
Shin, Jae Yong(신재용)
Lee, Sang Gyu(이상규) ORCID logo https://orcid.org/0000-0003-4847-2421
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/185474
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