Impact of the COVID-19 Pandemic on Service Experiences of Individuals With Intellectual Disability in Sweden: Differences Between Men and Women

IF 2.5 4区 医学 Q2 HEALTH POLICY & SERVICES
Lisa Palmqvist, Henrik Danielsson, Pia Käcker, Kristin Alfredsson Ågren
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Abstract

This study explores the impact of the COVID-19 pandemic on service experiences of individuals with intellectual disability in Sweden, with a focus on differences between men and women. Using large-scale self-reported survey data from the National User Survey (2017–2022), changes in satisfaction with social services, including daily activity services, group homes and service homes, were analysed. Overall, satisfaction levels remained high, with notable variations between service types and differences between men and women. Satisfaction with daily activity services was reported with a higher score during the pandemic for both men and women, whereas no significant changes were observed for group homes, and satisfaction with service homes was reported with slightly lower scores. Across all service types and questions, men consistently reported a higher satisfaction than women. Women did not report a higher satisfaction than men in any instance, and disparities were particularly evident in aspects related to decision-making and feelings of safety. The findings highlight the pandemic's differential impact on service experiences for men and women with intellectual disability, underlining the importance of addressing sex disparities in service provision. These results have implications for policy and practice, particularly in designing more inclusive and equitable support systems that involve individuals with intellectual disability in decision-making processes and respond to their unique needs during health crises.

新冠肺炎疫情对瑞典智障人士服务体验的影响:男女差异
本研究探讨了2019冠状病毒病大流行对瑞典智障人士服务体验的影响,重点关注了男性和女性之间的差异。使用来自全国用户调查(2017-2022)的大规模自我报告调查数据,分析了社会服务满意度的变化,包括日常活动服务,团体之家和服务之家。总体而言,满意度仍然很高,不同的服务类型和男女之间存在显著差异。据报道,在大流行期间,男性和女性对日常活动服务的满意度得分较高,而对集体之家的满意度没有显著变化,对服务之家的满意度得分略低。在所有的服务类型和问题中,男性的满意度始终高于女性。在任何情况下,妇女的满意度都没有高于男子,在决策和安全感方面的差异尤其明显。调查结果强调了大流行病对智力残疾男性和女性服务经历的不同影响,强调了解决服务提供方面的性别差异的重要性。这些结果对政策和实践具有影响,特别是在设计更具包容性和公平的支持系统方面,使智力残疾个人参与决策过程,并在卫生危机期间对他们的独特需求作出反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.10
自引率
5.90%
发文量
38
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