Living on the Edge: Institutional Supports and Perceptions of Economic Insecurity Among People with Disabilities and Chronic Health Conditions

The growth of precarious employment coupled with declining social safety nets has increased economic insecurity among many households, leaving them without key resources to weather financial hardships like those brought on by the COVID-19 pandemic. This has been especially true for people whose disabilities, health statuses, and already precarious economic situations have made them extra vulnerable. We combine survey (N = 1,027) and interview (N = 50) data for Canadians with disabilities and chronic health conditions to explore how mobilizing four types of institutional supports connected to labor markets, financial markets, family, and government influenced perceptions of current and future insecurity during crisis. Because employment income was only available to about half of our respondents, many relied on a combination of savings, family supports, and government programs to make up the difference. This paper demonstrates how marginalized groups make use of different supports within liberal welfare states during times of crisis.

Working Differently or Not at All: COVID-19’s Effects on Employment among People with Disabilities and Chronic Health Conditions

The COVID-19 pandemic has drastically changed employment situations for workers everywhere. This is especially true among people with disabilities and chronic health conditions who face greater risks in contracting COVID-19 and experience larger disadvantages within the labor market. Drawing from original data gathered through a national online survey (N = 1,027) and integrated set of virtual interviews (N = 50) with Canadians with disabilities and chronic health conditions, our findings show that although the pandemic has not directly led to job losses for most people with disabilities and chronic health conditions, respondents who have lost employment due to COVID-19 are struggling. Even though employed workers have been faring better, half were concerned about losing their jobs within the next year, and these concerns were more prevalent among part-time and non-union workers. Our findings emphasize the potential for growing economic insecurity as the pandemic continues to wreak havoc on employment situations among marginalized groups.

Perceptions of Canadian Federal Policy Responses to COVID-19 among People with Disabilities and Chronic Health Conditions.

This study examines how people with disabilities and chronic health conditions-members of a large and diverse group often overlooked by Canadian public policy-are making sense of the Canadian federal government's response to COVID-19. Using original national online survey data collected in June 2020 (N = 1,027), we investigate how members of this group view the government's overall response. Although survey results show broad support for the federal government's pandemic response, findings also indicate fractures based on disability type and specific health condition, political partisanship, region, and experiences with COVID-19. Among these, identification with the Liberal party and receipt of CERB stand out as associated with more positive views. Further examination of qualitative responses shows that these views are also linked to differing perspectives surrounding government benefits and spending, partisan divisions, and other social and cultural cleavages.

La présente étude porte sur la façon dont les personnes atteintes de handicap ou de maladie chronique ­ appartenant à un vaste groupe diversifié, souvent ignoré des politiques publiques canadiennes ­ interprètent la réaction du gouvernement fédéral canadien à la COVID­19. À l'aide de données nationales exclusives tirées d'un sondage en ligne effectué en juin 2020 (N = 1 027), nous analysons le point de vue des membres de ce groupe quant à la réaction globale du gouvernement. Bien que les résultats du sondage témoignent d'un large appui à la réaction du gouvernement fédéral à la pandémie, nos observations révèlent également des failles selon la nature du handicap et les particularités liées à l'état de santé, l'allégeance politique, la région et les expériences en ce qui a trait à la COVID­19. Entre autres éléments, l'allégeance au Parti libéral et le statut de bénéficiaire de la PCU se signalent comme étant associés à des points de vue plus positifs. Un examen plus approfondi des réactions qualitatives montre que ces points de vue sont également liés à des perspectives divergentes entourant les prestations et les dépenses gouvernementales, les divisions partisanes et autres clivages sociaux et culturels.

Findings from an online survey on the mental health effects of COVID-19 on Canadians with disabilities and chronic health conditions.

BACKGROUND: Although the COVID-19 pandemic has led to worsening mental health outcomes throughout the Canadian population, its effects have been more acute among already marginalized groups, including people with disabilities and chronic health conditions. This paper examines how heightened fears of contracting the virus, financial impacts, and social isolation contribute to declining mental health among this already vulnerable group. OBJECTIVE/HYPOTHESIS: This paper investigates how increases in anxiety, stress, and despair are associated with concerns about getting infected, COVID-19-induced financial hardship, and increased social isolation as a result of adhering to protective measures among people with disabilities and chronic health conditions. METHODS: This study uses original national quota-based online survey data (n = 1027) collected in June 2020 from people with disabilities and chronic health conditions. Three logistic regression models investigate the relationship between COVID-19's effects on finances, concerns about contracting the virus, changes in loneliness and belonging, and measures taken to combat the spread of COVID-19 and reports of increased anxiety, stress, and despair, net of covariates. RESULTS: Models show that increased anxiety, stress, and despair were associated with negative financial effects of COVID-19, greater concerns about contracting COVID-19, increased loneliness, and decreased feelings of belonging. Net of other covariates, increased measures taken to combat COVID-19 was not significantly associated with mental health outcomes. CONCLUSIONS: Findings address how the global health crisis is contributing to declining mental health status through heightened concerns over contracting the virus, increases in economic insecurity, and growing social isolation, speaking to how health pandemics exacerbate health inequalities.