Introduction: On September 4, 2010, at 4.35 a.m., a shallow 7.1 magnitude earthquake struck the South Island of New Zealand, followed by a deadly 6.3 magnitude aftershock on February 22, 2011, centered under the city of Christchurch, which killed 185 people. This research explores the experiences of 12 visually impaired Christchurch residents who lived through more than 12,000 aftershocks throughout 2010 and 2011. The participants shared suggestions about how to be better prepared for such an emergency. Methods: Qualitative research involved 12 face-to-face semi-structured interviews conducted in 2011 prior to the fatal February earthquake. In February 2012, seven of the original participants were reinterviewed about how more than a year of earthquakes had affected their lives. Results: Participants highlighted the importance of communication and technology, personal and agency support, orientation and mobility, health, rebuilding independence, rehabilitation, coping, and resilience. Discussion: Participants demonstrated creative problem-solving abilities, resilience, and community spirit. Findings also indicate that older visually impaired persons are vulnerable in disasters, and that more work needs to be done to prepare communities, agencies, families, and individuals for potential disasters. Implications for practitioners: Participants provided suggestions for disaster preparedness for people who have impairments and for the agencies that provide services to people with disabilities.

This survey of 560 older adults who were visually impaired or sighted analyzed whether the two groups differed in their levels of activity, independence, and life satisfaction and the degree to which activity and independence contribute to the prediction of life satisfaction. Implications for rehabilitation services are discussed.

In older people with diabetes, multimorbidity is highly prevalent and it can lead to poor quality of life. The overall purpose of this study was to examine the association between the social enviro...

The COVID-19 pandemic significantly affected global healthcare access and exacerbated pre-pandemic structural barriers. Literature on disabled people’s experiences accessing healthcare is limited, with even less framing healthcare access as a human rights issue. This study documents and critically analyses Deaf people’s healthcare access experiences in Aotearoa New Zealand during the COVID-19 pandemic. Eleven self-identified Deaf individuals participated in semi-structured videoconferencing interviews. Discourse analysis was applied to participant narratives with discourses juxtaposed against a human rights analysis. Barriers influencing healthcare access included: (1) the inability of healthcare providers to communicate appropriately, including a rigid adherence to face mask use; (2) cultural insensitivity and limited awareness of Deaf people’s unique needs; and (3) the impact of ableist assumptions and healthcare delaying care. Barriers to healthcare access represent consecutive breaches of rights guaranteed under the United Nations Convention on the Rights of Persons with Disabilities (CRPD). Such breaches delay appropriate healthcare access and risk creating future compounding effects. Action is required to address identified breaches: (1) The CRPD should also underpin all health policy and practice development, inclusive of pandemic and disaster management responsiveness. (2) Health professionals and support staff should be trained, and demonstrate competency, in Deaf cultural awareness and sensitivity.

Introduction: The COVID-19 pandemic has affected access to health and social services globally, leading to delays in accessing appropriate care. However, while there is a growing base of research into service access for the general population, there remains scarce information on the implications of the pandemic on disabled people. This article describes issues with health and disability support access for people with impaired vision in Aotearoa New Zealand (Aotearoa). Methods: Applying an Interpretive Description methodology, 62 interviews were conducted with disabled people; 10 of these individuals identified as having impaired vision. Findings were analyzed thematically for the entire group of 62, representing varied impairment groups, and then for the 10 who had impaired vision. Results: Five key themes arose from the interviews, including transportation difficulties, mental distress, loss of community, loss of physical contact and signals, and general loss of support. Participants identified that this loss of support occurred at multiple levels, meaning that the disability and healthcare system as a whole was ill-equipped to manage their needs. Participants reported a lag-time in accessing care, meaning that the effects of the pandemic are still felt due to a lack of available support and resources. Discussion: This article remains one of a few studies to look at the implications of the pandemic on access to health and disability services for those with impaired vision. It highlights that despite Aotearoa's good track record in managing the pandemic, groups were forgotten and marginalized by the collective response to managing COVID-19. Implications for Practitioners: Blindness professionals must be aware of the possible disadvantages and impacts of pandemics and other disasters on people with impaired vision and their access to health and disability services. Policymakers must include disabled people at the decision-making table so that the diverse needs of these populations are managed.