{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T19:39:54Z","timestamp":1783021194455,"version":"3.54.6"},"reference-count":18,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["478336"],"award-info":[{"award-number":["478336"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Home Health Care Management &amp; Practice"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:p>Purpose: This study investigated the impact of the COVID-19 pandemic on homecare service use among individuals with physical disabilities, stratified by age, sex, and mental health conditions. Methods: Monthly utilization of personal support and nursing services was assessed using linked health administrative databases from ICES in Ontario, Canada, over two periods: pre-pandemic (March 2015 to February 2020) and during the pandemic (March 2020 to June 2022). Predictive Autoregressive Integrated Moving Average (ARIMA) models were used to estimate changes in service use. Results: During the pandemic, personal support service use declined significantly across multiple subgroups with some groups experiencing greater impacts. Significant decreases were observed in 78.5% of months for males, 14.3% for females, 78.5% for individuals aged 65\u2009years and younger, 17.9% for those older than 65\u2009years, and 78.5% for individuals with mental health conditions. In contrast, nursing service use increased significantly, with significant increases observed in 85.7% of months for males, 60.7% for females, 60.7% for those aged 65\u2009years and younger, 17.9% for those older than 65\u2009years, 85.7% for individuals with mental health conditions, and 28.6% for those without mental health conditions. Conclusion: The findings highlight substantial variation in the pandemic\u2019s impact across subpopulations, with certain groups disproportionately affected. Targeted strategies are needed to mitigate these disparities and ensure equitable access to homecare services. Further research is warranted to explore the long-term implications and the underlying factors contributing to these differences.<\/jats:p>","DOI":"10.1177\/10848223251360411","type":"journal-article","created":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T05:09:53Z","timestamp":1755580193000},"page":"192-207","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of the COVID-19 Pandemic on Homecare Use for Individuals with Physical Disabilities Stratified by Sex, Age, and Mental Health Condition: A Cohort Study Using Administrative Health Data"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9304-3039","authenticated-orcid":false,"given":"Arrani","family":"Senthinathan","sequence":"first","affiliation":[{"name":"University of Toronto, ON, Canada"},{"name":"Niagara University, Vaughan, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina","family":"Tadrous","sequence":"additional","affiliation":[{"name":"University of Toronto, ON, Canada"},{"name":"Women\u2019s College Hospital, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swaleh","family":"Hussain","sequence":"additional","affiliation":[{"name":"University of Toronto, ON, Canada"},{"name":"ICES, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"McKay","sequence":"additional","affiliation":[{"name":"VHA Home HealthCare, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahim","family":"Moineddin","sequence":"additional","affiliation":[{"name":"University of Toronto, ON, Canada"},{"name":"ICES, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherry","family":"Chu","sequence":"additional","affiliation":[{"name":"Women\u2019s College Hospital, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan B.","family":"Jaglal","sequence":"additional","affiliation":[{"name":"University of Toronto, ON, Canada"},{"name":"ICES, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Shepherd","sequence":"additional","affiliation":[{"name":"University of Toronto, ON, Canada"},{"name":"University Health Network, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Cadel","sequence":"additional","affiliation":[{"name":"University of Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa K.","family":"Noonan","sequence":"additional","affiliation":[{"name":"Praxis Spinal Cord Institute, Vancouver, BC, Canada"},{"name":"International Collaboration on Repair Discoveries, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. Catharine","family":"Craven","sequence":"additional","affiliation":[{"name":"University of Toronto, ON, Canada"},{"name":"University Health Network, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Tu","sequence":"additional","affiliation":[{"name":"University of Toronto, ON, Canada"},{"name":"University Health Network, Toronto, ON, Canada"},{"name":"North York General Hospital, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara J. T.","family":"Guilcher","sequence":"additional","affiliation":[{"name":"University of Toronto, ON, Canada"},{"name":"ICES, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2021.08.031"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0266160"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/11786329231210692"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.12927\/hcpol.2022.26970"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41393-019-0296-y"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnsa.2020.100014"},{"key":"e_1_3_3_8_2","unstructured":"Pianosi R Presley L Buchanan J L\u00e9vesque A Savard S-A Lam J. 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