Functional disability, health care access, and mental health in Ukrainians displaced by the 2022 Russian invasion

•We used survey data from Ukrainian internally displaced people and refugees across Europe to examine associations between disability across different domains of functioning, and self-reported anxiety and sleep quality.•Respondents endorsing pre-existing anxiety or depression, or greater difficulties with vision or hearing reported greater anxiety and poorer sleep quality.•Access to welfare payments and healthcare services was associated with lower levels of anxiety and fewer reported sleep problems. Armed conflict has negative mental health impacts on internally displaced people and refugees, however, much less is known of its effects on the mental health of displaced people and refugees with disabilities. We use pan-European data (N = 9,676), collected via an internet health needs survey across April-July 2022, to examine the mental health impacts of the 2022 Russian invasion of Ukraine on the mental health of displaced people with disabilities during the first months of the war. Regression models separately examined associations between functional impairment (vision, walking, existing mental health condition), access to healthcare, welfare payments, and anxiety and sleep quality, controlling for sociodemographic variables. The presence of pre-existing mental health conditions, mobility and vision impairment were each associated with higher levels of anxiety and poorer sleep quality. The ability to access health services and social security payments was also associated with better sleep and lower levels of anxiety. Humanitarian and local authorities must ensure Ukrainian refugees and IDPs are reviewed for their mental health needs, with particular attention to those with known disabilities.