Disability doesn’t discriminate: health inequities at the intersection of race and disability

Frontiers in Rehabilitation Sciences

Rehabilitation Sciences

Megan Morris¹  Nathalie Dieujuste²  Brooke Dorsey Holliman³  Michelle Stransky⁴ 

[1] Adult and Child Center for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado, Aurora, CO, United States;Department of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO, United States;Adult and Child Center for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado, Aurora, CO, United States;Department of Psychology, University of Denve, Denver, CO, United States;Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, United States;Adult and Child Center for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado, Aurora, CO, United States;Department of Medicine, Boston Medical Center, Boston, MA, United States;

关键词: disability;    discrimination;    BIPOC;    disparities (health, racial);    survey data;   

DOI  :  10.3389/fresc.2023.1075775

 received in 2022-10-20, accepted in 2023-06-02,  发布年份 2023

来源: Frontiers

【 摘 要 】

ObjectivesGiven the prevalence of discrimination experienced by racial and ethnic minorities living with disabilities, it is likely that racism experienced by Black, Indigenous, and people of color (BIPOC) is compounded by the ableism experienced by people with disabilities, widening disparities in health and healthcare outcomes. To address this, we described unmet healthcare needs of a sample of Black, non-Hispanic, and Hispanic adults with and without disabilities. The following research question was examined exploratively: Are Black and Hispanic adults with disabilities at increased risk of unmet healthcare needs compared to Black and Hispanic adults without disabilities according to the 2018 National Health Interview Survey?MethodsSurvey data was examined from the 2018 National Health Interview Survey (NHIS), a nationally representative survey of community-dwelling adults in the United States.ResultsBlack and non-Hispanic adults most commonly reported mobility only disabilities. People with disabilities were significantly more likely to delay or forego care than their peers without disabilities within each racial/ethnic group. Among non-Hispanic Black and Hispanic adults, nearly 30% of people with disabilities forewent services due to cost compared to persons without disabilities.ConclusionsBlack and Hispanic adults with disabilities experience greater disparities in access to healthcare than Black and Hispanic adults without disabilities. Therefore, health disparities experienced by racial and ethnic minorities living with disabilities is likely influenced by the dual systemic factors of racism and ableism.

【 授权许可】

Unknown   
© 2023 Dorsey Holliman, Stransky, Dieujuste and Morris.