Is disability exclusion associated with experiencing an unmet need for health care?

Temple, Jeromey; Stiles, Jay; Utomo, Ariane; Kelaher, Margaret; Williams, Ruth

doi:10.1111/ajag.12746

Cited by 11 publications

(13 citation statements)

References 35 publications

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“…In contrast, a lower percentage of older Australians who reported no disability reported experiencing discrimination (9%). The finding that people with disabilities, and in particular more severe disabilities, are at a higher risk of experiencing any type of discrimination (relative to those without disabilities) is not surprising and is consistent with a large evidence base on disability stigma [16][17], and growing evidence base on disability discrimination specifically [9][10][11][12][13].…”

Section: Discussionsupporting

confidence: 64%

“…It also underscores significant levels of disability stigma in Australia generally [8]. Experiencing discrimination in contexts important to healthcare is important because of the association with reporting a barrier to healthcare and subsequent non-adherence to treatment regimens [12,23,24]. Discrimination in workforce contexts is important because barriers to workplace engagement can reduce economic security and thereby reduce financial resources that may otherwise be directed toward protecting health [25,26].…”

Section: Discussionmentioning

confidence: 99%

“…To date, there is scant population-level evidence on the types of discrimination reported by older people living with disabilities. For some people with a disability, discrimination may be associated with experiencing barriers to healthcare at different points in the healthcare system [12]. Other evidence suggests exposure to disability -4 -discrimination is significantly associated with poor mental health outcomes in later life [13].…”

Section: Introductionmentioning

confidence: 99%

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Discrimination and disability: Types of discrimination and association with trust, self‐efficacy and life satisfaction among older Australians

et al. 2019

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Objective: To examine the prevalence, context and types of discrimination reported by older Australians (aged 55 years and over) and associations between outcomes (trust, self-efficacy and life satisfaction) and exposure to discrimination. Methods: The 2014 General Social Survey was used to measure discrimination. Multivariable logistic regression was used to examine associations between levels of trust, self-efficacy and life satisfaction and exposure to discrimination. Results: A sizeable minority of older Australians with a disability reported discrimination (15%), with higher exposure for those with more severe or multiple disabilities. In addition to disability, age and nationality, race, or ethnic group were cited as reasons for discrimination. Discrimination was reported across a variety of contexts, including everyday social interactions. Lower levels of trust, self-efficacy and life satisfaction were associated with exposure to disability discrimination. Conclusion: Focusing on disability discrimination alone underestimates the level of exposure to discrimination. Discrimination may reinforce social exclusion by reducing trust and self-efficacy in familial and community contexts.

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Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Discrimination and disability: Types of discrimination and association with trust, self‐efficacy and life satisfaction among older Australians

et al. 2019

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“…not all measures of perceived discrimination may be actual discrimination. A further limitation is that the modules on discrimination and avoidance were only asked of people with disabilities living in households and who responded to a personal interview, potentially biasing prevalence downwards [21].…”

Section: Limitations and Extensionsmentioning

confidence: 99%

Components of disability exclusion: Discrimination, avoidance and accessibility in later life

et al. 2019

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Objective: Examine the prevalence and context of disability exclusion reported by people with disability, with and without communication and mobility problems.Methods: The 2015 Survey of Disability Ageing and Carers was used to measure the prevalence of reported exclusion. Tests of proportions were used to examine differences in prevalence rates. Proportional Venn diagrams were used to examine the intersection of measures of exclusion.Results: Approximately 53% of those with a communication or mobility difficulty reported at least one measure of exclusion. Among this group, 7% reported an instance of discrimination, 44% reported avoidance and 29% reported an accessibility problem.The levels of discrimination and avoidance for those without communication or mobility difficulties was approximately half this level (16% avoidance and 3% discrimination). Avoidance and discrimination reduced with age, but accessibility was age-invariant. Exclusion measures intersected and occurred in a variety of contexts.Conclusion: Despite protections provided in Australian law, disability exclusion persists and is high among those with communication and mobility difficulties.

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“…For example, youth and adolescents with disabilities experienced higher rates of unmet health needs compared to youth and adolescents without disabilities (8% compared to 2.8% in a study of the 2016 National Survey of Children’s Health) [ 9 ]. Among older people with disabilities, ableism and discrimination can be associated with unmet healthcare needs [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Gender Identity, Disability, and Unmet Healthcare Needs among Disabled People Living in the Community in the United States

Mulcahy

Streed

Wallisch

et al. 2022

IJERPH

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Disabled adults and transgender people in the United States face multiple compounding and marginalizing forces that result in unmet healthcare needs. Yet, gender identity among disabled people has not been explored, especially beyond binary categories of gender. Using cross-sectional survey data, we explored the rates of disability types and the odds of unmet healthcare needs among transgender people with disabilities compared to cisgender people with disabilities. The rates of disability type were similar between transgender and cisgender participants with two significant differences. Fewer transgender participants identified physical or mobility disability as their main disability compared to cisgender participants (12.31%/8 vs. 27.68/581, p < 0.01), and more transgender participants selected developmental disability as their main disability compared to cisgender participants (13.85%/9 vs. 3.67%/77, p < 0.001). After adjusting for sociodemographic characteristics, the odds of disabled transgender participants reporting an unmet need were higher for every unmet need except for preventative services.

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Is disability exclusion associated with experiencing an unmet need for health care?

Abstract: This is the author manuscript accepted for publication and has undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as

Cited by 11 publications

References 35 publications

Discrimination and disability: Types of discrimination and association with trust, self‐efficacy and life satisfaction among older Australians

Discrimination and disability: Types of discrimination and association with trust, self‐efficacy and life satisfaction among older Australians

Components of disability exclusion: Discrimination, avoidance and accessibility in later life

Gender Identity, Disability, and Unmet Healthcare Needs among Disabled People Living in the Community in the United States

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