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

Author

Listed:
  • Abigail Mulcahy

    (Center to Improve Veteran Involvement in Care, Portland VA Healthcare System, Portland, OR 97239, USA)

  • Carl G. Streed

    (Section of General Internal Medicine, Boston University School of Medicine, Center for Transgender Medicine and Surgery, Boston Medical Center, Boston, MA 02118, USA)

  • Anna Marie Wallisch

    (Juniper Gardens Children’s Project, University of Kansas, Lawrence, KS 66045, USA)

  • Katie Batza

    (Women, Gender, and Sexuality Studies, University of Kansas, Lawrence, KS 66045, USA)

  • Noelle Kurth

    (Institute for Health and Disability Policy Studies, Life Span Institute, University of Kansas, Lawrence, KS 66045, USA)

  • Jean P. Hall

    (Research and Training Center on Independent Living and The Institute for Health and Disability Policy Studies, Lawrence, KS 66045, USA)

  • Darcy Jones McMaughan

    (School of Community Health Sciences, Counseling and Counseling Psychology, Oklahoma State University, Stillwater, OK 74078, USA)

Abstract

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.

Suggested Citation

  • Abigail Mulcahy & Carl G. Streed & Anna Marie Wallisch & Katie Batza & Noelle Kurth & Jean P. Hall & Darcy Jones McMaughan, 2022. "Gender Identity, Disability, and Unmet Healthcare Needs among Disabled People Living in the Community in the United States," IJERPH, MDPI, vol. 19(5), pages 1-19, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:2588-:d:756719
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    References listed on IDEAS

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    1. Landers, S. & Kapadia, F., 2017. "The health of the transgender community: Out, proud, and coming into their own," American Journal of Public Health, American Public Health Association, vol. 107(2), pages 205-206.
    2. Krahn, G.L. & Walker, D.K. & Correa-De-Araujo, R., 2015. "Persons with disabilities as an unrecognized health disparity population," American Journal of Public Health, American Public Health Association, vol. 105, pages 198-206.
    3. McCauley, E.J., 2017. "The cumulative probability of arrest by age 28 years in the United States by disability status, race/ethnicity, and gender," American Journal of Public Health, American Public Health Association, vol. 107(12), pages 1977-1981.
    4. Arnaud Chevalier & L Feinstein, 2006. "Sheepskin or Prozac: The Causal Effect of Education on Mental Health," CEE Discussion Papers 0071, Centre for the Economics of Education, LSE.
    5. Whittle, Henry J. & Palar, Kartika & Ranadive, Nikhil A. & Turan, Janet M. & Kushel, Margot & Weiser, Sheri D., 2017. "“The land of the sick and the land of the healthy”: Disability, bureaucracy, and stigma among people living with poverty and chronic illness in the United States," Social Science & Medicine, Elsevier, vol. 190(C), pages 181-189.
    6. Dickey, L.M., 2017. "Toward developing clinical competence: Improving health care of gender diverse people," American Journal of Public Health, American Public Health Association, vol. 107(2), pages 222-223.
    7. Jessica D. Bellinger & Rahnuma M. Hassan & Patrick A. Rivers & Qiang Cheng & Edith Williams & Saundra H. Glover, 2010. "Specialty Care Use in US Patients with Chronic Diseases," IJERPH, MDPI, vol. 7(3), pages 1-16, March.
    8. Varun Warrier & David M. Greenberg & Elizabeth Weir & Clara Buckingham & Paula Smith & Meng-Chuan Lai & Carrie Allison & Simon Baron-Cohen, 2020. "Elevated rates of autism, other neurodevelopmental and psychiatric diagnoses, and autistic traits in transgender and gender-diverse individuals," Nature Communications, Nature, vol. 11(1), pages 1-12, December.
    9. White Hughto, Jaclyn M. & Reisner, Sari L. & Pachankis, John E., 2015. "Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions," Social Science & Medicine, Elsevier, vol. 147(C), pages 222-231.
    10. repec:aph:ajpbhl:10.2105/ajph.2016.303599_3 is not listed on IDEAS
    11. repec:aph:ajpbhl:10.2105/ajph.2016.303581_3 is not listed on IDEAS
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