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Health Equity and Health Inequity of Disabled People: A Scoping Review

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  • Gregor Wolbring

    (Community Rehabilitation, Cumming School of Medicine, University of Calgary, Calgary, AB T2N4N1, Canada)

  • Rochelle Deloria

    (Faculty of Social Work, University of Calgary, Calgary, AB T2N 1N4, Canada)

Abstract

Health equity is an important aspect of wellbeing and is impacted by many social determinants. The UN Convention on the Rights of Persons with Disabilities (CRPD) is a testament to the lack of health equity and the many health inequity issues based on social determinants experienced by disabled people. The health equity/health inequity situation of disabled people is even worse if their identities intersect with those of other marginalized groups. Many societal developments and discussions including discussions around the different sustainability pillars can influence the health equity/health inequity of disabled people. The general aim of this study was to better understand the academic engagement with the health equity and health inequity of disabled people beyond access to healthcare. To fulfill our aim, we performed a scoping review of academic abstracts using a hit count manifest coding and content analysis approach to abstracts obtained from SCOPUS, the 70 databases of EBSCO-HOST, Web of Science, and PubMed. Health equity and health inequity abstracts rarely cover disabled people as a group, less with many specific groups of disabled people, and even less or not at all with the intersectionality of disabled people belonging to other marginalized groups. Many social determinants that can influence the health equity and health inequity of disabled people were not present. Ability-based concepts beyond the term ableism, intersectionality-based concepts, and non-health based occupational concepts were not present in the abstracts. Our qualitative content analysis of the 162 abstracts containing health equity and disability terms and 177 containing health inequity and disability terms found 65 relevant abstracts that covered problems with health equity disabled people face, 17 abstracts covered factors of health inequity, and 21 abstracts covered actions needed to deal with health inequity. Our findings suggest a need as well as many opportunities for academic fields and academic, policy, and community discussions to close the gaps in the coverage of health equity and health inequity of disabled people.

Suggested Citation

  • Gregor Wolbring & Rochelle Deloria, 2024. "Health Equity and Health Inequity of Disabled People: A Scoping Review," Sustainability, MDPI, vol. 16(16), pages 1-51, August.
  • Handle: RePEc:gam:jsusta:v:16:y:2024:i:16:p:7143-:d:1459967
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    References listed on IDEAS

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    1. T. Bradley Willingham & Julie Stowell & George Collier & Deborah Backus, 2024. "Leveraging Emerging Technologies to Expand Accessibility and Improve Precision in Rehabilitation and Exercise for People with Disabilities," IJERPH, MDPI, vol. 21(1), pages 1-28, January.
    2. Gregor Wolbring & Simerta Gill, 2023. "Potential Impact of Environmental Activism: A Survey and a Scoping Review," Sustainability, MDPI, vol. 15(4), pages 1-46, February.
    3. Gregor Wolbring & Aspen Lillywhite, 2023. "Burnout through the Lenses of Equity/Equality, Diversity and Inclusion and Disabled People: A Scoping Review," Societies, MDPI, vol. 13(5), pages 1-31, May.
    4. Scheim, Ayden I. & Bauer, Greta R., 2019. "The Intersectional Discrimination Index: Development and validation of measures of self-reported enacted and anticipated discrimination for intercategorical analysis," Social Science & Medicine, Elsevier, vol. 226(C), pages 225-235.
    5. Gregor Wolbring & Aspen Lillywhite, 2023. "Coverage of Allies, Allyship and Disabled People: A Scoping Review," Societies, MDPI, vol. 13(11), pages 1-38, November.
    6. Grace Katharine Forster & Leif Edvard Aarø & Maria Nordheim Alme & Thomas Hansen & Thomas Sevenius Nilsen & Øystein Vedaa, 2023. "Built Environment Accessibility and Disability as Predictors of Well-Being among Older Adults: A Norwegian Cross-Sectional Study," IJERPH, MDPI, vol. 20(10), pages 1-15, May.
    7. Chiara Salvatore & Gregor Wolbring, 2021. "Children and Youth Environmental Action: The Case of Children and Youth with Disabilities," Sustainability, MDPI, vol. 13(17), pages 1-27, September.
    8. Gregor Wolbring & Theresa Rybchinski, 2013. "Social Sustainability and Its Indicators through a Disability Studies and an Ability Studies Lens," Sustainability, MDPI, vol. 5(11), pages 1-19, November.
    9. Rachel M. Adams & David P. Eisenman & Deborah Glik, 2019. "Community Advantage and Individual Self-Efficacy Promote Disaster Preparedness: A Multilevel Model among Persons with Disabilities," IJERPH, MDPI, vol. 16(15), pages 1-18, August.
    10. Katherine J.C. Sang & Thomas Calvard, 2019. "‘I’m a migrant, but I’m the right sort of migrant’: Hegemonic masculinity, whiteness, and intersectional privilege and (dis)advantage in migratory academic careers," Gender, Work and Organization, Wiley Blackwell, vol. 26(10), pages 1506-1525, October.
    11. Barnett, S. & Klein, J.D. & Pollard Jr., R.Q. & Samar, V. & Schlehofer, D. & Starr, M. & Sutter, E. & Yang, H. & Pearson, T.A., 2011. "Community participatory research with Deaf Sign Language users to identify health inequities," American Journal of Public Health, American Public Health Association, vol. 101(12), pages 2235-2238.
    12. Sadhana Ravichandran & Allyson Calder & Tristram Ingham & Bernadette Jones & Meredith Perry, 2022. "“Someone Like Anyone Else”: A Qualitative Exploration of New Zealand Health Professional Students’ Understanding of Disability," Disabilities, MDPI, vol. 2(1), pages 1-14, March.
    13. Gregor Wolbring & Simerta Gill, 2023. "Occupational Concepts: An Underutilized Resource to Further Disabled People and Others Being Occupied: A Scoping Review," Societies, MDPI, vol. 13(12), pages 1-43, December.
    14. Charlotte Galpin, 2022. "At the Digital Margins? A Theoretical Examination of Social Media Engagement Using Intersectional Feminism," Politics and Governance, Cogitatio Press, vol. 10(1), pages 161-171.
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