Health inequities among persons with disabilities: a global scoping review.

IF 3.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Frontiers in Public Health Pub Date : 2025-02-10 eCollection Date: 2025-01-01 DOI:10.3389/fpubh.2025.1538519
Emre Umucu, Andrew A Vernon, Deyu Pan, Sang Qin, Guillermina Solis, Rebecca Campa, Beatrice Lee
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Abstract

Background and objective: Approximately 16% of the global population, or 1.3 billion individuals, live with disabilities, facing increased health risks. Despite international and national policies affirming the rights of persons with disabilities, healthcare disparities persist, with studies revealing higher rates of unmet medical needs, avoidable deaths, and dissatisfaction with healthcare services among this population. This scoping review aims to provide a comprehensive overview of health inequities experienced by individuals with disabilities globally.

Methods: A rapid scoping review methodology was employed to systematically search and analyze quantitative evidence on health inequities. Electronic searches were conducted in CINAHL, MEDLINE, and PsycINFO databases, supplemented by manual searches of reference lists. The selection criteria for articles in this study were as follows: (a) publication between 2011 and 2022, (b) written in English, (c) published in a peer-reviewed scholarly journal, and (d) a quantitative comparison of health inequities between persons with and without disabilities.

Results: A total of 363 scholarly works were initially identified, with 51 meeting the inclusion criteria after rigorous screening. In the course of our review, our team identified three overarching themes of health inequity, encompassing (a) access to healthcare and resources, (b) morbidity, mortality, & risk factors, and (c) social determinants of health. These studies collectively reveal disparities in healthcare access, utilization, and outcomes among persons with disabilities, highlighting the urgent need for targeted interventions to address systemic barriers and promote equitable healthcare provision.

Conclusion: This review underscores the challenges faced by individuals with disabilities in accessing quality healthcare and imperative for concerted efforts to advance health equity.

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残疾人健康不平等:全球范围审查。
背景和目标:全球约16%的人口,即13亿人患有残疾,面临着日益增加的健康风险。尽管国际和国家政策肯定了残疾人的权利,但医疗保健差距仍然存在,研究表明,残疾人的医疗需求未得到满足、可避免的死亡和对医疗保健服务的不满比例较高。这项范围审查的目的是全面概述全球残疾人所经历的卫生不公平现象。方法:采用快速范围审查方法系统地检索和分析卫生不公平的定量证据。在CINAHL、MEDLINE和PsycINFO数据库中进行电子检索,并辅以人工检索参考文献列表。本研究文章的选择标准如下:(a)发表于2011年至2022年之间,(b)以英文撰写,(c)发表于同行评议的学术期刊,以及(d)对残疾人和非残疾人之间的健康不平等进行定量比较。结果:初步筛选出363篇学术著作,经过严格筛选,其中51篇符合纳入标准。在我们的审查过程中,我们的团队确定了健康不平等的三个主要主题,包括(a)获得医疗保健和资源的机会,(b)发病率、死亡率和风险因素,以及(c)健康的社会决定因素。这些研究共同揭示了残疾人在医疗保健获取、利用和结果方面的差异,强调了迫切需要有针对性的干预措施来解决系统性障碍并促进公平的医疗保健提供。结论:本综述强调了残疾人在获得高质量医疗服务方面面临的挑战,以及促进卫生公平的协同努力的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Public Health
Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.80
自引率
7.70%
发文量
4469
审稿时长
14 weeks
期刊介绍: Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.
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