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

Mulcahy, Abigail
Streed, Carl G., Jr.
Wallisch, Anna Marie
Batza, Katie
Kurth, Noelle
Hall, Jean P.
McMaughan, Darcy Jones
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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.
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Date
2022-02-23
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Publisher
Springer
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Keywords
Disability, Transgender, Unmet health needs
Citation
Mulcahy, A.; Streed, C.G., Jr.; Wallisch, A.M.; Batza, K.; Kurth, N.; Hall, J.P.; McMaughan, D.J. Gender Identity, Disability, and Unmet Healthcare Needs among Disabled People Living in the Community in the United States. Int. J. Environ. Res. Public Health 2022, 19, 2588. https://doi.org/10.3390/ijerph19052588
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