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

Abigail Mulcahy, Carl G. Streed, Anna Marie Wallisch, Katie Batza, Noelle Kurth, Jean P. Hall and Darcy Jones McMaughan
Additional contact information
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

IJERPH, 2022, vol. 19, issue 5, 1-19

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.

Keywords: disability; transgender; unmet health needs (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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