Havercamp Susan M, Krahn Gloria L, Murray Alexa J, Akobirshoev Ilhom, Bellamy Chyrell D, Bonardi Alexandra, Breslin Mary Lou, Zhǎngsūn Brown Ly Xīnzhèn, Costa Mark, Dembo Robert S, Ellsworth David, Hall Jean P, Horner-Johnson Willi, Hughes David, McGee Marjorie, Mudrick Nancy R, Otstot Elayne, Parodi Germán, Sluzalis Shaylin, Yee Silvia
Nisonger Center, The Ohio State University, Columbus, OH, USA.
College of Health, Oregon State University, Corvallis, OR, USA.
Lancet Reg Health Am. 2025 Aug 4;49:101199. doi: 10.1016/j.lana.2025.101199. eCollection 2025 Sep.
Disability status is rarely included in health research and policy, including intersectional research, perpetuating health inequities for this population. This paper calls on researchers and policymakers to take concrete steps to advance health equity for disabled people, including those at the intersections of disability, race, ethnicity, poverty, and other marginalized identities. We propose four strategies with recommendations to promote: a) meaningful engagement of disabled and multiply marginalized people in research and policy planning; b) cohesive, systemic disability data collection and analyses; c) use of intersectional approaches to examine structural drivers of health inequities; and d) leveraging of administrative data to improve disability healthcare policies and practices.
残疾状况很少被纳入健康研究和政策,包括交叉性研究,这使该人群的健康不平等长期存在。本文呼吁研究人员和政策制定者采取具体措施,促进残疾人的健康公平,包括那些处于残疾、种族、族裔、贫困和其他边缘化身份交叉点的人。我们提出了四项策略及相关建议,以促进:a)残疾人和多重边缘化人群有意义地参与研究和政策规划;b)进行连贯、系统的残疾数据收集和分析;c)采用交叉性方法来审视健康不平等的结构性驱动因素;d)利用行政数据来改善残疾医疗保健政策和实践。