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Objective(s)
To understand the differences at a state level for poverty across the United States
for adults with disabilities. Given that the two most common social determinants of
health measured by disability scholars are education and income, scholarship needs
to examine the outcome of these in terms of large scale understandings of poverty
and disability.
Data Sources
Data are from the American Community Survey, which is a nationally representative
survey of all US adults. Data are from 2021.
Study Selection
State level data from the American Community Survey were pulled as they relate to
poverty in a myriad of contexts: overall disability rates, disability rates by disability
type, disability rates by sex, and disability by other sociodemographic measures that
are substantively related to rehabilitation and health outcomes for people with disabilities.
Data Extraction
Data were extracted from the 2021 American Community Survey.
Data Synthesis
Data were analyzed using descriptive statistics (means, ranges) and calculated delta
(difference scores). These Values were then tested for statistically significant differences
between groups (t-test, ANOVA, and chi-squared). Additionally, data were geospatially
mapped for each state in the United States across various measures relating to rehabilitation
and poverty.
Conclusions
More people with disabilities live in high poverty states, especially those with ambulatory
and hearing limitations. Additionally, there are higher rates of black and white disabled
individuals live in high poverty states. Disabled individuals have less private health
insurance coverage and more public coverage in high poverty states. For health risking
behaviors, more disabled people smoke in high poverty states, but there are not significant
differences in smoking patterns, obesity, or binge drinking by disabled people in
higher poverty states. In respect to housing and education, more disabled people live
in mobile homes and fewer disabled people are educated in high poverty states. Disabled
people have higher employment rates in low poverty states, however, across racial
groups, White disabled people have higher employment rates in these states.
Author(s) Disclosures
No authors have any disclosures to identify.
Key Words
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Copyright
© 2022 Published by Elsevier Inc.
