Late Breaking Systematic & Meta-analytic Review Poster 2280879| Volume 104, ISSUE 3, e5, March 2023

Social Determinants of Health and Disability: Examination of Poverty Rates across Disability Status by State

      This paper is only available as a PDF. To read, Please Download here.


      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.


      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

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Archives of Physical Medicine and Rehabilitation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect