ArticleJournal of general internal medicine2018
Adults with Communication Disabilities Experience Poorer Health and Healthcare Outcomes Compared to Persons Without Communication Disabilities.
Article in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 90 citations in OpenAlex.
- The Landscape of Health Technology for Equity Deserving Groups in Rural Communities: A Systematic Review.Community health equity research & policy · 2025Pooled it
- Pooled it
- Outcomes of an App-Based Intervention to Target Naming Among Individuals With Poststroke Aphasia: Virtual Randomized Controlled Trial.JMIR mHealth and uHealth · 2025Trial
- Implementation of Communication Disability Documentation and Accommodations in Primary Care: A Pragmatic Type III Hybrid Implementation-Effectiveness Trial Protocol.Journal of speech, language, and hearing research : JSLHR · 2026Article
- Identifying Key Gaps: A Qualitative Exploration of Physicians-in-Training Caring for Adults With Intellectual and Developmental Disabilities.Journal of intellectual disability research : JIDR · 2026Article
- Implementing mobile integrated health for adults with intellectual and developmental disabilities: a qualitative readiness assessment.Disability and health journal · 2026Article
- Mental Health Access in the United States.: A Cross-Ethnic Comparative Study.Journal of racial and ethnic health disparities · 2026Article
- Transitional care interventions and outcome measures in stroke rehabilitation: a scoping review.Disability and rehabilitation · 2026Review
- Lost in Translation: Barriers in Psychiatric Care for Patients With Communication Impairments.Cureus · 2026Article
- Barriers to Health Equity and Contributors to Health Disparities Among Individuals with Intellectual and Developmental Disabilities: A Narrative Review.Future (Basel, Switzerland) · 2026Article
- Applying a gender and equity matrix for a contextualized antimicrobial stewardship intervention in Pakistan.Health policy and planning · 2026Article
- Access to Communication Assessment and Intervention for Adults With Intellectual Disabilities.Journal of applied research in intellectual disabilities : JARID · 2026Article
- Article
- To include us in our own worlds: AAC is not optional.Augmentative and alternative communication (Baltimore, Md. : 1985) · 2025Review
- Healthcare Access, Satisfaction, and Affordability: Experiences and Barriers of People with Aphasia.Aphasiology · 2025Article
- [A portable steady-state visual evoked potential brain-computer interface system for smart healthcare].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025Article
- Disparities in Mortality Outcomes Among Older Adults With Communication Disabilities Using the National Health and Aging Trends Study.Archives of physical medicine and rehabilitation · 2025Article
- Effectiveness of a Disability Liaison Officer service in a metropolitan emergency department.Emergency medicine Australasia : EMA · 2025Article
- Life-time experience of violence among women and girls living with disability in Nepal.PloS one · 2025Article
- Hospital care does not meet the communication needs of patients with hearing loss: A qualitative study of patient experiences.PloS one · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPersons with speech, language, and/or voice disabilities (collectively referred to as communication disabilities (CD)) represent 10% of the US population, yet their healthcare outcomes have not been described. Generally, research shows that persons with disabilities have poorer health and healthcare outcomes than their non-disabled peers.
objectivesTo examine the health and healthcare outcomes of persons with CD compared to persons without CD.
designRetrospective cohort study of the 2012 National Health Interview Survey, which contained the first supplemental questions on CD. We compared proportional differences in outcomes; logistic and ordered logistic regression assessed the outcome measures across CD categories, controlling for demographics, non-communication disabilities, and chronic conditions. Findings are weighted to permit national inferences.
participantsAdults (≥ 18 years old) were divided into 4 mutually exclusive groups: people with voice disabilities only; speech/language disabilities only; speech/language and voice disabilities; and people without CD. MAIN MEASURES: Chronic health conditions; self-rated health; access to care; unmet needs for care; healthcare utilization. KEY
resultsAdults with CD more frequently had ≥ 1 chronic condition (voice 67.9%, speech/language 68.6%, speech/language and voice 79.9%, no CD 50.1%, p < 0.001) and reported fair/poor health (voice 19.5%, speech/language 32.5%, speech/language and voice 48.3%, no CD 11.2%, p < 0.001) compared to those without CD. Adults with CD more frequently utilized healthcare compared to those without CD. However, persons with CD endorsed greater difficulties accessing care than those without CD, including identifying a usual source of care, trouble finding a physician, and delaying or foregoing care (e.g., delayed due to availability of care: voice 26.1%, speech/language 37.2%, speech/language and voice 30.8% no CD 16.1%, p < 0.001).
conclusionsPersons with CD are medically complex and experience greater challenges accessing healthcare than persons without CD. Healthcare providers need support and tools to provide equitable care that addresses the medical needs of persons with CD.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.