Disability Community Research Articles

Undergraduate Research Science Capital: Measuring capacity to engage in research.

Undergraduate research has been identified as a high-impact educational practice. However, despite the body of evidence on the outcomes of undergraduate research, few studies have focused on the influences students face regarding participation. Developed using Science Capital and Social Cognitive Career Theory, a survey comprised of potential influences to undergraduate science research participation was disseminated to science majors at four R1 institutions in the Southeastern United States. Participation rates across several demographic factors and effect of participation influences were analysed. Results reveal a significantly greater proportion of the Lesbian, Gay, Bisexual, Transgender, Queer, Plus (LGBTQ+) and disability communities indicating participating in research than their peers. Additionally, fourteen participation influences were identified as having a significant difference in their level of influence to the ability to participate in research between researchers and non-researchers. These include professor influence, interest in research, interest in science, coursework in the major, and major all being rated as opportunities with a significant difference of effect between researchers and those who have not yet participated in research. The results of this study will be beneficial for science departments and their respective institutions to improve the equity of access to their undergraduate research experiences.

Opportunity lost: addressing DEI in academic conference design practices

PurposeAttending academic conferences is important for career progression. However, conferences can be experienced as exclusionary by historically marginalised groups. Non-attendance through exclusionary event design thus has far-reaching consequences, which is a social and structural justice issue. This research therefore aims to shine a light on event design in academic conferences, and its relationship to diversity, equity and inclusion (DEI).Design/methodology/approachThrough empirical study, we address the question “Are academic conferences communicating a commitment to DEI for delegates from historically marginalised groups, and if so, how?”. Using a content protocol (Loh et al., 2022) and signalling theory (Bradley et al., 2023), we analyse the publicly available conference materials of 70 tourism, leisure, events and hospitality academic conferences planned or convened between 2023 and 2025 to assess DEI discourses and practices for evidence of conference design that fosters inclusivity, belongingness and therefore addresses justice.FindingsReferences to one or more elements of DEI were found in the discourses of around one quarter of the conferences. However, for BIPOC [1], precarious academics, those from the LGBTQIA+ or disability communities, those with caring responsibilities, those on low or no incomes or with visa requirements, and to a large degree still for women, there were few signs within conference design practices that could be construed as conveying a welcoming culture. We therefore argue that academic conferences within the fields of tourism, leisure, events and hospitality are perpetuating inequity, exclusion and injustice through failing to give full consideration to whom their event design practices are inviting to participate. This is an opportunity lost, and we provide a checklist for conference organisers to help them communicate that historically marginalised academics are welcome and belong at their event.Originality/valueWe believe this is the first study to take a DEI lens to an examination of academic conferences, and apply a content protocol and signalling theory as analytic tools in the process.

#DisabledBodyPositivity: A content analysis of body positive Instagram posts in the disabled community

Accumulating research has supported the potential for body positivity content on Instagram to challenge predominant appearance ideals and promote a healthier body image. However, research in diverse groups is lacking – in particular, individuals with a disability have largely been neglected. Using #Disabled #BodyPositivity, this analysis examined the content of 623 body positive posts on Instagram. Posts were coded for body and appearance-attributes and themes relating to positive body image, appearance ideals, disability, and health. Posts were also examined for contradictory messaging (i.e., body positivity themes alongside the pursuit of appearance ideals). Results demonstrated an inclusion of diverse body and appearance-attributes, however, posts predominantly depicted young, White women. While only 45.06 % of posts contained at least one positive body image theme, our results identified positive themes specific to the disabled community, such as disability pride and activism. Besides the significant relationship between the presence of body positive themes and body and food shame, contradictory messaging was not found. Future research examining the effects of exposure to body positivity messaging on social media among those with a disability is warranted.

Effectiveness of a Disability Liaison Officer service in a metropolitan emergency department.

To identify the influence of a Disability Liaison Officer (DLO) service in the ED setting on people with disability (PWD). For this project, PWD included adults with communication disability, intellectual disability or autism spectrum disorder. This was a single-centre retrospective cohort study, at an adult major referral ED in Melbourne, Australia. Patients were eligible for inclusion if they were ≥18 years of age, presented to the ED between 1 April 2022 and 30 April 2023, and had a disability alert in their electronic medical record. Eligible patients were divided into two cohorts: (i) patients managed using standard ED care and (ii) patients managed using DLO model. ED length of stay (LOS) was the main outcome measure. After adjusting for baseline differences in age, initial GCS and disability type, the DLO service was associated with earlier disposition from the ED (adjusted hazard ratio [aHR] 1.44; 95% confidence interval [CI]: 1.23-1.69; P < 0.001). For the subgroup of patients discharged directly from the ED, the association of DLO service and earlier disposition remained statistically significant (aHR 2.47; 95% CI: 1.83-3.33; P < 0.001). Among patients admitted to the emergency short stay unit (aHR 1.67; 95% CI: 0.99-2.80; P = 0.06), and those admitted to inpatient wards (aHR 0.89; 95% CI: 0.65-1.23; P = 0.50), there was no significant association of the DLO service with time to disposition. The DLO service was associated with a reduction in ED LOS for PWD. Further assessment of the service using patient- and carer-reported outcome measures and cost-effectiveness studies are indicated.

The Architectural Intersection of Museums and Disability Policy

The way in which people with disabilities devise methods to move through the world and faced barriers before architectural modifications evolved based on legislation intersects with the architectural preservation of culturally significant sites, specifically museums. By excluding the disabled community in museum spaces, it perpetuates the ableist mindset of society further by limiting information, creating a disparity in cultural climate and community belonging. How do museums preserve historical significance, while also creating a space for all? In order to devise an accepting space within museums and go beyond the idea of inclusion, people within public spaces need to strive to understand the way that individuals interact with the institution, while adjusting the space in an inherent way to include access for all beyond the legal policy.

Synthesizing a three Layer Architectural Framework for Adaptive Intelligent User Interfaces for the Disabled Community

Knowledge acquisition has been a bottleneck in the design for efficient User Interfaces for Disabled Community. The best suited interfaces have been oriented towards adaptability that is the User Interface needs to adapt and configure itself according to the needs and likes of the user. Such user interfaces can arouse interest in the mind of the disabled and motivate them to become an asset to the nation, and use their intellect to contribute to the society. This study pioneers an innovative approach, aiming to develop User Interfaces (UIs) for the Disabled Community. The research introduces a comprehensive three-layer architectural framework employing Learning, Trust, and Knowledge Models. Unlike conventional approaches, this Architectural Framework is designed to learn not only from the Disabled but also from their Assistants/Guides, employing principles of knowledge engineering. While the former offers static context, the latter contributes dynamic insights by observing behaviors, responses, and actions of the Disabled. This symbiotic relationship forms the foundational basis for developing intelligent adaptive UI’s that not only accommodate but actively engage and motivate the Disabled Community. The proposed research methodology involves a meticulous gathering of data through extensive user studies and interactions. By using the Human Computer Interface technology, the study aims to develop a robust framework capable of comprehensively understanding the preferences, needs, and nuances of disabled users. The expected outcomes include the development of a prototype adaptive UI, validated through rigorous testing and feedback from the disabled community. Additionally, the study anticipates contributing a comprehensive set of guidelines and best practices for designing intelligent adaptive UIs, ensuring comfort and ease for impaired users, boosting their confidence and encouraging greater involvement in socio-development activities.

The role of cerebellar FOXP1 in the development of motor and communicative behaviors in mice.

The gene FOXP2 is well established for a role in human speech and language; far less is known about FOXP1. However, this related gene has also been implicated in human language development as well as disorders associated with features of autism spectrum disorder (ASD). FOXP1 protein expression has also recently been identified in the cerebellum-a neural structure previously shown to express FOXP2 protein. The current study sought to elucidate the behavioral implications of a conditional knock-out of Foxp1 using an En1-Cre driver, which is active in the entirety of the cerebellum and a subset of neurons in the midbrain and spinal cord, in mice using a test battery including motor tasks associated with cerebellar dysfunction, as well as communicative and autistic-relevant behaviors. Male and female mice with a conditional knock-out (cKO, n = 31) and wildtype littermate controls (WT, n = 34) were assessed for gross and orofacial motor control, motor-coordination learning, locomotion, social behavior, anxiety, auditory processing and expressive vocalizations. Overall results suggest Foxp1 plays a specific role in the development of communicative systems, and phenotypic expression of disruptions may interact with sex. Robust motor deficits associated with Foxp1 protein loss may particularly affect vocalizations based on significant orofacial motor deficits in cKO subjects could also contribute to vocalization anomalies. In summary, the current study provides key insights into the role of Foxp1 in cerebellar function and associated behaviors in mice, with implications for an improved understanding of communicative and motor-based neurodevelopmental disabilities in humans.

The COVID-19 experience through the lens of disability Twitter: A qualitative analysis.

The societal response and constraints of the COVID-19 pandemic reinforced ableism for disabled people who were yet again treated as an afterthought in society. Systemic ableism impacted their well-being, access, and ability to be active members of their community. Disabled experiences and voices must be heard and amplified to improve preparedness and address ableism. Disability Twitter is one avenue where the disability community can collectively listen and support one another. These voices can and should be used to influence policy and practice. This study used Disability Twitter to represent and honor the experiences of the disability community, using the COVID-19 pandemic as a moment in time. Qualitative thematic analysis of U.S.-based Twitter posts was conducted using retrospective social media posts. A total of 238 initial tweets from January 1, 2020 and September 30, 2022 were analyzed by the research team. Five themes were observed including ableism, devaluation, worthiness, act of reclaiming, and emotion. Disabled people reported instances of ableism, devaluation, and victimization by individuals, systems, and government entities throughout the pandemic. Disabled individuals utilized Twitter to share their collective experiences, urging society to address and respond to the needs of the disability community. Using social media to center the perspectives of the disability community can invoke system-wide change and inform policies. Implications for combating systemic ableism and promoting allyship for clinical professionals, research scholars, and educators are provided. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

A lightweight and secure authentication protocol for visually impaired and handicapped people in the telehealth system

Sensors and wearable technology are used to accumulate health-related data from the visually impaired (VI) and other special persons. This health-related data is disseminated via an open network channel, which poses numerous threats and requires rigorous attention for its protection. An appropriate security framework must be implemented on both the sender and the recipient sides to ensure the privacy and security of sensitive medical information for VI and disabled persons. The telehealth system will then benefit the VI and disabled people by improving their quality of life, telemonitoring, saving time and money, providing online support, and increasing the degree of trust and reliance on the system and the treatment of doctors. These practical benefits are not just theoretical but potentially life-changing for the VI and disabled community. Strong and flawless mutual authentication is necessary for the telehealth system to secure and preserve the privacy of VI and disabled people. Therefore, this article proposes a privacy-preserving asymmetric-based, lightweight, and robust security framework for the telehealth system operationalized for VI and disabled people. The proposed security framework alleviates all threats to sensitive information and preserves the privacy and security of the whole telehealth system. The security of the proposed framework has been verified through a well-known Real-Or-Random (RoR) model and simulated through a ProVerif software verification toolkit, while the performance analysis has been tackled by measuring computation, storage, and communication costs. The comparative analysis result revealed that the proposed framework outperforms its competitors, further reinforcing the hope about its potential impact.

Clinical genetic counselors' use of people- and identity-first language in regard to patients' identification with disability.

The language surrounding disabilities has evolved from derogatory terms to the adoption of people-first language. However, identity-first language is being advocated for by some within the disability community. Using the preferred terminology is crucial to demonstrate respect and prevent stigmatization, especially in healthcare settings like genetic counseling, where language can impact relationships with the community. However, the specific language practices of genetic counselors and their underlying reasons are unclear. This qualitative study explored the language practices employed by genetic counselors when interacting with individuals with disabilities. Fifteen interviews were conducted with genetic counselors who had clinical experience. Reflexive thematic analysis revealed that the perceptions and practices about language used with patients and disability communities overall varied, with overarching themes of people-first language is the preferred and default language, counselors mirror patient language with some exceptions, acknowledging the evolving nature of language, recognizing differences in language preferences, and reacting to outdated terminology. These findings show the importance of continuing education to stay abreast of preferred verbiage within communities and individual patients.

Anxiety and Depression Symptoms Among Sexual and Gender Minority People by Disability Status: Findings From The PRIDE Study, 2019–2020

Sexual and gender minority (SGM) people have increased anxiety and depressive disorders due, in part, to minority stress compared with cisgender and heterosexual people. Disability is associated with poorer mental health outcomes. With limited existing mental health data from SGM people with disabilities, we compared anxiety and depression symptoms between SGM people with and without disabilities. Participants from The PRIDE (Population Research in Identity and Disparities for Equality) Study were classified into four disability categories based on self-reported disability from 2019 to 2020. Participants completed the Generalized Anxiety Disorder (GAD-7) questionnaire (anxiety) and the Patient Health Questionnaire (PHQ-9; depression). Means were calculated for GAD-7 and PHQ-9 scores by disability type. Logistic regression models examined the associations between scores ≥10 (accepted cutoffs for clinical symptoms) and disability type. For GAD-7, SGM people across all disability types (physical, mental, intellectual, and other) had reported significantly higher scores compared with those without disabilities. SGM people with any disability had increased odds of having GAD-7 scores that were ≥10 compared with those without disabilities. Similar to anxiety scores, SGM people with any disability reported significantly higher PHQ-9 mean scores compared with those without disabilities. Additionally, SGM people with any disability had higher odds of having PHQ-9 scores that were ≥10. Both anxiety and depression scores were significantly higher among SGM people with disabilities, signaling higher levels of anxiety and depression for this specific minority population. Further examinations should explore upstream factors affecting anxiety and depression in the SGM disability community.

Narratives of Personal Health and Sexual Education Experiences of Emerging Adults with Disabilities

AbstractDisabled communities’ sexualities have been historically oppressed. Currently in the U.S., public school curricula do not include inclusive sexual education and students with disabilities are often left out of classrooms that discuss any amount of personal health and sexual education (PHSE). Research on the disabled population is filled with samples of non-disabled individuals imposing their opinions on a population that they do not belong to. The purpose of this study was to capture lived experiences of ways emerging adults with disabilities learned about PHSE. Individuals with varied disabilities were intentionally included to add breadth to the research field. The final sample consisted of eight individuals (75% female, 87% White, mean age of 21.5). After conducting narrative interviews and analyses, four story types were generated: (1) “The Self-Guided Journey”, (2) “Experience is the Best Teacher”, (3) “Personal Health Matters More”, and (4) “Two Ears, One Mouth”. Our findings highlighted the lack of formal support and access to adequate, relevant information about sexuality for disabled communities. Informal sources, like families and media, sometimes served as helpful resources for PHSE and disabilities. Individuals’ disability symptoms and personal characteristics need to be considered when crafting universally applicable personal health and sexuality education.

‛Until you're in the chair and executing your role, you don't know': A qualitative study of the needs and perspectives of people with stroke-related communication disabilities when returning to vocational activity.

People with communication disability after stroke experience low rates of return to vocational roles. Vocational rehabilitation is recommended; however, there are no clear guidelines informing vocational rehabilitation for people with communication disability. Understanding the needs and experiences of this population is critical to improving vocational stroke rehabilitation outcomes. This study aimed to: (1) investigate the experience of vocational rehabilitation for people with communication disability after stroke, (2) identify gaps and, (3) provide preliminary recommendations for tailored service delivery. Seven participants with an identified communication impairment following stroke were recruited from a larger clinical trial of early vocational rehabilitation (20% of total sample, n = 34). To address the study aims, a qualitative design was employed. Semi-structured, in-depth interviews were conducted and analysed using thematic analysis. Data were integrated with demographic and intervention audit data to contextualise participant experiences, identify vocational rehabilitation gaps and inform preliminary recommendations. Participants were five men and two women aged 24-69 years whose communication profiles included difficulties with auditory comprehension and information processing, reading comprehension, thinking, executive function and self-regulation, as well as difficulties with verbal and written expression. Vocational rehabilitation was perceived as beneficial but participants identified gaps including limited access to psychological and peer-based support during early rehabilitation, limitations to accessing specialist vocational rehabilitation programs, barriers to accessing ongoing rehabilitation after resumption of vocational activity, and limited preparedness for the degree of impact that their communication changes had on execution of vocational roles and responsibilities. Vocational environments are communicatively demanding and people living with acquired communication difficulties face a range of vocation-related participation barriers even when communication difficulties are mild. Greater emphasis on evaluating the vocational communication environment and targeted communication training and preparation for colleagues within the workplace is recommended to reduce barriers faced. Interdisciplinary rehabilitation, inclusive of psychological care, may support working-age stroke survivors to recognise and acknowledge changes in their communication function, lead to improved engagement in the rehabilitation process, and ensure early identification of factors likely to influence successful return-to-vocational activity. What is already known on the subject Stroke is common amongst people of working age yet fewer than half of stroke survivors will return to pre-stroke vocational roles. Communication difficulties affect anywhere between 24% and 45% of people after stroke and include changes to language abilities, motor speech, vision, hearing and cognition. This group experiences much lower rates of return to vocational roles when compared to people with stroke who do not have a concomitant communication difficulty. Vocational rehabilitation is recommended. However, currently there is limited evidence to inform vocational rehabilitation guidelines for people with stroke and communication difficulties. Achieving a successful return to vocational activity is associated with improved life satisfaction for people with communication difficulties after stroke and is a key research priority for this population. What this study adds This study investigated the experiences of people with communication difficulty after stroke who reported a goal of returning to pre-stroke vocational activity. Data associated with types of interventions received, the experiences and perceptions of vocational rehabilitation, and experiences of returning to vocational activity were analysed to identify core rehabilitation needs and develop preliminary recommendations to inform future vocational rehabilitation guidelines for this population. What are the clinical implications of this work? The present study provides preliminary evidence that people experiencing communication difficulties after stroke require a more integrated rehabilitation pathway. During early stages of vocational rehabilitation psychological and peer-based support is indicated to support adjustment to changed communication function and to enable productive goal setting and engagement in rehabilitation. Clinicians need to complete a detailed analysis of the vocational communication environment and consider the communication activities involved in the individual's future vocational duties in order to plan meaningful rehabilitation. A multidisciplinary approach is required and additional training for clinicians is indicated to support clinicians to work collaboratively within the vocational setting.

Pain in non-communicative older adults beyond dementia: a narrative review.

Aging is associated with an increased risk of developing pain, especially in the presence of concurrent chronic clinical conditions. Similarly, multimorbidity can affect the perception and ability of older adults to appropriately respond to and communicate pain, and there is a clinical heterogeneity in the processing of painful sensations in different neurological conditions. The present narrative review is aimed at assessing the prevalent diseases associated with poor communication and pain in older adults, together with the available diagnostic instruments for the clinical assessment of pain in such a vulnerable population. Dementia was the most described pathology identified in the current literature associated with poor communication in older adults affected by pain, along with Parkinson's disease and stroke. Notably, a common pattern of pain behaviors in these neurological disorders also emerged, indicating potential similarities in the clinical presentation and appropriate diagnostic workout. At the same time, there are many differences in the way patients express their pain according to their main neurological pathology. In addition to this, although a plethora of observation-based tools for pain in patients with dementia have been developed, there is no gold standard, and the clinical utility of such measurements is still largely unaddressed. Meanwhile, there is substantially no standardized observation-based tool for pain in non-communicative patients with Parkinson's disease, and only a few for stroke. Overall, the present narrative review provides an update on the prevalent diseases beyond dementia associated with a communicative disability and a painful condition in older adults.

Community-based Rehabilitation Support Programmes and Social Inclusion of Persons with Disabilities in Tigania East, Kenya

Community-based rehabilitation programmes (CBR) are considered fundamental in improving the well-being of persons with disabilities by facilitating access to basic services like healthcare, education, housing, and employment and fostering their participation in the community through the transfer of knowledge and skills concerning disability and rehabilitation to people with disabilities, their families and the community at large to enhance social inclusion. However, despite the existence of the Disability Community programmes, it is not clear how community-based rehabilitation support has fostered the social inclusion of persons with disabilities in Kenya. Based on the data from Tigania East, Meru County, Kenya, this paper explores the impact of community-based programmes on the social inclusion of persons with disabilities with a view to influencing policy formulation to foster livelihood and inclusion of the disability in the community agenda.

Developing and evaluating an immersive augmented reality application for children with developmental communication disability: InterPlay for language learning

Purpose This study aimed to examine the views of professionals working with children with developmental communication disability (e.g. associated with developmental disability, autism, developmental language disorder) on the features underlying effective augmented reality (AR) applications for language learning and education; and design, build, and evaluate a prototype AR application (InterPlay) to support language learning for children with developmental communication disability. Method A three-stage design methodology was used to (a) identify opportunities for AR to support children with developmental communication disability; (b) create a prototype application to provide an identified support; and (c) evaluate the features of AR that may afford the best support, using the InterPlay prototype as a foundation for discussion. Result Expert reference focus groups identified support opportunities and key design considerations, informing development of a prototype AR application, InterPlay. Evaluation identified a further four key themes: (a) designing an accessible reality, (b) integrating physical and virtual realities, (c) barriers to access and usability, and (d) contrasting new and existing technology. Conclusion Findings highlighted the need for careful consideration in the design and implementation stages of AR development to ensure AR applications are accessible and beneficial for children with developmental communication disability.

Paws for thought: advocating for the disabled population through service dog education in medical school

Service dogs are essential companions for approximately 500,000 disabled individuals in the United States. They provide daily assistance with a diverse range of impairments by performing trained tasks. Despite the studied benefits of owning a service dog, physicians often lack knowledge and education regarding their utility. This widespread ignorance among healthcare providers has left many disabled individuals unaware of the life-changing support service dogs can provide, exacerbating existing healthcare disparities for the disabled community. Integrating service dog education into medical curricula is crucial to enhancing care for disabled patients. By equipping future physicians with this knowledge, the medical community can better advocate for and support disabled patients, ensuring they receive comprehensive and informed care.

Real-time sign language detection: Empowering the disabled community

Interaction and communication for normal human beings are easier than for a person with disabilities like speaking and hearing who may face communication problems with other people. Sign Language helps reduce this communication gap between a normal and disabled person. The prior solutions proposed using several deep learning techniques, such as Convolutional Neural Networks, Support Vector Machines, and K-Nearest Neighbors, have either demonstrated low accuracy or have not been implemented as real-time working systems. This system addresses both issues effectively. This work extends the difficulties faced while classifying the characters in Indian Sign Language(ISL). It can identify a total of 23 hand poses of the ISL. The system uses a pre-trained VGG16 Convolution Neural Network(CNN) with an attention mechanism. The model's training uses the Adam optimizer and cross-entropy loss function. The results demonstrate the effectiveness of transfer learning for ISL classification, achieving an accuracy of 97.5 % with VGG16 and 99.8 % with VGG16 plus attention mechanism.•Enabling quick and accurate sign language recognition with the help of trained model VGG16 with an attention mechanism.•The system does not require any external gloves or sensors, which helps to eliminate the need for physical sensors while simplifying the process with reduced costs.•Real-time processing makes the system more helpful for people with speaking and hearing disabilities, making it easier for them to communicate with other humans.

Disability Identity Development Scale: A validation study among college students with disabilities.

(a) To investigate the construct validity of the DIDS scores at the item and factor level using item response theory (IRT) and confirmatory factor analysis (CFA); (b) to investigate convergent validity of the DIDS scores with related constructs; and (c) to determine the reliability of each DIDS factor. A convenience sample of 210 undergraduate college students with disabilities enrolled in a west coast 4-year public university participated in this study. Measures included the DIDS, the University Belongingness Questionnaire, and the College Self-Efficacy Inventory. Data were analyzed using the Rasch IRT framework, CFA, Omega reliability, and correlational analyses. IRT and CFA results revealed the data fit a 36-item, four-factor DIDS structure. Three items in the factor measuring adoption of disability community values items were easier, and four items in the factor measuring contribution to the disability community were difficult as compared with other DIDS items. Omega reliability analyses showed strong reliability for each DIDS factor. Correlation analyses found convergent and discriminant validity evidence for the DIDS with correlations with the University Belongingness Questionnaire and College Self-Efficacy Inventory in the hypothesized direction and magnitude. Findings provide evidence for Forber-Pratt and colleagues' theoretically and empirically derived DIDS, advancing the research, measurement, and practical application of disability identity development. Results are aligned with Forber-Pratt's psychosocial model of disability identity theoretical framework. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Disability Mortality Disparity: Risk Of Mortality For Disabled Adults Nearly Twice That For Nondisabled Adults, 2008-19.

After years of advocacy by the disability community and allied organizations, on September 26, 2023, the National Institute on Minority Health and Health Disparities (NIMHD) designated disabled people as a health disparities population in the US. During its deliberations, the NIMHD emphasized that there was not sufficient empirical evidence on health disparities between disabled and nondisabled adults. My study addressed this gap by examining 2008-19 data from the National Health Interview Survey Linked Mortality Files on people ages eighteen and older to identify, categorize, and quantify disparities in mortality risk among disabled and nondisabled adults. The risk of mortality during the study period was 1.9 times higher overall for disabled compared with nondisabled adults. The risk increased with the number of reported disabilities and varied by disability category. These findings underscore the need to improve access to high-quality, evidence-based health care among disabled people. To gain a full understanding of the scope of disparity and the interventions needed to mitigate it, it is critical to develop more equitable and inclusive measures of disability and ableism for use in population health surveys.