Outcomes of assistive technology use by sex and gender; a scoping review

This paper synthesises evidence on the influence of sex and gender on assistive technology (AT) outcomes, recognising AT as a tool for enabling participatory rights.

Employing a narrative synthesis informed by the socio-ecological model, we undertook a scoping review of sixty-six papers, identifying twenty-two with significant sex or gender associations.

Findings revealed that gender bias in AT design correlated with diminished individual-level outcomes for women. Ableist stereotypes, exemplified by the neglect of disabled mothers' needs, were evident. Furthermore, inaccessible built environments amplified gendered ableism. To mitigate design bias, a greater emphasis on physiological sex differences and their impact on AT use is crucial. Attending to sex and gender dynamics in AT design and provision is essential for maximising benefits across genders. Future research and synthesis should incorporate other health determinants to provide a more comprehensive understanding of AT outcomes. Ultimately, addressing these factors is vital for equitable AT access and utilisation.