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Social Risks Among Adults With Communication Disabilities: Findings From the National Health Interview Survey
Jennifer Y Oshita1, Megan A Morris1, Benjamin Littenberg2
1Department of Rehabilitation Medicine, NYU Grossman School of Medicine, New York, NY.
Archives of Physical Medicine and Rehabilitation
|March 12, 2026
Summary
Adults with communication disabilities (CDs) face higher rates of social risks like food insecurity and transportation issues. These findings highlight the need for integrated social risk assessments in healthcare for equitable outcomes.
Area of Science:
- Public Health
- Health Services Research
- Social Determinants of Health
Background:
- Health-related social risks significantly impact health outcomes.
- Communication disabilities (CDs) affect a substantial portion of the adult population.
- Understanding the intersection of CDs and social risks is crucial for health equity.
Purpose of the Study:
- To compare the prevalence of health-related social risks among US adults with and without communication disabilities.
- To identify specific social risks disproportionately affecting individuals with hearing, speaking, or understanding difficulties.
Main Methods:
- Cross-sectional study utilizing pooled data from the 2020-2023 National Health Interview Survey (NHIS).
- Analysis of a nationally representative sample of 118,158 community-dwelling US adults.
- Multivariate logistic regressions adjusted for demographic and socioeconomic factors to assess social risks (food insecurity, housing instability, transportation, medical cost barriers).
Main Results:
- 18.1% of adults reported having a communication disability (CD).
- Adults with CDs experienced social risks at higher rates (33.2%) compared to those without CDs (24.3%).
- Adjusted analyses revealed significantly higher rates of all examined social risks for adults with any CDs.
Conclusions:
- One in three adults with CDs encounter social risks, including food insecurity, housing instability, transportation barriers, and financial difficulties accessing care.
- Structural barriers associated with CDs may exacerbate social vulnerability.
- Rehabilitation providers should integrate social risk assessments into treatment planning to promote equitable health outcomes for individuals with CDs.
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