2020 New Hampshire Disability & Public Health Report

Better Health Care Access Needed for NH Adults with Disabilities

 

Disability Prevalence

 In New Hampshire (NH), nearly 1 in 4 adults ages 18 and older have a disability.icons highlighting 1 in 4 people

  Of these adults with disabilities, 2 in 5 have multiple disabilities.icons highlighting 2 in 5 people

    Disability types include:mobility, cognitive, vision, hearing, and multiple

 

NH adults with disabilities have more difficulty accessing health care than adults without disabilities. Access is most difficult for adults with multiple disabilities.

           43% of adults with multiple disabilities delay care due to no transportation, compared to 33% of adults with one disability and 7% of adults with no disability.22% of adults with multiple disabilities delay care due to cost, compared to 17% of adults with one disability and 8% of adults with no disability.

            A quote from Michelle, a NH resident with a disability: "We have to be on time for the bus companies. We also have to be on time for our appointments, but the doctors can run behind all the time."

           35% of adults with multiple disabilities have unpaid medical bills, compared to 25% of adults with one disability and 19% of adults with no disability.23% of adults with multiple disabilities can't fill prescriptions due to cost, compared to 10% of adults with one disability and 5% of adults with no disability.

 

Factors related to health equity

Quote from Katie, a NH resident with a disability: "When I needed to get my insurance through the marketplace...it was very complicated to prove I qualified for the discount or the sliding scale. I did that for 2 years, but I am now insured by my employer and it is a lot easier."Access to health care is important for adults with multiple disabilities because they experience many health disparities compared to adults without disabilities. NH adults with disabilities are...

3 times less likely to get their primary medical insurance through an employer  3.5 times less likely to be employed for wages or to be self-employed10 times more likely to have an annual household income less than $15,000

 

In addition to these social factors, NH adults with multiple disabilities are...

15 times more likely to report their health as fair or poor2.5 times more likely to be a current smoker1.5 times less likely to have exercised in the past 30 days

Strategies to Improve Health Care Access for all NH Adults with Disabilities: partner with disability organization to develop inclusive healthcare policies and procedures. Be flexible with scheduling, rescheduling, and late arrivals to help with transportation barriers. Offer an income-based sliding fee schedule. Stay up-to-date on the most affordable medication options to prescribe when needed. Contact the NH Disability & Public Health Project (DPH) with questions or for technical assistance.     A quote from Mary, an adult with a disability: "It's essential that people with disabilities be involved in the creation of policies and have an equal standing in those committees." Quote and image retrieved from https://dredf.org/healthcare-stories/

 

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Data source: 2018 New Hampshire Behavioral Risk Factor Surveillance System

​This content is solely the responsibility of the NH Disability & Public Health Project and does not necessarily                                       represent the views of the CDC or US DHHS.