Evidence map›Paper›PMID 42226840›Full record

ArticleFuture (Basel, Switzerland)2026

Barriers to Health Equity and Contributors to Health Disparities Among Individuals with Intellectual and Developmental Disabilities: A Narrative Review.

Ebele Okoye, Jerome Bronson, Mary Shaw, Robyn Breland, Angela Omondi

Abstract read
In one paragraph

Article in Future (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ebele OkoyeDepartment of Epidemiology & Biostatistics, College of Health Sciences, Jackson State University, Jackson, MS 39213, USA.
Jerome BronsonDepartment of Health Policy & Management, College of Health Sciences, Jackson State University, Jackson, MS 39213, USA.
Mary ShawMississippi Delta Center of Excellence in Maternal Health, Jackson, MS 39213, USA.
Robyn BrelandSpecial Olympics Mississippi, Jackson, MS 39216, USA.
Angela OmondiMississippi Delta Center of Excellence in Maternal Health, Jackson, MS 39213, USA.

Funding

Training ProgramU54HD113238 · NICHD · JACKSON STATE UNIVERSITY · PI Dr Beryl POLK, Mary D Shaw · 2023 to 2026
$12.5M
NICHD NIH HHS U54 HD113238
6 · The paper itself

Abstract

Background: Individuals with intellectual and developmental disabilities (IDD) experience persistent health disparities that result in poorer health outcomes, reduced quality of life, and inequitable access to healthcare. Objective: This narrative review synthesized existing literature to identify key barriers to health equity and contributors to health disparities among individuals with IDD. Method: This study was a narrative (non-systematic) review that adopted a qualitative synthesis approach. A literature review was conducted across PubMed, CINAHL, PsycINFO, Medline, and Google Scholar to identify peer-reviewed articles published between 2010 and 2025 that address health disparities, health inequities, healthcare barriers, and social determinants of health among individuals with IDD. Thematic analysis was employed to synthesize the included studies and identify recurring patterns and themes. Results: A total of 88 articles were included. Two overarching domains shaping health disparities were identified: barriers to health equity and contributing factors. Seven barrier categories emerged: attitudinal, communication, policy, programmatic, social, physical, and transportation. Five key contributors were also identified: limited access to healthcare, comorbid conditions, low health literacy, adverse social determinants of health, and caregiver burden. Conclusions: Health disparities among individuals with IDD are driven by intersecting social, structural, and healthcare system barriers rather than individual limitations alone. This review informs policymakers, public health professionals, and interventionists on how to advance health equity for individuals with IDD through targeted, person-centered interventions.

Indexed as

access to healthcaredevelopmental disabilitieshealthcare barriershealth disparitieshealth inequitiesintellectual disabilitiesstructural barriers

Identifiers

PMID42226840
PMCPMC13219967

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.