A lack of complete and consistent data on the relationship between disability and health makes it difficult to obtain accurate estimates of disability prevalence, assess needs, and measure disparities.

In the October 2022 issue of Health Affairs, Willyanne DeCormier Plosky and coauthors study eligibility criteria for clinical trials and discover exclusions for many categories of disability.

Their review of protocol eligibility criteria supports concerns that people with disabilities are excluded from clinical research.

The highest frequencies of exclusion are in the categories of "other chronic" (93 percent), psychiatric (68 percent), substance use (62 percent), HIV or hepatitis (53 percent), and cognitive/intellectual (42 percent) disabilities.

The authors suggest a number of ways to improve representation of people with disabilities in clinical trials.

Today on Forefront, Kelly Dineen Gillespie and coauthors discuss a recent US Supreme Court holding that delivers much-needed certainty to controlled-substances prescribing.

Elevating Voices - National American Indian and Alaska Native Heritage Month: During November, we're highlighting indigenous voices and research on native populations.

In the February 2022 Racism and Health issue, Teshia G. Arambula Solomon and coauthors describe how policy makers can reduce the effect of systemic racism on the health of American Indians and Alaska Natives—for instance, by lifting constraints on federal funding and allowing payment to traditional healers for their health services.

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About Health Affairs

Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.

Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.

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