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Articles by Hannah Kuper
Individuals with cerebral palsy and health access: Met or unmet need?
COMMENTARY Individuals with cerebral palsy and health access: Met or unmet need? First published: 21 January 2026 view metrics No abstract is available for this article. DATA AVAILABILITY STATEMENT Not required. REFERENCES 1Ryan JM, Albairami F, Hamilton T, Cope N, Amirmudin NA, Manikandan M, et al. Prevalence and incidence of chronic conditions among adults with cerebral palsy: A systematic review and meta-analysis. Dev Med Child Neurol. 2023; 65: 1174–89.
Views on the upcoming Lancet Commission on disability and health - Authors' reply
Chairing a Lancet Commission is a daunting challenge.1 Our task is particularly great as we are leading the first Commission focused on disability, and it should encompass the experience of 1·3 billion people with disabilities globally.2 We will need to present the overall health inequalities experienced by people with disabilities, the solutions required to reduce those gaps, the economic case for addressing this inequity, and consider why the topic is not yet a global priority.
The Risk of Dementia Following Hearing Disorder Onset: A National Cohort Study
Keywords Dementia hearing reverse causality epidemiology risk Get full text access Log in, subscribe or purchase for full access. References 1. Alzheimer's Association Report 2023 Alzheimer's disease facts and figures Alzheimers Dement. 2023; 19:1598-1695 2. Risk reduction of cognitive decline and dementia: WHO guidelines.World Health Organization, 2019 3.
Children with disabilities are missing from global efforts to address violence
Get full text access Log in, subscribe or purchase for full access. References 1. WHO, UNICEF Pledge platform. World Health Organization, United Nations Children's Fund 2. UNICEF Seen, counted, included: using data to shed light on the well-being of children with disabilities United Nations Children's Fund, 2021 3. Fang, Z ∙ Cerna-Turoff, I ∙ Zhang, C ∙ et al. Global estimates of violence against children with disabilities: an updated systematic review and meta-analysis Lancet Child Adolesc Health.
Disability is the quiet emergency at the heart of the global health agenda
Imagine a healthcare system that routinely overlooks one in six people. This is not a hypothetical question – it is a global reality. More than one billion people live with disabilities worldwide. Yet, in nearly every country, health systems fall short when it comes to meeting their needs. Clinics aren’t built for wheelchair access. Staff aren’t trained for inclusion. Health information isn’t shared in accessible formats, such as braille or large print.
Announcing The Lancet Commission on Disability and Health: Creating disability-inclusive health systems that leave no one behind
References 1. WHO Global report on health equity for persons with disabilities World Health Organization, 2022 2. Kuper, H ∙ Rotenberg, S ∙ Azizatunnisa', L ∙ et al. The association between disability and mortality: a mixed-methods study Lancet Public Health. 2024; 9:e306-e315 3. Kuper, H ∙ Azizatunnisa', L ∙ Gatta, DR ∙ et al. Building disability-inclusive health systems Lancet Public Health. 2024; 9:e316-e325 4.
Building leadership in disability inclusion in health
FREE with registration! Log in or register to access the full article. References 1. WHO World Report on Disability World Health Organization, Geneva, 2011 2. WHO Global report on health equity for persons with disabilities World Health Organization, Geneva, 2022 3. Kuper, H ∙ Rotenberg, S ∙ Azizatunnisa', L ∙ et al. The association between disability and mortality: a mixed-methods study Lancet Public Health. 2024; 9:e306-e315 4. Heslop, P ∙ Blair, PS ∙ Fleming, P ∙ et al.
Building leadership in disability inclusion in health
FREE with registration! Log in or register to access the full article. References 1. WHO World Report on Disability World Health Organization, Geneva, 2011 2. WHO Global report on health equity for persons with disabilities World Health Organization, Geneva, 2022 3. Kuper, H ∙ Rotenberg, S ∙ Azizatunnisa', L ∙ et al. The association between disability and mortality: a mixed-methods study Lancet Public Health. 2024; 9:e306-e315 4. Heslop, P ∙ Blair, PS ∙ Fleming, P ∙ et al.
The process of developing and piloting a tool in the Maldives and Zimbabwe for assessing disability inclusion in health systems performance
The authors have declared no competing interest. This research was supported by grants from: 3ie, UKRI, MRC, Hartwell Foundation. Hannah Kuper and Tracey Smythe receive salary support through an NIHR Global Research Professorship. I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.
Cervical screening for women with disabilities
Back to Journals » International Journal of Women's Health » Volume 16 Authors Kuper H, Andiwijaya FR, Rotenberg S, Yip JL Received 13 December 2023 Accepted for publication 20 March 2024 Published 18 April 2024 Volume 2024:16 Pages 679—692 DOI https://doi.org/10.2147/IJWH.S428144 Checked for plagiarism Yes Review by Single anonymous peer review Peer reviewer comments 2 Editor who approved publication: Professor Elie Al-Chaer Hannah Kuper,1 Fahrin Ramadan Andiwijaya,2 Sara Rotenberg,1...
IJERPH | Free Full-Text | Healthcare Stakeholders’ Perspectives on Challenges in the Provision of Quality Primary Healthcare for People with Disabilities in Three Regions of Guatemala: A Qualitative Study
1. Introduction Universal Health Coverage (UHC) is one of the targets of Goal 3, Health, of the Sustainable Development Goals (SDGs) set in 2015 by United Nations member states to be met by 2030 [1]. The achievement of this goal necessitates the provision of quality and accessible care that is equitably distributed and would not financially jeopardize the user’s livelihood due to out-of-pocket costs [1].
Is it feasible to implement a community-based participatory group programme to address issues of access to healthcare for people with disabilities in Luuka district Uganda? A study protocol for a mixed-methods pilot study
Methods and analysis A mixed-methods pilot study will be undertaken in 2023 to assess the feasibility of the PLA-D groups and inform the future development of a cluster RCT.
Why are people with intellectual disabilities clinically vulnerable to COVID-19?
1 Cuypers M Koks-Leensen MCJ Schalk BWM Bakker-van Gijssel EJ Leusink GL Naaldenberg J All-cause and cause-specific mortality among people with and without intellectual disabilities during the COVID-19 pandemic in the Netherlands: a population-based cohort study. to highlight and address health risks. Evidence showing that people with intellectual disabilities were more likely to die from COVID-19 allowed them to be prioritised for vaccination in many countries, including in the UK.
Association between hearing aid use and all-cause and cause-specific dementia: an analysis of the UK Biobank cohort
Research in context Evidence before this study We searched PubMed and Web of Science from database inception up to Sept 1, 2022, using the terms “hearing aid(s)”, “hearing intervention”, “dementia”, “Alzheimer's disease”, “AD”, “vascular dementia”, “VD”, “non-AD and VD”, and “NAVD”, with no language restrictions. We screened papers by title and abstract to identify relevant full-text reports. We also screened citation lists from these full-text reports to identify other relevant research.
Sexual behaviours and sexual health among middle-aged and older adults in Britain
Latent class analysis (LCA) LCAs of sexual health-related variables explored several models that ranged from two to five latent classes with model fit statistics shown in online supplemental table III. We determined that the four-class model provided the optimal fit for both men and women. View this table: The results in tables 2 and 3 show the conditional probabilities of reporting a behaviour given membership in a certain class for both men and women, respectively.
A focus on disability is necessary to achieve HIV epidemic control
1. UNAIDS Disability and HIV. 2. WHO World Report on Disability. 3. Banks LM Zuurmond M Ferrand R Kuper H The relationship between HIV and prevalence of disabilities in sub-Saharan Africa: systematic review (FA). Trop Med Int Health. 2015; 20: 411-429 4. De Beaudrap P Beninguisse G Pasquier E et al. Prevalence of HIV infection among people with disabilities: a population-based observational study in Yaounde, Cameroon (HandiVIH). Lancet HIV. 2017; 4: e161-e168 5.
‘But until you live through it, I think it is hard to put into words’
Hannah Kuper April 16, 2021 Editor’s note: This column was submitted to the Texan by a member of the UT community. My entrance into the athletic world of UT was different than most. I was approached on move-in day my freshman year and was told that I should try out to walk-on to the rowing team. I had never rowed in my life and knew little to nothing about the sport, but I thought it a great way to meet new people.
Low numbers of disabled doctors mean potential loss of insightful care for everyone
Hannah Kuper professor, Tom Shakespeare professor, Carmen Soto paediatrician, Sara Booth associate lecturer Kuper H, Shakespeare T, Soto C, Booth S. Low numbers of disabled doctors mean potential loss of insightful care for everyone BMJ 2021; 373 :n948 doi:10.1136/bmj.n948
Re: Disabled doctors are not getting the workplace adjustments they need, research finds
Dear Editor The BMA report “Disability in the medical profession – survey findings 2020” does indeed highlight that disabled doctors are not getting the workplace adjustments that they need. However, it also uncovers broader exclusion and discrimination in the medical professions in the UK.
How to conduct good quality research on violence against children with disabilities: key ethical, measurement, and research principles
An estimated one billion children, half of all the world’s children, experience violence every year [1, 2]. This violence can take a number of forms including neglect; physical, emotional or sexual abuse [3]; economic violence; and physical and sexual exploitation. Violence against children is a global public health concern and a violation of children’s rights [4]. Violence in childhood is also a known risk factor for serious negative health and social outcomes.
Depression and anxiety in parents of children with intellectual and developmental disabilities: A systematic review and meta-analysis
Loading metrics Open Access Peer-reviewed Research Article Nathaniel Scherer , Ibone Verhey, Hannah Kuper Nathaniel Scherer, Ibone Verhey, Hannah Kuper Published: July 30, 2019 https://doi.org/10.1371/journal.pone.0219888 Figures Abstract Introduction Although caring for a child with intellectual and developmental disabilities (IDD) can have positive outcomes, parents may be at a greater risk of depression and anxiety, due to a number of associated stressors, such as increased caregiver...
The Missing Billion – Why providing healthcare for people with disabilities is not a luxury | LSHTM
By: Professor Hannah Kuper, co-author of The Missing Billion report Professor Hannah Kuper, co-author of The Missing Billion report London School of Hygiene & Tropical Medicine https://lshtm.ac.uk/themes/custom/lshtm/images/lshtm-logo-black.png Wednesday 10 July 2019 An argument I often hear when I talk about including people with disabilities in health services goes something like this - “Yes, that would be good/nice/worthwhile, but it is too expensive/impractical/unrealistic”.
Mortality during 6 years of follow-up in relation to visual impairment and eye disease: results from a population-based cohort study of people aged 50 years and above in Nakuru, Kenya
Mortality during 6 years of follow-up in relation to visual impairment and eye disease: results from a population-based cohort study of people aged 50 years and above in Nakuru, Kenya Hannah Kuper1,2, Wanjiku Mathenge3, David Macleod4, Allen Foster1,2, Michael Gichangi5, Hillary Rono1,6, Kevin Wing7, Helen Anne Weiss4, Andrew Bastawrous1, Matthew Burton1 1 International Centre for Eye Health, Clinical Research Department, London School of Hygiene and Tropical Medicine, London, UK 2...
Can we achieve universal health coverage without a focus on disability? Results from a national case-control study in Guatemala
Loading metrics Open Access Peer-reviewed Research Article Hannah Kuper , Islay Mactaggart, Carlos Dionicio, Rafael Cañas, Jonathan Naber, Sarah Polack Hannah Kuper, Islay Mactaggart, Carlos Dionicio, Rafael Cañas, Jonathan Naber, Sarah Polack Published: December 27, 2018 https://doi.org/10.1371/journal.pone.0209774 Figures Abstract Objective To compare access to healthcare services for people with disabilities to those without disabilities, within a national case-control study in Guatemala.
Correction: Poverty and disability in low- and middle-income countries: A systematic review
There are errors in Table 2. Some of the values in the section “Income group” are incorrect. Please see the corrected Table 2 here. There are errors in Table 3. In the section “Income group,” the corresponding Null value for “Low” should be 36% and the corresponding Negative value for “Low” should be 4%. Please see the corrected Table 3 here. Citation: Banks LM, Kuper H, Polack S (2018) Correction: Poverty and disability in low- and middle-income countries: A systematic review.
Zika epidemic is over but for affected families the journey is just beginning
Two years ago, I was in an intensive care unit in Brazil, where I met a mother and her newborn baby. The baby had Zika virus-related microcephaly, in other words, an abnormally small head. The mother was young and frightened. The baby was tiny, with a shrunken-looking head and a disproportionally large face. The father was anxious, with blood-shot eyes, and wondering aloud why this had happened and what the future would hold for them. Six months later I met the family again.
Protocol for a randomised controlled trial to evaluate the effectiveness of the ‘Care for Stroke’ intervention in India: a smartphone-enabled, carer-supported, educational intervention for management of disabilities following stroke
Globally around 15 million people suffer from stroke each year and a quarter of them experience permanent disability.1 Much of this burden is borne by low-income and middle-income countries (LMICs).2 The increase in prevalence of stroke3 and consequently of stroke-related disability may cause an overwhelming demand for rehabilitation services worldwide.3 This situation is especially of concern for LMICs like India where the resources for rehabilitation are often limited.3 Stroke is one of the...
Zika has created a 'lost generation'
I recently sat with a mother and her baby in an intensive care unit in Rio de Janeiro, Brazil. The baby was tiny, with lots of dark hair and a beautiful name. He also had microcephaly – and the doctor euphemistically said that his face was disproportionate to his head. To my untrained eye, his face looked distorted, and I found it extremely upsetting to look at him. His mother was obviously very anxious, and wondering how she was going to cope when they finally went home.
West Africa: Focus On Disability - the Next Hurdle for Ebola Survivors
Ebola continues to dominate the headlines, with reports of a resurgence last week in Guinea and Sierra Leone. Since the start of the West Africa epidemic, more than 24,000 people have been infected with the virus, and approximately half have survived. As the epidemic eventually subsides, attention will turn to the survivors and what the long-term implications are for them. The immediate aftermath is grim.
Focus on Disability: Support for the elderly is missing
Although children remain the most common age group in developing countries, population ageing is now happening even in the poorest areas of the world, including Sub-Saharan Africa, according to a new report. [1] It estimates that, by 2050, there will be as many people over 60 as there are children under 15. Reporting the news, the BBC asked whether growing old in developing nations is always a positive experience. [2] Population ageing will profoundly affect economies and health needs.
The association between disability and mortality: a mixed-methods study
Research in context Evidence before this study We searched PubMed from database inception to March 11, 2024, without language restrictions, for systematic reviews about the risk of mortality among people with disabilities. We used the following combination of keywords: (“disability”, “disabilities” or “disabled”), as a title word, AND (“mortality” OR “death” OR “life expectancy”).
The association between disability and all-cause mortality in low-income and middle-income countries: a systematic review and meta-analysis
Summary There are 1·3 billion people with disabilities globally. On average, they have poorer health than their non-disabled peers, but the extent of increased risk of premature mortality is unknown. We aimed to systematically review the association between disability and mortality in low-income and middle-income countries (LMICs). We searched MEDLINE, Global Health, PsycINFO, and EMBASE from Jan 1, 1990 to Nov 14, 2022.
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