Reports on Disability and Accessibility in Canada
A profile of 2SLGBTQ+ persons with disabilities, 2022

by Tasha Rabinowitz

Release date: July 8, 2024
Highlights
  • Reflecting the younger age structure of the 2SLGBTQ+ population overall, 2SLGBTQ+ persons with disabilities are younger on average than their non-2SLGBTQ+ counterparts
  • Mental health-related and learning disabilities are the most prevalent disability types among 2SLGBTQ+ persons with disabilities
  • Over three-quarters of 2SLGBTQ+ persons with disabilities experience 1 or more barriers to accessibility
  • 2SLGBTQ+ persons with disabilities aged 15 to 24 years have more co-occurring disabilities and more severe disabilities than non-2SLGBTQ+ persons with disabilities
  • 2SLGBTQ+ persons with disabilities aged 25 to 64 years are more likely to hold a bachelor’s degree or higher compared with non-2SLGBTQ+ persons with disabilities

Introduction

In 2022, nearly 8.0 million Canadians aged 15 years and over had one or more disabilities according to the Canadian Survey on Disability (Textbox 1). Among them, approximately 8.7%, or 694,090 individuals reported being a 2SLGBTQ+ person, representing 2.3% of the Canadian population aged 15 years and over. Previous research shows that sexually and gender diverse populations have different outcomes than non-2SLGBTQ+ people in matters related to healthNote 1Note 2, employment and incomeNote 3Note 4Note 5, housing securityNote 6, food securityNote 7 and educational outcomes.Note 3 At the same time, persons with disabilities have unique employment, labour force, and educational outcomes compared to those without disabilities.Note 8  For the first time, the Canadian Survey of Disability is able to produce data for 2SLGBTQ+ persons with disabilities. Research on a range of disability characteristics, and on the full 2SLGBTQ+ population will provide insight into the lived experiences of these populations.

Canadian Survey on Disability

The Canadian Survey on Disability (CSD) is the official source of data on persons with disabilities aged 15 years and over in Canada. In 2022, the CSD reflected the changes made to the 2021 Census by asking respondents both their gender (male, female or please specify) and sex at birth. The 2022 CSD also asked respondents their sexual orientation for the first time (heterosexual, lesbian or gay, bisexual or please specify). Together, the gender, sex at birth and sexual orientation questions allow for the analysis of data on 2SLGBTQ+ persons with disabilities aged 15 years and over in Canada. Results from the 2022 CSD show that 27.0% of the Canadian population 15 years and over, or 8.0 million people, have a disability.

2SLGBTQ+ persons with disabilities are younger on average than their non-2SLGBTQ+ counterparts

In 2022, there were nearly 700,000 2SLGBTQ+ persons with disabilities aged 15 years and over, according to the 2022 CSD. Among persons with disabilities, the median age of 2SLGBTQ+ individuals was substantially younger (29 years) than their non-2SLGBTQ+ counterparts (56 years). Almost two thirds (63.4%) of persons with disabilities who reported being a 2SLGBTQ+ person were between the ages of 15 and 34, compared with 17.8% of the non-2SLGBTQ+ population (Chart 1). This finding of those who report being 2SLGBTQ+ are younger than those who report being cisgender and heterosexual, or non-2SLGBTQ+, is consistent with previous research.Note 1Note 9Note 10 It is important to note that these data do not necessarily mean that younger people are more likely to be 2SLGBTQ+. Older 2SLGBTQ+ people may be less likely to report their identity in surveys because of their lived experience in a social context less accepting of sexual and gender diversity compared to now.

Chart 1

Data table for Chart 1 
Data table for Chart 1
Table summary
This table displays the results of Data table for Chart 1. The information is grouped by Age group (appearing as row headers), 2SLGBTQ+, non-2SLGBTQ+ (ref.), percent and 95% confidence interval, calculated using lower and upper units of measure (appearing as column headers).
Age group 2SLGBTQ+ non-2SLGBTQ+ (ref.)
percent 95% confidence interval percent 95% confidence interval
lower upper lower upper
15 to 24 years (ref.) 33.5 30.8 36.4 7.1 6.7 7.5
25 to 34 years 29.9Data table for Chart 1 Note  26.9 33.2 10.7Note * 10.1 11.3
35 to 44 years 14.1Note * 11.9 16.7 13.7Note * 13.1 14.3
45 to 54 years 7.4 5.7 9.7 16.1Note * 15.4 16.8
55 to 64 years 9.9 7.7 12.8 21.4Note * 20.7 22.2
65 years and over 5.0 3.8 6.7 31.1Note * 30.3 31.9
Note on age-related analysis

Younger persons with disabilities are more likely to report being 2SLGBTQ+ than older persons with disabilities meaning that, for the purposes of analysis, the 2SLGBTQ+ population with disabilities is younger than the non-2SLGBTQ+ population with disabilities. Furthermore, disability characteristics such as disability type and severity vary with age. In order to facilitate comparisons between 2SLGBTQ+ persons with disabilities and non-2SLGBTQ+ persons with disabilities, age groupings are used to explore many of the characteristics in this report. In order to reduce the influence of age on the analysis, the following age groups are used, 15 to 24 years, 25 to 34 years and 35 to 64 years. In this way, the influence of age is reduced when comparisons are made between groups. The only exception to this age group breakdown is related to the analysis by educational attainment and employment status, as these concepts are typically examined by the population aged 25 to 64 years. Given the relatively small number of those aged 65 years and over within the 2SLGBTQ+ population, this age group was not examined in the age analysis but it is important to note that the overall analysis of the 2SLGBTQ+ population includes the total population aged 15 years and over. 

Disabilities related to mental health, pain and learning are the most common disability types among 2SLGBTQ+ persons with disabilities

Among 2SLGBTQ+ persons with disabilities aged 15 years and over, seven in ten persons (69.9%) had a mental health-related disability, making it the most common disability type (Table 1). 2SLGBTQ+ populations experience higher rates of harassment, violent victimization and unwanted sexual behavioursNote 11Note 12Note 13 than their cisgender, heterosexual counterparts (i.e., non-2SLGBTQ+ persons). Minority stress, that is, chronic stress related to social stigma, discrimination and the internalization of negative societal attitudes, is a common explanation for poorer mental health outcomes among the 2SLGBTQ+ population.1 Pain-related (48.9%) and learning (36.8%) disabilities were the next most common among 2SLGBTQ+ persons with disabilities. One quarter of 2SLGBTQ+ persons with disabilities had a seeing disability (26.3%), while one in five 2SLGBTQ+ persons with disabilities had a flexibility (21.4%), memory (20.8%) or mobility disability (20.5%).



Table 1
Type of disability for 2SLGBTQ+ persons with disabilities, aged 15 years and over, 2022
Table summary
This table displays the results of Type of disability for 2SLGBTQ+ persons with disabilities. The information is grouped by Disability type (appearing as row headers), percent and 95% confidence interval, calculated using lower and upper units of measure (appearing as column headers).
Disability type percent 95% confidence interval
lower upper
Total population with disabilities 100.0 100.0 100.0
Mental health-related 69.9 66.4 73.1
Pain-related 48.9 45.3 52.5
Learning 36.8 33.8 40.0
Seeing 26.3 23.2 29.5
Flexibility 21.4 18.6 24.4
Memory 20.8 18.3 23.6
Mobility 20.5 17.8 23.4
Hearing 14.7 12.4 17.3
Dexterity 9.7 7.7 12.1
Developmental 9.2 7.7 11.0
Unknown disability type 1.7 0.9 3.1

Mental health-related disability continued to be the most common type of disability among 2SLGBTQ+ persons with a disability across all age groups.  The proportion of 2SLGBTQ+ persons with a mental health-related disability ranged from 84.1% among those aged 15 to 24 years, to 72.2% among those aged 25 to 34 years and then to 59.3% for those aged 35 to 64 years.

Some key differences emerged when looking at the prevalence of certain disability types by age among 2SLGBTQ+ and non-2SLGBTQ+ persons with disabilities. 2SLGBTQ+ persons with disabilities aged 15 to 24 years were more likely to have a mental-health related (84.1%) or learning (47.8%) disability than their non-2SLGBTQ+ peers (61.1% and 38.2%, respectively).Note 14 Similarly, among those aged 25 to 34 years, 2SLGBTQ+ persons with disabilities were more likely to have a mental health-related disability (72.2%) compared with their non-2SLGBTQ+ counterparts (57.2%).

Among those aged 35 to 64 years, the 2SLGBTQ+ population were less likely to have pain-related, flexibility or mobility disabilities than the non-2SLGBTQ+ population. However, these findings may be a result of the differences in the age structure of these populations, given the increased prevalence of disability among older adults. Given the relatively small number of 2SLGBTQ+ persons aged 35 to 64 years, the opportunity for more detailed analysis for disability types within this age group is limited.

Younger 2SLGBTQ+ persons with disabilities are more likely to have co-occurring disabilities than their non-2SLGBTQ+ counterparts

Looking further into disability characteristics, 28.8% of 2SLGBTQ+ persons with disabilities aged 15 years and over had one type of disability, 41.8% had two or three disability types and 29.4% had four or more disability types. In addition, four in ten (37.8%) 2SLGBTQ+ persons with disabilities had a ‘more severe’ disability while 6 in 10 (62.2%) had a ‘milder’ disability.Note 15  

Overall, 2SLGBTQ+ and non-2SLGBTQ+ persons with disabilities had similar profiles in terms of the number of types of disability (Table 2). However, 2SLGBTQ+ persons with disabilities aged 15 to 24 years were more likely than non-2SLGBTQ+ persons with disabilities to have two or more disability types. In addition, among those aged 15 to 24 years of age, 2SLGBTQ+ persons with disabilities were more likely to have a more severe disability compared to their non-2SLGBTQ+ counterparts. No differences in disability severity among those aged 25 to 34 years and 35 to 64 years were found between the 2SLGBTQ+ and non-2SLGBTQ+ populations.


Table 2
Number of disability types, 2SLGBTQ+ and non-2SLGBTQ+ persons with disabilities, by age group, aged 15 to 64 years, 2022
Table summary
This table displays the results of Number of disability types. The information is grouped by Age group (appearing as row headers), Number of disability types, 2SLGBTQ+, non-2SLGBTQ+ (ref.), percent and 95% confidence interval, calculated using lower and upper units of measure (appearing as column headers).
Age group Number of disability types 2SLGBTQ+ non-2SLGBTQ+ (ref.)
percent 95% confidence interval percent 95% confidence interval
lower upper lower upper
15 to 24 years 1 disability type 26.6Note * 22.7 30.9 44.4 40.8 48.0
2 to 3 disability types 49.1Note * 44.5 53.6 41.5 38.0 45.1
4 or more disability types 24.3Note * 21.0 28.1 14.2 11.9 16.8
25 to 34 years 1 disability type 32.1 25.9 39.1 42.6 38.9 46.5
2 to 3 disability types 43.2Note * 36.5 50.1 38.0 34.3 41.8
4 or more disability types 24.7 19.1 31.3 19.4 16.3 22.8
35 to 64 years 1 disability type 30.0 23.9 36.9 30.7 28.9 32.5
2 to 3 disability types 33.4 27.1 40.3 36.2 34.4 38.1
4 or more disability types 36.6 30.2 43.5 33.1 31.3 34.9

Over three-quarters of 2SLGBTQ+ persons with disabilities face barriers to accessibility

The 2022 CSD collected information on barriers to accessibility in support of the Accessible Canada Act (ACA). Respondents were asked whether they experienced barriers to accessibility that might limit their access to different areas and activities in their daily life due to their condition in the previous 12 months.Note 16 In 2022, 78.5% of of 2SLGBTQ+ persons with disabilities aged 15 years and over reported that they experienced one or more of 27 types of barriers to accessibility because of their condition in the past year. Compared with non-2SLGBTQ+ persons with disabilities, the proportion experiencing a barrier overall was higher among both those aged 15 to 24 years and 25 to 34 years among the 2SLGBTQ+ population.

Among 2SLGBTQ+ persons with disabilities aged 15 years and over, barriers to communicationNote 17 were most commonly experienced (61.0%; Chart 2), followed by barriers related to the behaviours, misconceptions or assumptions of othersNote 18 (57.6%), barriers related to public spaces, such as entrances or exits and sidewalksNote 19 (55.5%), and barriers related to activities while using the InternetNote 20 (19.7%).

Chart 2

Data table for Chart 2 
Data table for Chart 2
Table summary
This table displays the results of Data table for Chart 2. The information is grouped by Type of barrier to accessibility - grouped (appearing as row headers), percent and 95% confidence interval, calculated using lower and upper units of measure (appearing as column headers).
Type of barrier to accessibility - grouped percent 95% confidence interval
lower upper
Barrier to accessibility - Public spaces 55.5 52.0 59.0
Barrier to accessibility - Behaviours, misconceptions or assumptions 57.6 53.9 61.2
Barrier to accessibility - Communication 61.0 57.6 64.4
Barrier to accessibility - Online activities 19.7 17.0 22.7

Some variations emerged when looking across age groups between 2SLGBTQ+ and non-2SLGBTQ+ persons with disabilities. Across all age groups, 2SLGBTQ+ persons with disabilities were more likely to experience a barrier to communication or a barrier related to the behaviours, misconceptions or assumptions of others, compared with non-2SLGBTQ+ persons with disabilities. In terms of experiencing a barrier related to public spaces, 2SLGBTQ+ persons with disabilities aged 15 to 24 years and 25 to 34 years were more likely to experience this type of barrier than their non-2SLGBTQ+ counterparts. Conversely there were no differences observed among those aged 35 to 64 years between the two populations for barriers in public spaces. 2SLGBTQ+ persons with disabilities aged 15 to 24 years were more likely than non-2SLGBTQ+ persons with disabilities to encounter barriers related to activities while using the Internet, whereas there were no differences among those aged 25 to 34 years and 35 to 64 years.

Over one quarter of 2SLGBTQ+ persons with disabilities aged 25 to 64 years hold a bachelor’s degree or higher, two-thirds are employed

Looking at the highest level of educational attainment among 2SLGBTQ+ persons with disabilities aged 25 to 64 years, 32.5% had a bachelor’s degree or higher, while 33.3% had a post-secondary certificate or diploma below a bachelor’s degree. When compared to their non-2SLGBTQ+ counterparts, 2SLGBTQ+ persons with disabilities aged 25 to 64 years were more likely to have a bachelor’s degree or higher but less likely to have a post-secondary certificate or diploma below a bachelor’s degree (Chart 3). There were no differences between the two populations in terms of having a high-school certificate or equivalent, or having no certificate, diploma or degree.

Chart 3

Data table for Chart 3 
Data table for Chart 3
Table summary
This table displays the results of Data table for Chart 3. The information is grouped by Highest level of education (appearing as row headers), 2SLGBTQ+, non-2SLGBTQ+ (ref.), percent and 95% confidence interval, calculated using lower and upper units of measure (appearing as column headers).
Highest level of education 2SLGBTQ+ non-2SLGBTQ+ (ref.)
percent 95% confidence interval percent 95% confidence interval
lower upper lower upper
No certificate, diploma or degree 8.9 6.2 12.6 11.3 10.2 12.4
High school diploma or equivalency certificate 25.3 21.0 30.1 24.7 23.2 26.2
Post-secondary certificate or diploma below bachelor level 33.3Note * 28.9 37.9 38.6 36.9 40.3
Bachelor's degree or higher 32.5Note * 28.1 37.2 25.5 24.0 27.0

The employment rate for those aged 25 to 64 years was similar among 2SLGBTQ+ and non-2SLGBTQ+ persons with disabilities (66.5%, 63.7% respectively). The two groups did not differ in terms of the unemployment rate, however, the proportion of 2SLGBTQ+ persons with disabilities who were not in the labour force was lower (23.8%) when compared with their counterparts (28.9%).

Conclusion

This fact sheet provides a profile of 2SLGBTQ+ persons with disabilities, as well as key differences from the non-2SLGBTQ+ population with disabilities by age group. Being a 2SLGBTQ+ person and having one or more disabilities means that characteristics including age, disability types, disability severity, number of co-occurring disabilities, and barriers to accessibility faced can influence their experiences and create unique challenges.

Future research to build on the information provided in this factsheet could include analysis of the disability and socioeconomic experiences of 2SLGBTQ+ persons with disabilities. This research could provide additional insight into lived experiences and challenges of 2SLGBTQ+ persons with disabilities, on topics such as income, poverty, food and housing insecurity, underemployment and disability supports.

Note to Readers

The survey population for the 2022 CSD was comprised of Canadians aged 15 years and over as of the date of the 2021 Census of the Population (May 2021) who were living in private dwellings. It excludes those living in institutions, on Canadian Armed Forces bases, on First Nations reserves and those living in collective dwellings. As the institutionalized population is excluded, the data, particularly for the older age groups, should be interpreted accordingly.

The Canadian Survey on Disability identifies persons with disabilities using the Disability Screening Questions (DSQ), which are based on the social model of disability. The DSQ first measures the degree to which difficulties are experienced across 10 domains of functioning, then ask how often daily activities are limited by these difficulties. Only persons who report a limitation in their day-to-day activities are identified as having a disability. For more detailed information on the DSQ, please see the Canadian Survey on Disability, 2022: Concepts and Methods Guide.

The Government of Canada adopted the acronym 2SLGBTQI+ to refer to Two-Spirit, lesbian, gay, bisexual, transgender, queer and intersex people and those who use other terms related to gender and sexual diversity. Statistics Canada uses the acronym 2SLGBTQ+ for data analysis purposes, as information is not yet collected specifically about intersex people in surveys.

In this analysis, the term “transgender” refers to people whose reported gender does not correspond to their reported sex at birth and "non-binary" describes all genders that are neither exclusively man nor woman.

The term “non-2SLGBTQ+” is used to refer to people who are both cisgender (people whose reported gender corresponds to their reported sex at birth) and heterosexual.

See Improving data on 2SLGBTQ+ populations and Federal 2SLGBTQI+ Action Plan 2022 for more information.

Data for the 2SLGBTQ+ population are not available from the census. As such, it is not possible to compare outcomes for 2SLGBTQ+ persons with and without disabilities. This also means that producing an overall rate of disability among the 2SLGBTQ+ population is not possible.

Date modified: