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A 2018 study for the Financial Conduct Authority (FCA) in the UK found that more than 15 million people in the UK routinely miss out on refunds, replacements, or getting problems resolved because they lack the confidence and know-how to complain.
Older people
The Parliamentary and Health Service Ombudsman noted that older people are often reluctant to speak up or don't know how to complain, partly because they "lack the support or confidence needed to complain" and "worry about what will happen to them if they raise concerns."
Marginalised people
Women, particularly those from marginalized groups, often report that their health concerns are dismissed or disbelieved by healthcare professionals, leading to a reluctance to self-advocate. They may also fear negative impacts on their ongoing treatment.
Community challenges
Some individuals may struggle to clearly articulate their needs due to cognitive disabilities, communication barriers, or lack of training in self-advocacy skills.

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While precise numbers are elusive, the qualitative evidence and findings from various sectors strongly suggest that a significant proportion of vulnerable and marginalized people often do not believe they will be heard when they advocate for themselves. This belief stems from a combination of personal, cultural, and systemic barriers that undermine their confidence and create a sense of powerlessness.