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dc.contributor.authorCooper, Sally-Ann
dc.contributor.authorMcLean, Gary
dc.contributor.authorGuthrie, Bruce
dc.contributor.authorMcConnachie, Alex
dc.contributor.authorMercer, Stewart
dc.contributor.authorSullivan, Frank
dc.contributor.authorMorrison, Jill
dc.date.accessioned2018-02-27T10:30:06Z
dc.date.available2018-02-27T10:30:06Z
dc.date.issued2015-08-27
dc.identifier.citationCooper , S-A , McLean , G , Guthrie , B , McConnachie , A , Mercer , S , Sullivan , F & Morrison , J 2015 , ' Multiple physical and mental health comorbidity in adults with intellectual disabilities : population-based cross-sectional analysis ' , BMC Family Practice , vol. 16 , 110 . https://doi.org/10.1186/s12875-015-0329-3en
dc.identifier.issn1471-2296
dc.identifier.otherPURE: 249969560
dc.identifier.otherPURE UUID: 177a2b26-7b7f-49c8-9195-db5a39f979f0
dc.identifier.otherPubMed: 26310664
dc.identifier.otherPubMedCentral: PMC4551707
dc.identifier.otherScopus: 84940034745
dc.identifier.otherORCID: /0000-0002-6623-4964/work/33508494
dc.identifier.urihttp://hdl.handle.net/10023/12794
dc.descriptionThe original study which created the data was funded by Scottish Government Chief Scientist Office Applied Research Programme Grant 07/01.en
dc.description.abstractBACKGROUND: Adults with intellectual disabilities have increased early mortality compared with the general population. However, their extent of multimorbidity (two or more additional conditions) compared with the general population is unknown, particularly with regards to physical ill-health, as are associations between comorbidities, neighbourhood deprivation, and age. METHODS: We analysed primary health-care data on 1,424,378 adults registered with 314 representative Scottish practices. Data on intellectual disabilities, 32 physical, and six mental health conditions were extracted. We generated standardised prevalence rates by age-groups, gender, and neighbourhood deprivation, then calculated odds ratio (OR) and 95 % confidence intervals (95 % CI) for adults with intellectual disabilities compared to those without, for the prevalence, and number of condition. RESULTS: Eight thousand fourteen (0.56 %) had intellectual disabilities, of whom only 31.8 % had no other conditions compared to 51.6 % without intellectual disabilities (OR 0.26, 95 % 0.25-0.27). The intellectual disabilities group were significantly more likely to have more conditions, with the biggest difference found for three conditions (10.9 % versus 6.8 %; OR 2.28, 95 % CI 2.10-2.46). Fourteen physical conditions were significantly more prevalent, and four cardiovascular conditions occurred less frequently, as did any cancers, and chronic obstructive pulmonary diseases. Five of the six mental health conditions were significantly more prevalent. For the adults with intellectual disabilities, no gradient was seen in extent of multimorbidity with increasing neighbourhood deprivation; indeed findings were similar in the most affluent and most deprived areas. Co-morbidity increased with age but is highly prevalent at all ages, being similar at age 20-25 to 50-54 year olds in the general population. CONCLUSIONS: Multi-morbidity burden is greater, occurs at much earlier age, and the profile of health conditions differs, for adults with intellectual disabilities compared with the general population. There is no association with neighbourhood deprivation; people with intellectual disabilities need focussed services irrespective of where they live, and at a much earlier age than the general population. They require specific initiatives to reduce inequalities.
dc.format.extent11
dc.language.isoeng
dc.relation.ispartofBMC Family Practiceen
dc.rights© 2015 Cooper et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en
dc.subjectIntellectual disabilitiesen
dc.subjectMental retardationen
dc.subjectMulti-morbidityen
dc.subjectPhysical healthen
dc.subjectMental healthen
dc.subjectInequalitiesen
dc.subjectRC0321 Neuroscience. Biological psychiatry. Neuropsychiatryen
dc.subjectRA0421 Public health. Hygiene. Preventive Medicineen
dc.subjectNDASen
dc.subject.lccRC0321en
dc.subject.lccRA0421en
dc.titleMultiple physical and mental health comorbidity in adults with intellectual disabilities : population-based cross-sectional analysisen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.identifier.doihttps://doi.org/10.1186/s12875-015-0329-3
dc.description.statusPeer revieweden


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