Chronic Health Conditions Among Adults With Intellectual and Developmental Disabilities in a State Medicaid System.

Kiley J McLean, Lauren Bishop
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Abstract

Despite a growing number of adults with intellectual and developmental disabilities (IDD) and documented risk for adverse outcomes as they age, little is known about the health and healthcare patterns of adults with different IDD throughout adulthood. This study uses Wisconsin Medicaid claims data to characterize health conditions among adults with IDD. Results indicate high prevalence of asthma, diabetes, heart disease, and hypertension. Heart disease rates were particularly high, having been observed among 39% of autistic adults, 64% of autistic adults with intellectual disability (ID), 67% of adults with Down syndrome, and 75% of adults with ID only. Given there are no known biological differences underlying increased morbidities among most people with IDD, developing inclusive prevention measures should be prioritized in future research.

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州医疗补助系统中智障和发育障碍成人的慢性健康状况。
尽管患有智力和发育障碍(IDD)的成年人越来越多,而且随着年龄的增长,他们可能会出现不良后果,但人们对患有不同 IDD 的成年人在整个成年期的健康和医疗保健模式却知之甚少。本研究使用威斯康星州医疗补助计划的报销数据来描述患有 IDD 的成年人的健康状况。结果显示,哮喘、糖尿病、心脏病和高血压的发病率较高。心脏病的发病率尤其高,在 39% 的自闭症成人、64% 的自闭症合并智障(ID)成人、67% 的唐氏综合征成人和 75% 的仅有智障的成人中均有发现。鉴于大多数智障人士发病率增加的原因尚不清楚,因此在未来的研究中应优先考虑制定包容性预防措施。
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来源期刊
CiteScore
3.10
自引率
4.80%
发文量
47
期刊介绍: The American Journal on Intellectual and Developmental Disabilities (Print ISSN: 1944–7515; Online ISSN: 1944–7558) is published by the American Association on Intellectual and Developmental Disabilities. It is a scientifi c, scholarly, and archival multidisciplinary journal for reporting original contributions of the highest quality to knowledge of intellectual disabilities, its causes, treatment, and prevention.
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