A follow‐up study of mortality, health conditions and associated disabilities of people with intellectual disabilities in a Swedish county

Gustavson, Karl‐Henrik; Umb‐Carlsson, Õie; Sonnander, Karin

doi:10.1111/j.1365-2788.2005.00728.x

Cited by 44 publications

(30 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous studies that examined similar conditions had smaller samples, were not population-based, included both children and adults, and/or did not include a comparison group of children without DS. [6][7][8][10][11][12][13][14][15][16][17][20][21][22][23][24][25][26][27]29,30 Although the NHIS included questions on several chronic health conditions, including cystic fibrosis, diabetes mellitus, and arthritis, there were insufficient children with DS for calculation of prevalence estimates. The NHIS includes only noninstitutionalized persons.…”

Section: Discussionmentioning

confidence: 99%

Health of Children 3 to 17 Years of Age With Down Syndrome in the 1997–2005 National Health Interview Survey

et al. 2009

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Health of Children 3 to 17 Years of Age With Down Syndrome in the 1997–2005 National Health Interview Survey

et al. 2009

View full text Add to dashboard Cite

show abstract

“…Adults with ID have high levels of health morbidity and consequently often die at younger ages than their peers ; increased mortality is especially pronounced in the groups with severe ID and in those with additional problems such as epilepsy (Patja et al 2000 ;Gustavson et al 2005). As age is the strongest aetiological factor associated with dementia and has an exponential effect, this may influence the proportion of adults affected in the oldest old, or those with severe disability.…”

Section: Severity Of Id and Mortalitymentioning

confidence: 99%

The relationship of dementia prevalence in older adults with intellectual disability (ID) to age and severity of ID

et al. 2008

View full text Add to dashboard Cite

Background. Previous research has shown that adults with intellectual disability (ID) may be more at risk of developing dementia in old age than expected. However, the effect of age and ID severity on dementia prevalence rates has never been reported. We investigated the predictions that older adults with ID should have high prevalence rates of dementia that differ between ID severity groups and that the age-associated risk should be shifted to a younger age relative to the general population.Method. A two-staged epidemiological survey of 281 adults with ID without Down syndrome (DS) aged o60 years ; participants who screened positive with a memory task, informant-reported change in function or with the Dementia Questionnaire for Persons with Mental Retardation (DMR) underwent a detailed assessment. Diagnoses were made by psychiatrists according to international criteria. Prevalence rates were compared with UK prevalence and European consensus rates using standardized morbidity ratios (SMRs).Results. Dementia was more common in this population (prevalence of 18.3 %, SMR 2.77 in those aged o65 years). Prevalence rates did not differ between mild, moderate and severe ID groups. Age was a strong risk factor and was not influenced by sex or ID severity. As predicted, SMRs were higher for younger age groups compared to older age groups, indicating a relative shift in age-associated risk.Conclusions. Criteria-defined dementia is 2-3 times more common in the ID population, with a shift in risk to younger age groups compared to the general population.

show abstract

“…3,4 Many characteristics associated with IDD may contribute to an increased risk of experiencing oral disease. These include the presence of cognitive, physical and behavioral limitations that make it difficult to perform daily oral care and cooperate during dental visits 5–9 ; medications that affect oral health 5–11 and elevated rates of poverty. 12 These factors may be exacerbated in older adults who lacked access to dental care across the lifespan.…”

mentioning

confidence: 99%

The oral health status of 4,732 adults with intellectual and developmental disabilities

Morgan

Minihan²,

Stark³

et al. 2012

The Journal of the American Dental Association

139

138

View full text Add to dashboard Cite

Background Two reports by the U.S. surgeon general noted the disproportionate impact of oral disease on and lack of oral health information regarding people with disabilities. Methods In this retrospective study, the authors used clinical and demographic data (from April 1, 2009, through March 31, 2010) from electronic dental records of 4,732 adults with intellectual and developmental disabilities (IDDs) who were receiving dental care through a state-supported system of dental clinics. The authors used these data to investigate the oral health status of, and associated risk factors for, adults with IDD. Results The prevalence of untreated caries in the study population was 32.2 percent, of periodontitis was 80.3 percent and of edentulism was 10.9 percent. The mean (standard deviation) numbers of decayed teeth; missing teeth; and decayed, missing and filled teeth were 1.0 (2.2), 6.7 (7.0) and 13.9 (7.7), respectively. Conclusions Management of oral health presents significant challenges in adults with IDD. Age, ability to cooperate with dental treatment and type of residence are important considerations in identifying preventive strategies. Clinical Implications The study population demonstrated a high burden of dental disease. Further research is required to identify effective interventions to improve oral health in adults with IDD.

show abstract

A follow‐up study of mortality, health conditions and associated disabilities of people with intellectual disabilities in a Swedish county

Abstract: Our study clearly demonstrates the magnitude and importance of neurological and psychiatric impairments in ID. The findings suggest a strong need for multidisciplinary health service.

Cited by 44 publications

References 17 publications

Health of Children 3 to 17 Years of Age With Down Syndrome in the 1997–2005 National Health Interview Survey

Health of Children 3 to 17 Years of Age With Down Syndrome in the 1997–2005 National Health Interview Survey

The relationship of dementia prevalence in older adults with intellectual disability (ID) to age and severity of ID

The oral health status of 4,732 adults with intellectual and developmental disabilities

Contact Info

Product

Resources

About