Hepatitis B in the non‐residential mentally handicapped population

Devlin, J B; Mulcahy, Michael; Corcoran, Ryan B.; Ramsay, Lawrence E.; Tyndall, Peter; Shattock, A. G.

doi:10.1111/j.1365-2788.1993.tb00325.x

Cited by 7 publications

(1 citation statement)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…56 In a cross sectional study conducted in a residential institution for intellectually disabled in New Zealand, Stehr-Green and coworkers 49 demonstrated that residents' risk of being infected increased by 17% for each additional year they had lived in this institution. In outpatients, seroprevalence is lower, between 9.3 and 11%, 57,58 especially in children where it is estimated to be between 4 and 19.4%. [59][60][61] One study failed to point out any significant differences between outpatients with Down syndrome and a global population control group.…”

Section: Prevention Of Stimentioning

confidence: 99%

Sexual life in subjects with intellectual disability

Conod¹,

Servais²

2008

Salud pública Méx

View full text Add to dashboard Cite

During the last decades, the expectancies towards sexual life of people with intellectual disability have been more and more recognized by researchers, clinicians, caregivers and parents. These expectancies, that largely depend on socio-cultural and personal factors, such as the level of disability, must be supported in order to help people with intellectual disability to reach the best quality of life as possible. Therefore, it is important to identify every patient's and resident's personal expectancies towards sexuality and which medical and educative support he/she needs according to his/her disability and co-morbidity. The aim of the present paper is to review the different research works conducted in this area.

show abstract

Section: Prevention Of Stimentioning

confidence: 99%

Sexual life in subjects with intellectual disability

Conod¹,

Servais²

2008

Salud pública Méx

View full text Add to dashboard Cite

show abstract

Sexual health care in persons with intellectual disabilities

Servais

2006

Ment. Retard. Dev. Disabil. Res. Rev.

144

121

View full text Add to dashboard Cite

In the past, preventive health concerning sexuality of people with intellectual disabilities was addressed through surgical sterilization as part of nationwide eugenic programs in many countries. For more than 30 years now, it has come progressively to light in the scientific literature that, besides major ethical and legal problems, these programs also failed to assess many of the individual's needs in sexual health. The fact that an increasing number of people with intellectual disabilities live in the community rather than in institutions has heightened public awareness that these individuals have sexual expectancies, desires, and needs that must be supported through both education and health services. The emergence of AIDS, including descriptions of cases among people with intellectual disabilities, has further demonstrated that surgical sterilization cannot be considered a global option to achieve preventive sexual health. The aim of this paper is to review scientific studies that have assessed the expectancies and support needs of persons with intellectual disabilities in terms of sexual health. These needs vary widely from one individual to another, according to life milieu, level of disability, and potential comorbidity. From this review, it appears that hygiene management, global gynecological care, and prevention of unplanned pregnancy, sexually transmitted diseases, and abuse have been frequently identified as areas in which the presence of intellectual disability dictates specific support needs. Different approaches that have been evaluated to address these issues will also be discussed. Key Words: sexuality; contraception; sterilization; sexually transmitted disease; hygiene management; pregnancy S exual health is influenced by a variety of political and social events and is broader than the absence of disease [Edwards and Coleman, 2004], encompassing both mental and physical aspects of human functioning that are important to overall well being [Sandfort and Ehrhardt, 2004]. The concept of sexual health in persons with intellectual disabilities (ID) is an extremely sensitive subject, and while advances have been made in employment, housing, and other aspects of community integration, the sexual needs of these individuals have been relatively ignored or strictly controlled by caregivers and service agencies [Bambara and Brantlinger, 2002; Hinsburger and Tough, 2002]. The importance of sexual health for people with ID has received increased attention in the past several decades and was recently highlighted by the 58th World Health Assembly (World Health Organization [(WHO)], which urged member states to include a disability component, including those with ID, in sexual health policies and programs [WHO, 2005a].Despite the heightened awareness of sexual health needs in this population, there has been a tendency to focus on issues of sexual rights and sexuality, and there is relatively less information on related factors such as preventive health. The U.S. Department of Health and Human Services (USDHHS...

show abstract

Untitled

Asensio¹,

Bayas

Bertran

et al. 2000

European Journal of Epidemiology

View full text Add to dashboard Cite

The objective was to determine the prevalence of hepatitis B virus (HBV) infection in long-stay institutionalized mentally handicapped adults and to develop a vaccination programme for them. The study was carried out in 1994. The subjects were 171 mentally handicapped adults aged 37-76 (median age 56) with a median hospital stay of 30 years (range 6-47). Markers for infection were determined using ELISA. Seronegative patients were vaccinated using the standard schedule, and the titre of antiHBs reached was determined later. The prevalence of seropositive subjects was 81.3%. Seropositive subjects had a longer hospital stay (median stay of 32 years, range: 15-47) than seronegative ones (median stay of 15 years, range: 6-33). A total of 43.3% of the vaccinated subjects developed antiHBs antibodies (GMT: 135 IU/l). The high prevalence of HBV exposure is probably a legacy of a past era which is reflected in patients with prolonged institutionalisation in a closed regime. The need for immediate vaccination of mentally handicapped subjects is of the utmost importance, as it has been shown that the response to the vaccine worsens with age.

show abstract

Hepatitis B in the non‐residential mentally handicapped population

Cited by 7 publications

References 21 publications

Sexual life in subjects with intellectual disability

Sexual life in subjects with intellectual disability

Sexual health care in persons with intellectual disabilities

Untitled

Contact Info

Product

Resources

About