Journal of Intellectual Disability Research, 54(11), November 2010, pp.966-980.
Publisher:
Wiley
... and risk factors in terms of the nature of the disability. The impact Incident injury was predicted by having epilepsy and not having autism. Incident fall injury was predicted by urinary incontinence, while Down syndrome reduced risk. It is concluded that adults with ID did have more injuries, falls and accidents when compared with the general population. The authors suggest that there needs
Injuries, and in particular falls, are a major causes of death and disability. Research indicates that young people with intellectual disabilities (ID) have a higher rate and different pattern of injuries compared to the general population, but data for adults is very limited. This study was designed to determine the incidence and types of injuries experienced in a 12-month period by a community-based cohort of adults with ID (n = 511, 53% male, mean age 43.7 years, range 16-79) living in the Glasgow area. Face-to-face interviews were conducted with participants 2 years after they had first been recruited into a longitudinal study. Incidence of at least one injury in a 12-month period was 20.5% (105), of which 12.1% were related to falls. Analyses looked at the type and causes of injuries and risk factors in terms of the nature of the disability. The impact Incident injury was predicted by having epilepsy and not having autism. Incident fall injury was predicted by urinary incontinence, while Down syndrome reduced risk. It is concluded that adults with ID did have more injuries, falls and accidents when compared with the general population. The authors suggest that there needs to be greater emphasis on individual injury/fall risk in the provision of support for people with ID at both the individual and organisational level.
British Journal of Psychiatry, 190(1), January 2007, pp.27-35.
Publisher:
Cambridge University Press
... disabilities and not having immobility; it was not associated with deprived areas, no occupation, communication impairment, epilepsy, hearing impairment or previous institutional residence. This investigation informs further longitudinal study, and development of appropriate interventions, public health strategy and policy. ICD–10–DCR and DSM–IV–TR undercount mental ill-health in this population compared
Reported prevalence of mental ill-health among adults with intellectual disabilities ranges from 7 to 97%, owing to methodological limitations. Little is known about associations. The aim was to determine the prevalence of mental ill-health in adults with intellectual disabilities and to investigate factors independently associated with it. Population-based study (n=1023) with comprehensive individual assessments modelled using regression analyses. Point prevalence of mental ill-health was 40.9% (clinical diagnoses), 35.2% (DC–LD), 16.6% (ICD–10–DCR) and 15.7% (DSM–IV–TR). The most prevalent type was problem behaviours. Mental ill-health was associated with more life events, female gender, type of support, lower ability, more consultations, smoking, incontinence, not having severe physical disabilities and not having immobility; it was not associated with deprived areas, no occupation, communication impairment, epilepsy, hearing impairment or previous institutional residence. This investigation informs further longitudinal study, and development of appropriate interventions, public health strategy and policy. ICD–10–DCR and DSM–IV–TR undercount mental ill-health in this population compared with DC–LD.
Subject terms:
incontinence, learning disabilities, longitudinal studies, mental health problems, mobility impairment, smoking, visual impairment, adults, care homes, communication skills, deafness, epilepsy, hearing impairment;