Journal of Community Health

, Volume 31, Issue 3, pp 147–159 | Cite as

Variation in health conditions among groups of adults with disabilities in primary care

  • Suzanne McDermott
  • Robert Moran
  • Tan Platt
  • Srikanth Dasari
Article

Abstract

The literature on the health of adults with disabilities focuses on one disability compared to a comparison group. This study allows cross disability comparisons with the hypothesis. Adults with disabilities had higher odds of having common health conditions, compared to adults without disability in the same practice. A retrospective record review of 1449 patients with disability and 2084 patients without disability included individuals with sensory impairments (n=117), developmental disabilities (n=692), trauma-related impairments (n=155) and psychiatric impairments (n=485). The only two health conditions with statistically significantly increased odds for all groups with disabilities were dementia and epilepsy. Patients with developmental disabilities were less likely to have coronary artery disease, cancer, and obesity. Those with sensory impairments had increased odds for congestive heart failure, diabetes, transient ischemic attacks and death. Patients with trauma disabilities had increased odds for chronic obstructive pulmonary disease, and depression. Finally, psychiatric patients had increased odds for most of the investigated condition. In conclusion, there were many similarities in the risk for common health conditions such as asthma, cancer, coronary artery disease, depression, hypertension, and obesity, among patients with and without disability. Some of the conditions with increased odds ratios, including depression, seizures, and dementia are secondary to the primary disability.

Keywords

sensory developmental traumatic psychiatric disability 

Notes

Acknowledgments

This publication was supported by Cooperative Agreement Number R04/CCR418776 from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official view of the Centers for Disease Control and Prevention.

References

  1. 1.
    Larson CP, Lapointe Y (1986) The health status of mild to moderate intellectual handicapped adolescents. J Mental Defic Res 30:121–128Google Scholar
  2. 2.
    Rubin IL (1987) Health care needs of adults with mental retardation. Ment Retard 125:201–206Google Scholar
  3. 3.
    Ziring PR, Kastner T, Friedman DL et al. (1988) Provision of health care for persons with developmental disabilities living in the community. JAMA 260:1439–1444CrossRefPubMedGoogle Scholar
  4. 4.
    Day K, Jancar J (1994) Mental and physical health and aging in mental handicap: a review. J Intellect Disabil Res 38:241–245PubMedGoogle Scholar
  5. 5.
    McDermott S, Platt T, Krishnaswami S (1997) Are individuals with mental retardation at high risk for chronic disease?. Fam Med 29:429–434PubMedGoogle Scholar
  6. 6.
    Kapell D, Nightingale B, Rodriguez A, Lee JH, Zigman WB, Schupf N (1998) Prevalence of chronic medical conditions in adults with mental retardation: comparison with the general population. Ment Retard 36: 269–279CrossRefPubMedGoogle Scholar
  7. 7.
    Eastgate G, Lennox NG (2003) Primary health care for adults with intellectual disability. Aust Fam Physician 32:330–333PubMedGoogle Scholar
  8. 8.
    Phillips A, Morrison J, Davis RW (2004) General practitioners’ educational needs in intellectual disability health. J Intellect Disabil Res 48:142–149CrossRefPubMedGoogle Scholar
  9. 9.
    Jansen DE, Krol B, Groothoff JW, Post D (2004) People with intellectual disability and their health problems: a review of comparative studies. J Intellect Disabil Res 48:93–102CrossRefPubMedGoogle Scholar
  10. 10.
    Kroll T, Beatty PW, Bingham S. (2003) Primary care satisfaction among adults with physical disabilities: the role of patient-provider communication. Manag Care Q 11:11–19PubMedGoogle Scholar
  11. 11.
    Goldzweig CL, Rowe S, Wenger NS, MacLean CH, Shekelle PG (2004) Preventing and managing visual disability in primary care: clinical applications. JAMA 291:1497–1502CrossRefPubMedGoogle Scholar
  12. 12.
    Charlifue SW, Weitzenkamp DA, Whiteneck GG (1999) Longitudinal outcomes in spinal cord injury: aging, secondary conditions, and well-being. Arch Phys Med Rehabil 80:1429–1434CrossRefPubMedGoogle Scholar
  13. 13.
    Hibbard MR, Uysal S, Sliwinski M, Gordon WA (1998) Undiagnosed health issues in individuals with traumatic brain injury living in the community. J Head Trauma Rehabil 13:47–57PubMedGoogle Scholar
  14. 14.
    Pentland W, McColl MA, Rosenthal C. (1995) The effect of aging and duration of disability on long term health outcomes following spinal cord injury. Paraplegia 33:367–373PubMedGoogle Scholar
  15. 15.
    Ashley MJ, Persel CS, Clark MC, Krych DK (1997) Long-term follow-up of post-acute traumatic brain injury rehabilitation: a statistical analysis to test for stability and predictability of outcome. Brain Inj 11:677–690CrossRefPubMedGoogle Scholar
  16. 16.
    Hammond FM, Grattan KD, Sasser H, Corrigan JD, Bushnik T, Zafonte RD. (2001) Long-term recovery course after traumatic brain injury: a comparison of the functional independence measure and disability rating scale. J Head Trauma Rehabil 16:318–329PubMedCrossRefGoogle Scholar
  17. 17.
    Albrecht GL, Bury M. (2001) The political economy of the disability marketplace. In: Albecht GL, Seelman KD, Bury M (eds) Handbook of Disability Studies. Sage Publications, Thousand Oaks California, pp 585–609Google Scholar
  18. 18.
    World Health Organization. International Statistical Classification of Diseases. 9th ed. Geneva, Switzerland, 2000Google Scholar
  19. 19.
    SAS Institute. (1999) SAS/STAT User’s Guide, Version 8. SAS Institute,Cary, NCGoogle Scholar
  20. 20.
    Lollar D. (2002) Public health and disability: emerging trends. Public Health Rep 117:131–136PubMedCrossRefGoogle Scholar
  21. 21.
    Dikmen SS, Machamer JE, Powell JM, Temkin NR (2003) Outcome 3 to 5 years after moderate to severe traumatic brain injury. Arch Phys Med Rehabil 84:1449–1457CrossRefPubMedGoogle Scholar
  22. 22.
    Colantonio A, Ratcliff G, Chase S, Kelsey S, Escobar M, Vernich L (2004) Long-term outcomes after moderate to severe traumatic brain injury. Disabil Rehabil 26:253–261CrossRefPubMedGoogle Scholar
  23. 23.
    Bowley C, Kerr M (2000) Epilepsy and intellectual disability. J Intellect Disabil Res 44:529–543CrossRefPubMedGoogle Scholar
  24. 24.
    McDermott S, Moran R, Platt T, Wood H, Isaac T, Dasari S. (2005) Prevalence of Epilepsy in Adults with Mental Retardation and Related Disabilities in Primary Care. Am J Ment Retard 110:48–56CrossRefPubMedGoogle Scholar
  25. 25.
    Morgan C, Baxter H, Kerr M. (2003) Prevalence of epilepsy and associated health service utilization and mortality among patients with Intellectual Disability. Am J Ment Defic 108:239–300Google Scholar
  26. 26.
    Kaye HS, LaPlante MP, Carlson D, Wenger BL (1996) Trends in disability rates in the United States, 1970–1994. University of California, San Francisco, Disability Statistics Rehabilitation and Training Center, San Francisco, Disability Statistics Abstract 17Google Scholar
  27. 27.
    Centers for Disease Control and Prevention. (2001) Prevalence of disabilities and associated health conditions among adults- United States, 1999. MMWR Morb Mortal Wkly Rep 50:120–125Google Scholar
  28. 28.
    Kinne S, Patrick DL, Doyle DL (2004) Prevalence of secondary conditions among people with disabilities. Am J Public Health 94:443–445PubMedCrossRefGoogle Scholar
  29. 29.
    Fedeyko HJ, Lollar DJ (2003) Classifying disability data: a fresh integative perspective. In: Altman BM, Barnartt SN, Hendershot GE, Larson SA (eds) Using Survey Data to Study Disability. Elsevier, Oxford, pp 55–72CrossRefGoogle Scholar
  30. 30.
    World Health Organization. International classification of functioning, disability and health. Geneva, Switzerland, 2001Google Scholar

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Suzanne McDermott
    • 1
    • 3
  • Robert Moran
    • 2
  • Tan Platt
    • 1
  • Srikanth Dasari
    • 1
  1. 1.University of South CarolinaColumbiaUSA
  2. 2.Department of Epidemiology and BiostatisticsUniversity of South CarolinaColumbiaUSA
  3. 3.Family Practice CenterColumbiaUSA

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