| アブストラクト | Health needs are common in people living with intellectual disabilities, but we do not know how they contribute to life expectancy. We used the Clinical Practice Research Datalink (CPRD) linked with hospital/mortality data in England (2017-2019) to explore life expectancy among people with or without intellectual disabilities, indicated by the presence or absence, respectively, of: epilepsy; incontinence; severe visual loss; severe visual impairment; severe mobility difficulties; cerebral palsy and PEG feeding. Life expectancy and 95% confidence intervals were compared using flexible parametric methods. At baseline, 46.4% (total n = 7794) of individuals with intellectual disabilities compared with 9.7% (total n = 176,807) in the comparison group had >/=1 health need. Epilepsy was the most common health need (18.7% vs. 1.1%). All health needs except hearing impairment were associated with shorter life expectancy: PEG feeding and mobility difficulties were associated with the greatest loss in life years (65-68% and 41-44%, respectively). Differential life expectancy attenuated but remained ( approximately 12% life years lost) even after restricting the population to those without health needs (additional years expected to live at 10 years: 65.5 [60.3, 71.1] vs. 74.3 [73.8, 74.7]). We conclude that health needs play a significant role but do not explain all of the differential life expectancy experienced by people with intellectual disabilities. |
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| ジャーナル名 | International journal of environmental research and public health |
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| 投稿日 | 2022/6/11 |
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| 投稿者 | Tyrer, Freya; Morriss, Richard; Kiani, Reza; Gangadharan, Satheesh K; Kundaje, Harish; Rutherford, Mark J |
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| 組織名 | Biostatistics Research Group, Department of Health Sciences, University of;Leicester, Leicester LE1 7RH, UK.;Institute of Mental Health, University of Nottingham, Nottingham NG7 2TU, UK.;Leicestershire Learning Disability Services (Psychiatry), Leicestershire;Partnership NHS Trust, Leicester LE4 8PQ, UK.;Mental Health, Ageing, Public Health and Primary Care Research Group, Department;of Health Sciences, University of Leicester, Leicester LE1 7RH, UK.;Lakeside Healthcare, Cottingham Road, Corby NN17 2UR, UK. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/35682186/ |
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