Article ; Online: Childhood adversity, health and quality of life in adults with intellectual and developmental disabilities.
Journal of intellectual disability research : JIDR
2018 Volume 62, Issue 10, Page(s) 854–863
Abstract: Background: Associations between childhood adversity and negative health outcomes are well documented within the general population; however, this relationship has yet to be confirmed in adults with intellectual and developmental disabilities (I/DD). ... ...
Abstract | Background: Associations between childhood adversity and negative health outcomes are well documented within the general population; however, this relationship has yet to be confirmed in adults with intellectual and developmental disabilities (I/DD). Bridging the gap between public health and I/DD research is critical in order to better understand the ways in which the health of people with I/DD are compromised by adversity and social disadvantage and to develop preventative care frameworks and health-promoting practices specifically for adults with I/DD. The aim of this exploratory study was to examine the relationships among adversity, physical health and quality of life in a sample of adults with I/DD. Method: Participants were adults with I/DD currently residing within campus-based residences. Demographic data, psychiatric and medical diagnoses, adverse childhood experiences scores and quality of life scores were aggregated from participants' electronic medical records. A health history form was completed for each participant based on a review of participants' medical records. Results: Results indicated childhood adversity was significantly associated with number of chronic medical conditions (r = .35, P < .001, 95% BCa CI [.13, .53]). Childhood adversity was not significantly related to quality of life. After controlling for demographic variables, childhood adversity remained a significant predictor of health history (B = .32, P < .005, 95% BCa CI [.10, .52]), with greater adversity predicting greater medical illness. Conclusion: Participants demonstrated higher rates of childhood adversity compared with the general population, suggesting that individuals with I/DD may be particularly vulnerable to experiencing adversity during development. Childhood adversity was a significant predictor of physical illness in adults with I/DD. These findings emphasise the importance of screening for childhood adversity histories in adults with I/DD. Additionally, results demonstrate the importance of offering preventative interventions geared at preventing physical illness and promoting health in adults with I/DD with adversity and trauma backgrounds. |
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MeSH term(s) | Adult ; Adverse Childhood Experiences/statistics & numerical data ; Developmental Disabilities/epidemiology ; Female ; Health Status ; Humans ; Intellectual Disability/epidemiology ; Male ; Middle Aged ; Quality of Life ; Residential Facilities |
Language | English |
Publishing date | 2018-08-17 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 1103832-9 |
ISSN | 1365-2788 ; 0964-2633 |
ISSN (online) | 1365-2788 |
ISSN | 0964-2633 |
DOI | 10.1111/jir.12540 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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