Health Needs and Their Relationship with Life Expectancy in People with and without Intellectual Disabilities in England
Bibliographic Data
| ID | 15480501 |
|---|---|
| Authors | Freya Tyrer (0000-0003-2877-4342, University of Leicester, corresponding author), Roger Morris (0000-0003-2910-4121, University of Nottingham), Richard Morriss (Institute of Mental Health, University of Nottingham, Nottingham NG7 2TU, UK), Reza Kiani (0000-0002-2765-7155, University of Leicester), Satheesh Gangadharan (0000-0001-7034-4173, University of Leicester), Harish Kundaje (Lakeside Healthcare, Cottingham Road, Corby NN17 2UR, UK), Mark J Rutherford (0000-0003-1557-6697, University of Leicester) |
| Year | 2022 |
| Volume | 19 |
| Issue | 11 |
| Pages | 6602-6602 |
| Publication date | 2022-05-28 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph19116602 |
| PMID | 35682186 |
| OpenAlex | W4281755891 |
| Language | EN |
| References cited | 31 |
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 (≈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
Environmental health · Expectancy theory · Intellectual disability · Life expectancy · Population · Psychiatry · Chronic Disease Management Strategies · Down syndrome and intellectual disability research · Family and Disability Support Research · Medicine · Psychology · Social Psychology · Gerontology
| Citation velocity | historical |
|---|---|
| Highly cited | No |