204987 Prevalence of secondary conditions among adolescents with disabilities

Tuesday, November 10, 2009

Kiyoshi Yamaki, PhD , Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL
James Rimmer, PhD , Disability and Human Development, University of Illinois at Chicago, Chicago, IL
Brienne Davis, MPH , Departement of Disability and Human Development, University of Illinois at Chicago, Chicago, IL
Secondary conditions refer to preventable physical, mental and social conditions related to or exacerbated by the primary disability. Secondary conditions can create additional activity limitations or intensify existing ones, make social participation and independent living more difficult, and decrease quality of life. Despite their impact, there is little information pertaining to secondary conditions among adolescents with disabilities. Data were obtained from a convenience sample (n=540) of adolescents with disabilities ages 12-18 years across the U.S., who participated in an ongoing nationwide survey addressing environmental and behavioral factors associated with health status. Preliminary analyses found that common secondary conditions included the following: gastrointestinal problems (37.3%), sleep apnea (26.9%), asthma (24.8%), joint or bone pain (24.0%), depression (19.5%), obesity and overweight (15.9% and 17.6%, respectively), low self-esteem (17.9%), and fatigue (15.9%). Adolescents with mobility limitations (i.e., those who use a wheelchair or other assistive device) reported a significantly higher rate of fatigue (20.3% vs. 13.5%, p=.04), gastrointestinal problems (50.5% vs. 30.0%, p=.00), joint and bone pain (41.6% vs. 14.6%, p=.00), and sleep apnea (32.1% vs. 24.0%, p=.04) compared to those without mobility limitations. In contrast, those without mobility limitations reported a significantly higher rate of obesity (18.8% vs. 10.6%, p=.01), overweight (20.7% vs. 11.6%, p=.01), depression (22.1% vs. 14.4%, p=.04) and low self-esteem (23.5% vs. 6.8%, p=.00). Implications on health promotion strategies for this population will be discussed. This study is supported by Grant No. H133A060066 from the National Institute on Disability and Rehabilitation Research.

Learning Objectives:
1. Understand the magnitude and impact of secondary conditions among youth with disabilities. 2. Identify the most common secondary conditions in adolescents with disabilities.

Keywords: Disability, Adolescent Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a lead investigator for the survey research on health of adolescents with disabilities from which the data for the present study were extracted.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.