263455 Healthcare Coverage for Adults with Intellectual Disabilities: National Health Interview Survey 2006-2010

Tuesday, October 30, 2012

Alicia Dixon-Ibarra, MS , College of Public Health and Human Sciences, Oregon State University, Corvallis, OR
Ellen Smit, PhD , College of Public Health and Human Sciences, Oregon State University, Corvallis, OR
Kendra Lewis, PhD , College of Public Health and Human Sciences, Oregon State University, Corvallis, OR
Background: Although some reports have shown disparities in healthcare (HC) for persons with intellectual disabilities (ID) compared to persons with no disabilities (ND), this has not been examined in a national representative sample. The purpose of this study is to examine HC coverage among non-institutionalized US adults (18+ years) with and without ID. Methods: Using the 2006-2010 National Health Interview Survey data, weighted proportions and logistic regression analyses were conducted to describe HC coverage and delayed care due to cost comparing adults with ID (n=1,350) to ND (n=207,393). Results: Adults with ID were more likely to have HC coverage than adults with ND after adjusting for sex, race, age, and working status (adjusted odds ratio (AOR) 1.65, 95% CI 1.22, 2.23). A higher proportion of adults with ID (77%) than with ND (10%) reported Medicaid coverage. Adults with ID were also more likely to delay medical care owning to cost than adults with ND (AOR 3.89, 95% CI 3.16, 4.78), after controlling for demographics, working status, and HC coverage. Although adjusting for Medicaid coverage attenuated the association, adults with ID were still more likely to delay care owning to cost than adults with ND (AOR 1.45, 95% CI 1.17, 1.80). Conclusion: Non-institutionalized US adults with ID are more likely to have insurance coverage and more likely to delay receiving care due to costs than adults with ND. Research is needed to determine the impact of quality of care and delayed care on health outcomes for adults with ID.

Learning Areas:
Provision of health care to the public
Public health or related education

Learning Objectives:
1)Describe access to health care in non-institutionalized US adults with intellectual disabilities. 2)Evaluate the relationship between intellectual disability status and delayed health care owning to cost. 3)Discuss the contribution of other demographic and insurance factors influencing health care access in US adults with intellectual disabilities.

Keywords: Disability, Health Care Access

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am currently an epidemiology MPH student and Movement Studies in Disability PhD student at Oregon State University. I have completed all of my epidemiology coursework and will complete my internship summer 2012.
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.