Determinants of health status and body mass index of adults with intellectual/developmental disabilities
Methods: Multinomial logistic regression and hierarchical multiple regression were conducted to examine outcome measures on health status and BMI. Independent factors included the demographic (age, gender, type of disability, level of intellectual disability, race, mobility, behavior support needs, use of psychotropic medication); health behaviors (physical activity, smoking); and social-environmental (residential type, choice, preventive health care utilization).
Results: As compared with individuals who were rated as excellent or very good health, those in poor health were more likely to be older, female, Latino or other, a smoker, non ambulatory, have a higher BMI, and engaging in less physical activity. BMI was positively associated with being young or middle age, female, having Down syndrome, not having cerebral palsy, having less severe intellectual disability, being black, being ambulatory, taking psychotropic medication, engaging in less physical activity, living in independent home or apartment, and having more daily living choices. When only examining older adults aged 60 and older, poor health was related to having Down syndrome, a higher BMI, taking psychotropic medication, being non ambulatory, and using less preventive health care.
Conclusions: These findings point out the important role of health behaviors and residential setting on health and BMI of adults with I/DD.
Learning Areas:Administer health education strategies, interventions and programs
Advocacy for health and health education
Environmental health sciences
Public health or related public policy
Public health or related research
Identify demographic, health behaviors, and social-environmental factors contributing to health status and BMI of older adults with intellectual/developmental disabilities. Discuss the implication of the findings and strategies to improve health for adults with intellectual/developmental disabilities.
Keyword(s): Health, Health Behavior
Qualified on the content I am responsible for because: I have been the principal or co-principal of multiple federally funded grants focusing on intellectual/developmental disability related research including family caregiving, future planing, health promotion, and self determination etc. Numerous papers have been published based on my research projects in the past 30 years.
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.