Emerson Eric, Hatton Chris
Institute for Health Research, Lancaster University, Lancaster, UK.
Eur J Public Health. 2008 Feb;18(1):31-7. doi: 10.1093/eurpub/ckm041. Epub 2007 May 7.
Extremely high rates of mortality and morbidity have been reported among people with intellectual disabilities. Virtually no research has addressed the potential social determinants of health status within this very vulnerable population.
Cross-sectional survey of self-reported health status and indicators of socioeconomic disadvantage and social connectedness in 1273 English adults with mild or moderate intellectual disabilities.
Indicators of socioeconomic disadvantage accounted for a statistically significant proportion of variation in health status, over and above any variation attributable to the personal characteristics and living circumstances of participants. Indicators of social participation and networks did not add to the explanatory power of the model. Among the indicators of socioeconomic disadvantage, hardship was more strongly associated with variation in health status than either employment status or area-level deprivation.
As in the general population, self-reported health was associated with indicators of socioeconomic disadvantage, especially hardship. In contrast, there was no evidence of any association between health status and social participation and networks.
据报道，智障人士的死亡率和发病率极高。实际上，几乎没有研究探讨过这一极为脆弱人群健康状况的潜在社会决定因素。
对1273名有轻度或中度智障的英国成年人进行自我报告健康状况、社会经济劣势指标和社会联系指标的横断面调查。
社会经济劣势指标在健康状况差异中所占比例具有统计学意义，超出了参与者个人特征和生活环境所导致的任何差异。社会参与和社交网络指标并未增加模型的解释力。在社会经济劣势指标中，困难程度比就业状况或地区层面的贫困状况与健康状况差异的关联更强。
与普通人群一样，自我报告的健康状况与社会经济劣势指标相关，尤其是困难程度。相比之下，没有证据表明健康状况与社会参与和社交网络之间存在任何关联。
