Petrone Louis R
Department of Family and Community Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA 19130, USA.
South Med J. 2012 Feb;105(2):87-92. doi: 10.1097/SMJ.0b013e3182427042.
The medical care of adults with intellectual disabilities (ID) originates in primary care physicians' offices. With the move toward the deinstitutionalization of these individuals in the 1970s and 1980s and the increasing longevity of this population, more adults with disabilities are living in the community. Primary care providers need to be comfortable with treating the conditions of these individuals with special needs. Individuals with ID are at higher than average risk for many chronic conditions. One condition that is often overlooked or underdiagnosed is osteoporosis. Much research regarding osteoporosis has been conducted in postmenopausal women and other high-risk groups; however, gaps remain in our understanding of the evaluation and treatment of osteoporosis in adults with ID.
成年智障人士的医疗护理始于初级保健医生的办公室。随着20世纪70年代和80年代这些人走向非机构化,以及这一人群寿命的延长,越来越多的成年残疾人生活在社区中。初级保健提供者需要自如地治疗这些有特殊需求的人的疾病。智障人士患许多慢性病的风险高于平均水平。骨质疏松症是一种经常被忽视或诊断不足的疾病。关于骨质疏松症的许多研究是在绝经后妇女和其他高危人群中进行的;然而,我们对成年智障人士骨质疏松症的评估和治疗的理解仍存在差距。