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英国有智力障碍和无智力障碍父母的健康状况。

The health of parents with and without intellectual impairment in the UK.

作者信息

Emerson E, Llewellyn G, Hatton C, Hindmarsh G, Robertson J, Man W Y N, Baines S

机构信息

Centre for Disability Research and Policy, University of Sydney, Sydney, New South Wales, Australia.

Centre for Disability Research, Lancaster University, Lancaster, UK.

出版信息

J Intellect Disabil Res. 2015 Dec;59(12):1142-54. doi: 10.1111/jir.12218. Epub 2015 Sep 14.

Abstract

BACKGROUND

Little is known about the health and well-being of the 'hidden majority' of parents with mild intellectual disability (ID), who are less likely to be in contact with disability services.

METHOD

We sought to add to knowledge in this area by examining the health and living conditions of parents with and without intellectual impairment in a large contemporary nationally representative sample of UK parents aged between 16 and 49 years old (n = 14 371).

RESULTS

Our results indicated that, as expected, parents with intellectual impairment were at significantly greater risk than other parents of having poorer self-reported general, mental and physical health. They were also at significantly greater risk of experiencing higher rates of household socio-economic disadvantage and environmental adversities and lower rates of neighbourhood social capital and intergenerational support. Adjusting risk estimates to take account of between group differences in household socio-economic disadvantage eliminated statistically significant differences in health status between parents with and without intellectual impairment on all but one indicator (obesity). Further adjusting risk estimates to take account of between group differences in neighbourhood adversity, neighbourhood social capital and intergenerational support had minimal impact on the results.

CONCLUSIONS

That controlling for between-group differences in exposure to socio-economic disadvantage largely eliminated evidence of poorer health among parents with intellectual impairment is consistent with the view that a significant proportion of the poorer health of people with IDs may be attributable to their poorer living conditions rather than biological factors associated with ID per se.

摘要

背景

对于有轻度智力障碍(ID)的“隐藏多数”父母的健康和幸福状况,我们知之甚少,他们与残疾服务机构接触的可能性较小。

方法

我们试图通过在一个具有全国代表性的当代大型样本中,研究有和没有智力障碍的英国父母(年龄在16至49岁之间,n = 14371)的健康和生活状况,来增加这一领域的知识。

结果

我们的结果表明,正如预期的那样,有智力障碍的父母比其他父母在自我报告的总体、心理和身体健康方面状况更差的风险显著更高。他们在家庭社会经济劣势和环境逆境发生率较高,以及邻里社会资本和代际支持率较低方面的风险也显著更高。调整风险估计以考虑家庭社会经济劣势的组间差异后,除了一个指标(肥胖)外,有和没有智力障碍的父母在健康状况上的统计学显著差异都消除了。进一步调整风险估计以考虑邻里逆境、邻里社会资本和代际支持的组间差异,对结果的影响最小。

结论

控制社会经济劣势暴露的组间差异在很大程度上消除了有智力障碍的父母健康较差这一证据,这与以下观点一致,即相当一部分智力障碍者健康较差可能归因于他们较差的生活条件,而非与智力障碍本身相关的生物学因素。

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