Arvio Maria, Salokivi Tommi, Bjelogrlic-Laakso Nina
Department of Neurology, Joint Authority for Päijät-Häme Social and Health Care, Lahti, Finland.
Support and Expert Center for Persons with Intellectual Disability, KTO, Paimio, Finland.
J Appl Res Intellect Disabil. 2017 Jul;30(4):782-785. doi: 10.1111/jar.12269. Epub 2016 Jul 1.
We aimed to ascertain the average age at death (AD) in the intellectual disability population for each gender and compare them to those of the general population during 1970-2012.
By analysing medical records, we calculated the ADs of all deceased clients (N = 1236) of two district organizations responsible for intellectual disability services. Statistics Finland's database generated data regarding ADs of all inhabitants who had died after having resided in same district.
During the follow-up, average ADs for the intellectual disability population and general population increased, and simultaneously the AD difference between these populations decreased. In the 2000s, the AD difference between the intellectual disability population and the whole population was 22 years for men (95% CI: -24 to -20) and 30 years for women (95% CI: -33 to -27). In 2000s, the mean AD of those with mild-to-moderate intellectual disability (IQ 50-69) for women and men was 56 (SD17) and 54 (SD18), and those with severe to profound intellectual disability (IQ<50), 44 (SD23) and 43 (SD21).
Intellectual disability is still a considerable risk factor for early death. Among the intellectual disability population, unlike in general population, the lifespans of women and men are equal.
我们旨在确定1970 - 2012年间智障人群中各性别的平均死亡年龄(AD),并将其与普通人群的平均死亡年龄进行比较。
通过分析医疗记录,我们计算了负责智障服务的两个地区组织中所有已故客户(N = 1236)的平均死亡年龄。芬兰统计局的数据库提供了居住在同一地区后死亡的所有居民的平均死亡年龄数据。
在随访期间,智障人群和普通人群的平均死亡年龄均有所增加,同时这两个人群之间的平均死亡年龄差异减小。在21世纪,智障男性人群与全体人群的平均死亡年龄差异为22岁(95%CI:-24至-20),女性为30岁(95%CI:-33至-27)。在21世纪,轻度至中度智障(智商50 - 69)的女性和男性的平均死亡年龄分别为56岁(标准差17)和54岁(标准差18),重度至极重度智障(智商<50)的女性和男性分别为44岁(标准差23)和43岁(标准差21)。
智障仍然是导致过早死亡的一个重要风险因素。在智障人群中,与普通人群不同,男性和女性的寿命是相等的。