Department of Sociology and Aging Studies Institute, Maxwell School of Citizenship and Public Affairs, Syracuse University, Syracuse, NY, 13244, USA.
Department of Physical Medicine & Rehabilitation, SUNY Upstate Medical University, Syracuse, NY, 13210, USA.
Disabil Health J. 2020 Oct;13(4):100969. doi: 10.1016/j.dhjo.2020.100969. Epub 2020 Jun 24.
People with intellectual and developmental disabilities (IDD) may be at higher risk of severe outcomes from COVID-19.
To describe COVID-19 outcomes among people with IDD living in residential groups homes in the state of New York and the general population of New York State.
Data for people with IDD are from a coalition of organizations providing over half of the residential services for the state of New York, and from the New York State Department of Health. Analysis describes COVID-19 case rates, case-fatality, and mortality among people with IDD living in residential group homes and New York State through May 28, 2020.
People with IDD living in residential group homes were at greater risk of severe COVID-19 outcomes: case rates - 7,841 per 100,000 for people with IDD compared to 1,910 for New York State; case-fatality - 15.0% for people with IDD compared to 7.9% for New York State; and mortality rate - 1,175 per 100,000 for people with IDD compared to 151 per 100,000 for New York State. Differences in cases and mortality rate were confirmed across regions of the state, but case-fatality rate was only higher for people with IDD in and around the New York City region.
COVID-19 appears to present a greater risk to people with IDD, especially those living in congregate settings. A full understanding of the severity of this risk will not be possible until US states begin publicly sharing all relevant data they have on COVID-19 outcomes among this population.
智力和发育障碍（IDD）患者感染 COVID-19 后出现严重后果的风险可能更高。
描述居住在纽约州集体居住住宅中的 IDD 患者和纽约州普通人群的 COVID-19 结局。
IDDD 患者的数据来自为纽约州提供一半以上居住服务的组织联盟和纽约州卫生部。分析描述了 2020 年 5 月 28 日前居住在集体居住住宅中的 IDD 患者和纽约州的 COVID-19 病例发生率、病死率和死亡率。
居住在集体居住住宅中的 IDD 患者感染严重 COVID-19 的风险更高：病例发生率为每 10 万人 7841 例，而纽约州为 1910 例；病死率为 15.0%，纽约州为 7.9%；死亡率为每 10 万人 1175 例，纽约州为 151 例。州内各地区的病例和死亡率差异均得到确认，但病死率仅在纽约市及周边地区的 IDD 患者中更高。
COVID-19 似乎对 IDD 患者构成更大威胁，尤其是那些居住在集体居住环境中的患者。在美国各州开始公开分享其关于该人群 COVID-19 结局的所有相关数据之前，尚无法全面了解这一风险的严重程度。
