Kiley J. McLean, A.J. Drexel Autism Institute, Drexel University; and Lauren Bishop, Sandra Rosenbaum School of Social Work and Waisman Center, University of Wisconsin-Madison.
Am J Intellect Dev Disabil. 2024 Sep 1;129(5):331-345. doi: 10.1352/1944-7558-129.5.331.
Despite a growing number of adults with intellectual and developmental disabilities (IDD) and documented risk for adverse outcomes as they age, little is known about the health and healthcare patterns of adults with different IDD throughout adulthood. This study uses Wisconsin Medicaid claims data to characterize health conditions among adults with IDD. Results indicate high prevalence of asthma, diabetes, heart disease, and hypertension. Heart disease rates were particularly high, having been observed among 39% of autistic adults, 64% of autistic adults with intellectual disability (ID), 67% of adults with Down syndrome, and 75% of adults with ID only. Given there are no known biological differences underlying increased morbidities among most people with IDD, developing inclusive prevention measures should be prioritized in future research.
尽管越来越多的成年人患有智力和发育障碍 (IDD)，并且随着年龄的增长，他们有记录的不良后果风险，但对于不同 IDD 成年人整个成年期的健康和医疗保健模式知之甚少。本研究使用威斯康星州医疗补助索赔数据来描述 IDD 成年人的健康状况。结果表明，哮喘、糖尿病、心脏病和高血压的患病率很高。心脏病的发病率尤其高，39%的自闭症成年人、64%的自闭症伴有智力障碍的成年人、67%的唐氏综合征成年人和 75%的仅有智力障碍的成年人都观察到了这种情况。鉴于大多数 IDD 患者的发病率增加没有已知的生物学差异，未来的研究应该优先制定包容性预防措施。
