Department of Population Health Sciences, University of Leicester, Leicester, and honorary consultant in psychiatry of intellectual disability, Adult Learning Disability Service, Leicestershire Partnership NHS Trust, Leicester.
Department of Population Health Sciences, University of Leicester, Leicester.
Br J Gen Pract. 2024 Nov 28;74(749):e845-e853. doi: 10.3399/BJGP.2024.0056. Print 2024 Dec.
Adults with learning disability face multiple adversities, but evidence on their needs and primary care experiences is limited.
To compare the characteristics and primary care experiences of adults reporting learning disability with those who did not.
This was an analysis of the 2022 General Practice Patient Survey, a national probability sample survey conducted in 2022 with people registered with NHS primary care in England.
This analysis reports descriptive profiles, weighted and with 95% confidence intervals. Logistic regression models adjusting for gender, age, ethnicity, and area-level deprivation compared experiences of adults reporting learning disability with those who did not.
Survey participants comprised 623 157 people aged ≥16 years, including 6711 reporting learning disability. Adults reporting learning disability were more likely to be male, younger, of mixed or multiple ethnicities, and live in more deprived areas. All chronic conditions included in the survey were more common in adults reporting learning disability, especially reported sensory, neurodevelopmental, neurological, and mental health conditions. Adults reporting learning disability were twice as likely to have a preferred GP, and less likely to find their practice's website easy to navigate. They were also less likely to have confidence and trust in their healthcare professional, or feel their needs were met.
Adults reporting a learning disability had a higher likelihood of chronic health conditions. Their reported experiences of primary care indicate that, despite recent initiatives to improve services offered, further adaptations to the consistency and ease of access to primary care is needed.
成年学习障碍者面临多种困境，但有关其需求和初级保健体验的证据有限。
比较报告有学习障碍和没有学习障碍的成年人的特征和初级保健体验。
这是对 2022 年全科医生患者调查的分析，这是一项 2022 年在英格兰国民保健服务初级保健注册人群中进行的全国概率抽样调查。
本分析报告描述性概况，采用加权和 95%置信区间。调整性别、年龄、族裔和地区贫困程度的逻辑回归模型比较了报告有学习障碍和没有学习障碍的成年人的体验。
调查参与者包括 623157 名年龄≥16 岁的人，其中 6711 人报告有学习障碍。报告有学习障碍的成年人更可能是男性、年轻、混血或多种族裔，并且生活在更贫困的地区。调查中包括的所有慢性疾病在报告有学习障碍的成年人中更为常见，特别是报告的感觉、神经发育、神经和心理健康状况。报告有学习障碍的成年人更有可能有首选的全科医生，而不太可能认为他们的实践网站易于浏览。他们也不太可能对医疗保健专业人员有信心和信任，或者觉得他们的需求得到了满足。
报告有学习障碍的成年人更有可能患有慢性健康状况。他们报告的初级保健体验表明，尽管最近采取了一些措施来改善所提供的服务，但仍需要进一步调整一致性和获得初级保健的便利性。
