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Health Needs and Their Relationship with Life Expectancy in People with and without Intellectual Disabilities in England

Health needs are common in people living with intellectual disabilities, but we do not know how they contribute to life expectancy. We used the Clinical Practice Research Datalink (CPRD) linked with hospital/mortality data in England (2017–2019) to explore life expectancy among people with or withou...

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Autores principales: Tyrer, Freya, Morriss, Richard, Kiani, Reza, Gangadharan, Satheesh K., Kundaje, Harish, Rutherford, Mark J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180100/
https://www.ncbi.nlm.nih.gov/pubmed/35682186
http://dx.doi.org/10.3390/ijerph19116602
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author Tyrer, Freya
Morriss, Richard
Kiani, Reza
Gangadharan, Satheesh K.
Kundaje, Harish
Rutherford, Mark J.
author_facet Tyrer, Freya
Morriss, Richard
Kiani, Reza
Gangadharan, Satheesh K.
Kundaje, Harish
Rutherford, Mark J.
author_sort Tyrer, Freya
collection PubMed
description Health needs are common in people living with intellectual disabilities, but we do not know how they contribute to life expectancy. We used the Clinical Practice Research Datalink (CPRD) linked with hospital/mortality data in England (2017–2019) to explore life expectancy among people with or without intellectual disabilities, indicated by the presence or absence, respectively, of: epilepsy; incontinence; severe visual loss; severe visual impairment; severe mobility difficulties; cerebral palsy and PEG feeding. Life expectancy and 95% confidence intervals were compared using flexible parametric methods. At baseline, 46.4% (total n = 7794) of individuals with intellectual disabilities compared with 9.7% (total n = 176,807) in the comparison group had ≥1 health need. Epilepsy was the most common health need (18.7% vs. 1.1%). All health needs except hearing impairment were associated with shorter life expectancy: PEG feeding and mobility difficulties were associated with the greatest loss in life years (65–68% and 41–44%, respectively). Differential life expectancy attenuated but remained (≈12% life years lost) even after restricting the population to those without health needs (additional years expected to live at 10 years: 65.5 [60.3, 71.1] vs. 74.3 [73.8, 74.7]). We conclude that health needs play a significant role but do not explain all of the differential life expectancy experienced by people with intellectual disabilities.
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spelling pubmed-91801002022-06-10 Health Needs and Their Relationship with Life Expectancy in People with and without Intellectual Disabilities in England Tyrer, Freya Morriss, Richard Kiani, Reza Gangadharan, Satheesh K. Kundaje, Harish Rutherford, Mark J. Int J Environ Res Public Health Article Health needs are common in people living with intellectual disabilities, but we do not know how they contribute to life expectancy. We used the Clinical Practice Research Datalink (CPRD) linked with hospital/mortality data in England (2017–2019) to explore life expectancy among people with or without intellectual disabilities, indicated by the presence or absence, respectively, of: epilepsy; incontinence; severe visual loss; severe visual impairment; severe mobility difficulties; cerebral palsy and PEG feeding. Life expectancy and 95% confidence intervals were compared using flexible parametric methods. At baseline, 46.4% (total n = 7794) of individuals with intellectual disabilities compared with 9.7% (total n = 176,807) in the comparison group had ≥1 health need. Epilepsy was the most common health need (18.7% vs. 1.1%). All health needs except hearing impairment were associated with shorter life expectancy: PEG feeding and mobility difficulties were associated with the greatest loss in life years (65–68% and 41–44%, respectively). Differential life expectancy attenuated but remained (≈12% life years lost) even after restricting the population to those without health needs (additional years expected to live at 10 years: 65.5 [60.3, 71.1] vs. 74.3 [73.8, 74.7]). We conclude that health needs play a significant role but do not explain all of the differential life expectancy experienced by people with intellectual disabilities. MDPI 2022-05-28 /pmc/articles/PMC9180100/ /pubmed/35682186 http://dx.doi.org/10.3390/ijerph19116602 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tyrer, Freya
Morriss, Richard
Kiani, Reza
Gangadharan, Satheesh K.
Kundaje, Harish
Rutherford, Mark J.
Health Needs and Their Relationship with Life Expectancy in People with and without Intellectual Disabilities in England
title Health Needs and Their Relationship with Life Expectancy in People with and without Intellectual Disabilities in England
title_full Health Needs and Their Relationship with Life Expectancy in People with and without Intellectual Disabilities in England
title_fullStr Health Needs and Their Relationship with Life Expectancy in People with and without Intellectual Disabilities in England
title_full_unstemmed Health Needs and Their Relationship with Life Expectancy in People with and without Intellectual Disabilities in England
title_short Health Needs and Their Relationship with Life Expectancy in People with and without Intellectual Disabilities in England
title_sort health needs and their relationship with life expectancy in people with and without intellectual disabilities in england
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180100/
https://www.ncbi.nlm.nih.gov/pubmed/35682186
http://dx.doi.org/10.3390/ijerph19116602
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