Childhood adversity, health and quality of life in adults with intellectual and developmental disabilities
Background Associations between childhood adversity and negative health outcomes are well documented within the general population; however, this relationship has yet to be confirmed in adults with intellectual and developmental disabilities (I/DD). Bridging the gap between public health and I/DD re...
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| Veröffentlicht in: | Journal of intellectual disability research 2018-10, Vol.62 (10), p.854-863 |
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| container_title | Journal of intellectual disability research |
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| creator | Santoro, A. F. Shear, S. M. Haber, A. |
| description | Background
Associations between childhood adversity and negative health outcomes are well documented within the general population; however, this relationship has yet to be confirmed in adults with intellectual and developmental disabilities (I/DD). Bridging the gap between public health and I/DD research is critical in order to better understand the ways in which the health of people with I/DD are compromised by adversity and social disadvantage and to develop preventative care frameworks and health‐promoting practices specifically for adults with I/DD. The aim of this exploratory study was to examine the relationships among adversity, physical health and quality of life in a sample of adults with I/DD.
Method
Participants were adults with I/DD currently residing within campus‐based residences. Demographic data, psychiatric and medical diagnoses, adverse childhood experiences scores and quality of life scores were aggregated from participants' electronic medical records. A health history form was completed for each participant based on a review of participants' medical records.
Results
Results indicated childhood adversity was significantly associated with number of chronic medical conditions (r = .35, P |
| doi_str_mv | 10.1111/jir.12540 |
| format | Article |
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Associations between childhood adversity and negative health outcomes are well documented within the general population; however, this relationship has yet to be confirmed in adults with intellectual and developmental disabilities (I/DD). Bridging the gap between public health and I/DD research is critical in order to better understand the ways in which the health of people with I/DD are compromised by adversity and social disadvantage and to develop preventative care frameworks and health‐promoting practices specifically for adults with I/DD. The aim of this exploratory study was to examine the relationships among adversity, physical health and quality of life in a sample of adults with I/DD.
Method
Participants were adults with I/DD currently residing within campus‐based residences. Demographic data, psychiatric and medical diagnoses, adverse childhood experiences scores and quality of life scores were aggregated from participants' electronic medical records. A health history form was completed for each participant based on a review of participants' medical records.
Results
Results indicated childhood adversity was significantly associated with number of chronic medical conditions (r = .35, P < .001, 95% BCa CI [.13, .53]). Childhood adversity was not significantly related to quality of life. After controlling for demographic variables, childhood adversity remained a significant predictor of health history (B = .32, P < .005, 95% BCa CI [.10, .52]), with greater adversity predicting greater medical illness.
Conclusion
Participants demonstrated higher rates of childhood adversity compared with the general population, suggesting that individuals with I/DD may be particularly vulnerable to experiencing adversity during development. Childhood adversity was a significant predictor of physical illness in adults with I/DD. These findings emphasise the importance of screening for childhood adversity histories in adults with I/DD. Additionally, results demonstrate the importance of offering preventative interventions geared at preventing physical illness and promoting health in adults with I/DD with adversity and trauma backgrounds.</description><identifier>ISSN: 0964-2633</identifier><identifier>EISSN: 1365-2788</identifier><identifier>DOI: 10.1111/jir.12540</identifier><identifier>PMID: 30117608</identifier><language>eng</language><publisher>England: Wiley-Blackwell</publisher><subject>Adults ; Adverse childhood experiences ; Adversity ; Child Development ; childhood adversity ; Childhood experiences ; Chronic illnesses ; Clinical Diagnosis ; Clinical outcomes ; Computerized medical records ; Correlation ; Developmental Disabilities ; Disadvantaged ; health ; Health care ; Health Promotion ; Health status ; Illnesses ; Intellectual disabilities ; Intellectual Disability ; Intervention ; Medical conditions ; Medical Evaluation ; Medical records ; Medical screening ; Physical Health ; Prevention ; Public Health ; Quality of Life ; Records (Forms) ; Screening Tests ; Trauma</subject><ispartof>Journal of intellectual disability research, 2018-10, Vol.62 (10), p.854-863</ispartof><rights>2018 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd</rights><rights>2018 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3750-b771a3b9f3b7a42f2a3938f8fdf836c8609c16ec3b60ccd750ad26e25d3ead0c3</citedby><cites>FETCH-LOGICAL-c3750-b771a3b9f3b7a42f2a3938f8fdf836c8609c16ec3b60ccd750ad26e25d3ead0c3</cites><orcidid>0000-0001-5738-0735</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjir.12540$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjir.12540$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,30998,45573,45574</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1191560$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30117608$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Santoro, A. F.</creatorcontrib><creatorcontrib>Shear, S. M.</creatorcontrib><creatorcontrib>Haber, A.</creatorcontrib><title>Childhood adversity, health and quality of life in adults with intellectual and developmental disabilities</title><title>Journal of intellectual disability research</title><addtitle>J Intellect Disabil Res</addtitle><description>Background
Associations between childhood adversity and negative health outcomes are well documented within the general population; however, this relationship has yet to be confirmed in adults with intellectual and developmental disabilities (I/DD). Bridging the gap between public health and I/DD research is critical in order to better understand the ways in which the health of people with I/DD are compromised by adversity and social disadvantage and to develop preventative care frameworks and health‐promoting practices specifically for adults with I/DD. The aim of this exploratory study was to examine the relationships among adversity, physical health and quality of life in a sample of adults with I/DD.
Method
Participants were adults with I/DD currently residing within campus‐based residences. Demographic data, psychiatric and medical diagnoses, adverse childhood experiences scores and quality of life scores were aggregated from participants' electronic medical records. A health history form was completed for each participant based on a review of participants' medical records.
Results
Results indicated childhood adversity was significantly associated with number of chronic medical conditions (r = .35, P < .001, 95% BCa CI [.13, .53]). Childhood adversity was not significantly related to quality of life. After controlling for demographic variables, childhood adversity remained a significant predictor of health history (B = .32, P < .005, 95% BCa CI [.10, .52]), with greater adversity predicting greater medical illness.
Conclusion
Participants demonstrated higher rates of childhood adversity compared with the general population, suggesting that individuals with I/DD may be particularly vulnerable to experiencing adversity during development. Childhood adversity was a significant predictor of physical illness in adults with I/DD. These findings emphasise the importance of screening for childhood adversity histories in adults with I/DD. Additionally, results demonstrate the importance of offering preventative interventions geared at preventing physical illness and promoting health in adults with I/DD with adversity and trauma backgrounds.</description><subject>Adults</subject><subject>Adverse childhood experiences</subject><subject>Adversity</subject><subject>Child Development</subject><subject>childhood adversity</subject><subject>Childhood experiences</subject><subject>Chronic illnesses</subject><subject>Clinical Diagnosis</subject><subject>Clinical outcomes</subject><subject>Computerized medical records</subject><subject>Correlation</subject><subject>Developmental Disabilities</subject><subject>Disadvantaged</subject><subject>health</subject><subject>Health care</subject><subject>Health Promotion</subject><subject>Health status</subject><subject>Illnesses</subject><subject>Intellectual disabilities</subject><subject>Intellectual Disability</subject><subject>Intervention</subject><subject>Medical conditions</subject><subject>Medical Evaluation</subject><subject>Medical records</subject><subject>Medical screening</subject><subject>Physical Health</subject><subject>Prevention</subject><subject>Public Health</subject><subject>Quality of Life</subject><subject>Records (Forms)</subject><subject>Screening Tests</subject><subject>Trauma</subject><issn>0964-2633</issn><issn>1365-2788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp10c1qGzEQAGARGhLH6SEP0LLQSwNZWz-WVnssJkltAoWSnoVWGmEZedeRdhP89lWyiQ-F6iKY-TQzaBC6InhG8plvfZwRyhf4BE0IE7yklZSf0ATXYlFSwdg5ukhpizEWZCHO0DnDhFQCywnaLjc-2E3X2ULbZ4jJ94ebYgM69JtCt7Z4GnTIsaJzRfAOCt9mOIQ-FS8-E9_2EAKYPrM3b-EZQrffQdvniPVJNz4X8JAu0anTIcHn93uK_tzdPi5_lg-_7lfLHw-lYRXHZVNVRLOmdqyp9II6qlnNpJPOOsmEkQLXhggwrBHYGJufaEsFUG4ZaIsNm6LvY9197J4GSL3a-WTylLqFbkiKYllLjisuM_32D912Q2zzdIoSLCWlkvOsrkdlYpdSBKf20e90PCiC1esCVF6AeltAtl_fKw7NDuxRfvx4Bl9GANGbY_p2TUhNuHgtMB_zLz7A4f-d1Hr1e2z5FxuAmdA</recordid><startdate>201810</startdate><enddate>201810</enddate><creator>Santoro, A. F.</creator><creator>Shear, S. M.</creator><creator>Haber, A.</creator><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5738-0735</orcidid></search><sort><creationdate>201810</creationdate><title>Childhood adversity, health and quality of life in adults with intellectual and developmental disabilities</title><author>Santoro, A. F. ; Shear, S. M. ; Haber, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3750-b771a3b9f3b7a42f2a3938f8fdf836c8609c16ec3b60ccd750ad26e25d3ead0c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adults</topic><topic>Adverse childhood experiences</topic><topic>Adversity</topic><topic>Child Development</topic><topic>childhood adversity</topic><topic>Childhood experiences</topic><topic>Chronic illnesses</topic><topic>Clinical Diagnosis</topic><topic>Clinical outcomes</topic><topic>Computerized medical records</topic><topic>Correlation</topic><topic>Developmental Disabilities</topic><topic>Disadvantaged</topic><topic>health</topic><topic>Health care</topic><topic>Health Promotion</topic><topic>Health status</topic><topic>Illnesses</topic><topic>Intellectual disabilities</topic><topic>Intellectual Disability</topic><topic>Intervention</topic><topic>Medical conditions</topic><topic>Medical Evaluation</topic><topic>Medical records</topic><topic>Medical screening</topic><topic>Physical Health</topic><topic>Prevention</topic><topic>Public Health</topic><topic>Quality of Life</topic><topic>Records (Forms)</topic><topic>Screening Tests</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Santoro, A. F.</creatorcontrib><creatorcontrib>Shear, S. M.</creatorcontrib><creatorcontrib>Haber, A.</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of intellectual disability research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Santoro, A. F.</au><au>Shear, S. M.</au><au>Haber, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1191560</ericid><atitle>Childhood adversity, health and quality of life in adults with intellectual and developmental disabilities</atitle><jtitle>Journal of intellectual disability research</jtitle><addtitle>J Intellect Disabil Res</addtitle><date>2018-10</date><risdate>2018</risdate><volume>62</volume><issue>10</issue><spage>854</spage><epage>863</epage><pages>854-863</pages><issn>0964-2633</issn><eissn>1365-2788</eissn><abstract>Background
Associations between childhood adversity and negative health outcomes are well documented within the general population; however, this relationship has yet to be confirmed in adults with intellectual and developmental disabilities (I/DD). Bridging the gap between public health and I/DD research is critical in order to better understand the ways in which the health of people with I/DD are compromised by adversity and social disadvantage and to develop preventative care frameworks and health‐promoting practices specifically for adults with I/DD. The aim of this exploratory study was to examine the relationships among adversity, physical health and quality of life in a sample of adults with I/DD.
Method
Participants were adults with I/DD currently residing within campus‐based residences. Demographic data, psychiatric and medical diagnoses, adverse childhood experiences scores and quality of life scores were aggregated from participants' electronic medical records. A health history form was completed for each participant based on a review of participants' medical records.
Results
Results indicated childhood adversity was significantly associated with number of chronic medical conditions (r = .35, P < .001, 95% BCa CI [.13, .53]). Childhood adversity was not significantly related to quality of life. After controlling for demographic variables, childhood adversity remained a significant predictor of health history (B = .32, P < .005, 95% BCa CI [.10, .52]), with greater adversity predicting greater medical illness.
Conclusion
Participants demonstrated higher rates of childhood adversity compared with the general population, suggesting that individuals with I/DD may be particularly vulnerable to experiencing adversity during development. Childhood adversity was a significant predictor of physical illness in adults with I/DD. These findings emphasise the importance of screening for childhood adversity histories in adults with I/DD. Additionally, results demonstrate the importance of offering preventative interventions geared at preventing physical illness and promoting health in adults with I/DD with adversity and trauma backgrounds.</abstract><cop>England</cop><pub>Wiley-Blackwell</pub><pmid>30117608</pmid><doi>10.1111/jir.12540</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-5738-0735</orcidid></addata></record> |
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| ispartof | Journal of intellectual disability research, 2018-10, Vol.62 (10), p.854-863 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); EBSCOhost Education Source; Wiley Online Library All Journals |
| subjects | Adults Adverse childhood experiences Adversity Child Development childhood adversity Childhood experiences Chronic illnesses Clinical Diagnosis Clinical outcomes Computerized medical records Correlation Developmental Disabilities Disadvantaged health Health care Health Promotion Health status Illnesses Intellectual disabilities Intellectual Disability Intervention Medical conditions Medical Evaluation Medical records Medical screening Physical Health Prevention Public Health Quality of Life Records (Forms) Screening Tests Trauma |
| title | Childhood adversity, health and quality of life in adults with intellectual and developmental disabilities |
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