The relative influence of intellectual disabilities and autism on sensory impairments and physical disability: A whole-country cohort of 5.3 million children and adults.
autism
hearing
intellectual disabilities
observational study
physical disability
sensory impairments
vision
Journal
Journal of applied research in intellectual disabilities : JARID
ISSN: 1468-3148
Titre abrégé: J Appl Res Intellect Disabil
Pays: England
ID NLM: 9613616
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
05
11
2019
revised:
29
01
2020
accepted:
02
03
2020
pubmed:
19
3
2020
medline:
19
8
2021
entrez:
19
3
2020
Statut:
ppublish
Résumé
Intellectual disabilities and autism are lifelong and often co-occur. Little is known on their extent of independent association with sensory impairments and physical disability. For Scotland's population, logistic regressions investigated age-gender-adjusted odds ratios (OR) of associations, independently, of intellectual disabilities and autism with sensory impairments and physical disability. 1,548,819 children/youth, and 3,746,584 adults. In children/youth, the effect size of intellectual disabilities and autism, respectively, was as follows: blindness (OR = 30.12; OR = 2.63), deafness (OR = 13.98; OR = 2.31), and physical disability (OR = 43.72; OR = 5.62). For adults, the effect size of intellectual disabilities and autism, respectively, was as follows: blindness (OR = 16.89; OR = 3.29), deafness (OR = 7.47; OR = 2.36), and physical disability (OR = 6.04; OR = 3.16). Intellectual disabilities have greater association with the population burden of sensory impairments/physical disability, but autism is also associated regardless of overlap with intellectual disabilities. These may impact further on communication limitations due to autism and intellectual disabilities, increasing complexity of assessments/management of other health conditions. Clinicians need to be aware of these important issues.
Sections du résumé
BACKGROUND
BACKGROUND
Intellectual disabilities and autism are lifelong and often co-occur. Little is known on their extent of independent association with sensory impairments and physical disability.
METHODS
METHODS
For Scotland's population, logistic regressions investigated age-gender-adjusted odds ratios (OR) of associations, independently, of intellectual disabilities and autism with sensory impairments and physical disability.
RESULTS
RESULTS
1,548,819 children/youth, and 3,746,584 adults. In children/youth, the effect size of intellectual disabilities and autism, respectively, was as follows: blindness (OR = 30.12; OR = 2.63), deafness (OR = 13.98; OR = 2.31), and physical disability (OR = 43.72; OR = 5.62). For adults, the effect size of intellectual disabilities and autism, respectively, was as follows: blindness (OR = 16.89; OR = 3.29), deafness (OR = 7.47; OR = 2.36), and physical disability (OR = 6.04; OR = 3.16).
CONCLUSIONS
CONCLUSIONS
Intellectual disabilities have greater association with the population burden of sensory impairments/physical disability, but autism is also associated regardless of overlap with intellectual disabilities. These may impact further on communication limitations due to autism and intellectual disabilities, increasing complexity of assessments/management of other health conditions. Clinicians need to be aware of these important issues.
Identifiants
pubmed: 32187783
doi: 10.1111/jar.12728
pmc: PMC8641374
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1059-1068Subventions
Organisme : Medical Research Council
ID : MC_PC_17217
Pays : United Kingdom
Organisme : UK Medical Research Council
ID : MC_PC_17217
Organisme : Scottish Government via the Scottish Learning Disabilities Observatory
Informations de copyright
© 2020 The Authors. Journal of Applied Research in Intellectual Disabilities published by John Wiley & Sons Ltd.
Références
J Intellect Disabil Res. 1995 Feb;39 ( Pt 1):27-33
pubmed: 7719058
Br J Psychiatry. 2006 Oct;189:361-6
pubmed: 17012660
BMJ Open. 2018 Feb 5;8(2):e018292
pubmed: 29431619
Autism Res. 2019 Sep;12(9):1411-1422
pubmed: 31136093
J Intellect Disabil Res. 2001 Dec;45(Pt 6):467-83
pubmed: 11737534
BJPsych Open. 2017 Sep 29;3(5):243-248
pubmed: 29034100
Acta Ophthalmol Scand. 2003 Apr;81(2):123-9
pubmed: 12752049
J Am Acad Child Adolesc Psychiatry. 2008 Aug;47(8):921-9
pubmed: 18645422
J Appl Res Intellect Disabil. 2020 Sep;33(5):1059-1068
pubmed: 32187783
J Intellect Disabil Res. 2003 Feb;47(Pt 2):134-45
pubmed: 12542579
J Intellect Disabil Res. 2009 Jan;53(1):19-28
pubmed: 18771511
Autism. 2019 Jul;23(5):1201-1209
pubmed: 30328695
BMJ Open. 2018 Sep 1;8(8):e023945
pubmed: 30173164
Lancet Neurol. 2013 Apr;12(4):406-14
pubmed: 23518333
Br J Psychiatry. 2007 Dec;191:493-9
pubmed: 18055952
Br J Psychiatry. 2007 Jan;190:27-35
pubmed: 17197653
Autism. 2015 Oct;19(7):814-23
pubmed: 25911091
Ear Hear. 2006 Jun;27(3):299-312
pubmed: 16672798