Predictors of perceived health in adults with an intellectual disability.
adults with an intellectual disability
and modifiable factors
demographic
intellectual functioning
obesity paradox
perceived health status
Journal
Research in developmental disabilities
ISSN: 1873-3379
Titre abrégé: Res Dev Disabil
Pays: United States
ID NLM: 8709782
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
11
10
2019
revised:
28
02
2020
accepted:
24
03
2020
pubmed:
25
4
2020
medline:
9
3
2021
entrez:
25
4
2020
Statut:
ppublish
Résumé
The effects of Intellectual disability (ID) levels, body mass index (BMI) categories, and other factors on perceived health status of adults with ID are not well-known. We aimed to examine: (a) the relationship between perceived health and level of intellectual function; (b) the influence of different BMI categories on a perceived health; and (c) the effect of the modifiable behavioral factors on perceived health. We examined the aims using data from the 2013-2014 Adult Consumer Survey of the National Core Indicator. We extracted demographic (e.g. age, BMI) and modifiable behavior-related variables (e.g. physical activity participation, having a job) and used logistic regression models to analyze the relationships. Logistic regressions showed that more severe ID level is associated with worse perceived health, but when other variables related to personal and behavioral characteristics were accounted for, this relationship was no longer significant. Obese adults with ID had worse perceived health than those with normal weight; this effect remained significant even after considering other variables. Those in the overweight category did not differ in perceived health status from those of normal weight. The effects of all modifiable behaviors on perceived health were significant. Health promotion programs for adults with ID may benefit by consideration of modifiable behaviors.
Sections du résumé
BACKGROUND
BACKGROUND
The effects of Intellectual disability (ID) levels, body mass index (BMI) categories, and other factors on perceived health status of adults with ID are not well-known.
AIMS
OBJECTIVE
We aimed to examine: (a) the relationship between perceived health and level of intellectual function; (b) the influence of different BMI categories on a perceived health; and (c) the effect of the modifiable behavioral factors on perceived health.
METHODS AND PROCEDURES
METHODS
We examined the aims using data from the 2013-2014 Adult Consumer Survey of the National Core Indicator. We extracted demographic (e.g. age, BMI) and modifiable behavior-related variables (e.g. physical activity participation, having a job) and used logistic regression models to analyze the relationships.
OUTCOMES AND RESULTS
RESULTS
Logistic regressions showed that more severe ID level is associated with worse perceived health, but when other variables related to personal and behavioral characteristics were accounted for, this relationship was no longer significant. Obese adults with ID had worse perceived health than those with normal weight; this effect remained significant even after considering other variables. Those in the overweight category did not differ in perceived health status from those of normal weight. The effects of all modifiable behaviors on perceived health were significant.
CONCLUSIONS AND IMPLICATIONS
CONCLUSIONS
Health promotion programs for adults with ID may benefit by consideration of modifiable behaviors.
Identifiants
pubmed: 32330846
pii: S0891-4222(20)30072-X
doi: 10.1016/j.ridd.2020.103642
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
103642Informations de copyright
Copyright © 2020 Elsevier Ltd. All rights reserved.