ERIC Number: EJ1048408
Record Type: Journal
Publication Date: 2015-Jan
Abstractor: As Provided
The Uptake of Secondary Prevention by Adults with Intellectual and Developmental Disabilities
Ouellette-Kuntz, H.; Cobigo, V.; Balogh, R.; Wilton, A.; Lunsky, Y.
Journal of Applied Research in Intellectual Disabilities, v28 n1 p43-54 Jan 2015
Background: Secondary prevention involves the early detection of disease while it is asymptomatic to prevent its progression. For adults with intellectual and developmental disabilities, secondary prevention is critical as they may not have the ability to recognize the early signs and symptoms of disease or lack accessible information about these. Methods: Linked administrative health and social service data were used to document uptake related to four secondary prevention guidelines among adults with intellectual and developmental disabilities. Rates were compared to those from a general population sample representing the same age ranges. Results: Of 22% of adults with intellectual and developmental disabilities had a periodic health examination in a two-year period (compared to 26.4% of adults without intellectual and developmental disabilities). Adults with intellectual and developmental disabilities were less likely to undergo recommended age and gender-specific screening for the three types of cancer studied (colorectal, breast and cervical). Conclusions: Adults with intellectual and developmental disabilities in Ontario experience disparities in secondary prevention. As changes to primary care delivery and secondary prevention recommendations in the province and elsewhere continue to evolve, close monitoring of the impacts on adults with intellectual and developmental disabilities combined with dedicated efforts to increase access is warranted.
Descriptors: Developmental Disabilities, Mental Retardation, Prevention, Adults, Early Intervention, Guidelines, Prereferral Intervention, Screening Tests, Age Differences, Gender Differences, Cancer, Primary Health Care, Access to Health Care, Change Strategies, Delivery Systems, Foreign Countries, Health Services, Health Conditions
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A
Identifiers - Location: Canada