Prevalence of mental health conditions and relationship with general health in a whole-country population of people with intellectual disabilities compared with the general population
Prevalence of mental health conditions and relationship with general health in a whole-country population of people with intellectual disabilities compared with the general population
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DOI：
10.1192/bjpo.bp.117.005462
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发表时间：
2017-09-01
期刊：
影响因子：
5.4
通讯作者：
Cooper, Sally-Ann
中科院分区：
文献类型：
--
作者：
Hughes-McCormack, Laura A.;Rydzewska, Ewelina;Cooper, Sally-Ann
背景 此前还没有关于智力障碍人群心理健康及其与一般健康关系的全国性研究；研究结果各不相同。目的是确定智力障碍和非智力障碍总人口中心理健康状况的患病率以及与一般健康的关系。方法 94% 的人完成了 2011 年苏格兰人口普查。提取了智力障碍、心理健康和一般健康的数据，并调查了它们之间的关联。结果共有 26 349/5 295 403 人 (0.5%) 患有智力障碍。总体而言，12.8% 的儿童、23.4% 的成人和 27.2% 的老年人存在心理健康问题，而总人口中这一比例为 0.3%、5.3% 和 4.5%。智力障碍预示着心理健康状况；比值比 (OR)=7.1 (95% CI 6.8-7.3)。总体健康状况明显较差，并与心理健康状况有关；健康状况良好 OR=1.8 (95% CI 1.7-1.9)，健康状况不佳/非常糟糕 OR=4.2 (95% CI 3.9-4.6)。 结论 鉴于前面所述的对比较患病率结果缺乏信心，以及需要相应地规划服务，这些大规模、全国性的研究结果很重要。
BackgroundThere are no previous whole-country studies on mental health and relationships with general health in intellectual disability populations; study results vary.AimsTo determine the prevalence of mental health conditions and relationships with general health in a total population with and without intellectual disabilities.MethodNinety-four per cent completed Scotland's Census 2011. Data on intellectual disabilities, mental health and general health were extracted, and the association between them was investigated.ResultsA total of 26 349/5 295 403 (0.5%) had intellectual disabilities. In total, 12.8% children, 23.4% adults and 27.2% older adults had mental health conditions compared with 0.3, 5.3 and 4.5% of the general population. Intellectual disabilities predicted mental health conditions; odds ratio (OR)=7.1 (95% CI 6.8-7.3). General health was substantially poorer and associated with mental health conditions; fair health OR=1.8 (95% CI 1.7-1.9), bad/very bad health OR=4.2 (95% CI 3.9-4.6).ConclusionsThese large-scale, whole-country study findings are important, given the previously stated lack of confidence in comparative prevalence results, and the need to plan services accordingly.