NYMC Student Theses and Dissertations
Date of Award
5-18-2023
Document Type
Doctoral Dissertation - Restricted (NYMC/Touro only) Access
Degree Name
Doctor of Public Health
Department
Public Health
First Advisor
Professor Adam Block
Second Advisor
Professor Patricia Patrick
Third Advisor
Professor Kenneth Knapp
Abstract
Abstract
Background: Adults with intellectual and or developmental disabilities (I/DD) are more likely to die earlier than people without disabilities, respresenting a health disparity. Many of these early deaths are preventable. It has been identified that adults with both mental disorders and I/DD face additional health challenges in comparison to adults without this comorbidity that may make them even more vulnerable. Despite this disparity, there has been limited study in the United States within the primary care setting of sub-populations with I/DD with chronic diseases.
Objective: To explore if there were any differences in the prevalence of select chronic diseases among sub-populations with I/DD utilizing primary care services and determine if those differences held after adjustment for hypothesized covariates.
Methods: A cross-sectional study utilizing data from primary care visits from January 1, 2019, to December 31, 2019, was conducted. Variables found in the literature to be associated with the dependent variables of type 2 diabetes, obesity, and hypertension were included as covariates. Bivariate analyses and logistic regression were performed.
Results: Adults with comorbid I/DD and mental disorders utilizing primary care services had a higher prevalence of type 2 diabetes than adults with IDD alone (20.3% vs. 12.8%). This finding was furthered by regression analyses that determined that adults with I/DD and mental disoders had a higher odds of having diagnosed of type 2 diabetes than adults with I/DD alone (AOR 1.6 ).
Recommended Citation
Bowens, Constance, "Prevalence of Type 2 Diabetes, Hypertension, and Obesity among Adults with Intellectual and or Developmental Disabilities and Major Mental Disorders" (2023). NYMC Student Theses and Dissertations. 57.
https://touroscholar.touro.edu/nymc_students_theses/57