Journal article
Health disparities persist for adults with developmental disabilities: NHIS insights, 1999-2018
Health affairs scholar, v 3(4), qxae158
22 Apr 2025
PMID: 40264700
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
This study assesses changes in self-reported health and healthcare status among adults with intellectual and developmental disabilities (I/DD) over the past 20 years, utilizing data from the National Health Interview Survey. We conducted a cross-sectional analysis of 601 464 adults 18 and older, categorized by disability status: no functional limitations, developmental disabilities, intellectual disabilities, and other functional limitations. We aimed to identify trends in health status, healthcare access, affordability, and utilization from 1999 to 2018, comparing outcomes across disability groups. Results indicate adults with intellectual disabilities reported poorer health compared to those without functional limitations, particularly in the most recent period (2014-2018). Adults with developmental disabilities exhibited increased odds of poor health during 2009-2013 compared to 1999-2003, but no significant differences occurred between other periods. Additionally, poverty rates for adults with I/DD were higher, with a substantial proportion of adults with intellectual disabilities living in poverty compared to those without functional limitations, indicating persistent disparities without significant trend improvements. Despite advancements in healthcare access and affordability, self-reported health outcomes for adults with I/DD have not improved, highlighting the need for policies to enhance care quality. Future research should focus on effective healthcare practices and provider training to address these persistent disparities.
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Details
- Title
- Health disparities persist for adults with developmental disabilities: NHIS insights, 1999-2018
- Creators
- Kiley J McLean (Corresponding Author) - Drexel UniversityJamie Koenig - University of Wisconsin–MadisonSamara Wolpe - California Department of EducationWei Song - Drexel UniversityLauren Bishop - University of Wisconsin–Madison
- Publication Details
- Health affairs scholar, v 3(4), qxae158
- Publisher
- Oxford University Press
- Number of pages
- 7
- Grant note
- UL1TR002373; KL2TR002374; KL2TR000428 / ; U54HD090256; P50HD105353 / ; UT6MC45902 / ;
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:001471882700001
- Scopus ID
- 2-s2.0-105024718969
- Other Identifier
- 991022048929904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services