Racial-ethnic inequities in age at death among adults with/without intellectual and developmental disability in the United States

被引:5
作者
Landes, Scott D. [1 ,2 ]
Wilmoth, Janet M. [1 ,2 ]
McDonald, Katherine E. [3 ]
Smith, Alyssa N. [1 ,2 ]
机构
[1] Syracuse Univ, Dept Sociol, Maxwell Sch Citizenship & Publ Affairs, Syracuse, NY 13244 USA
[2] Syracuse Univ, Aging Studies Inst, Maxwell Sch Citizenship & Publ Affairs, Syracuse, NY 13244 USA
[3] Syracuse Univ, Falk Coll Sport & Human Dynam, Dept Publ Hlth, Syracuse, NY USA
关键词
Race-ethnicity; Intellectual disability; Down syndrome; Cerebral palsy; Age at death; Disparities; Inequities; Death certificates; HEALTH DISPARITIES; MORTALITY; PEOPLE; US; PREVALENCE; ACCURACY; DISEASE; CERTIFICATES; RACE; UK;
D O I
10.1016/j.ypmed.2022.106985
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
To identify potential differences in racial-ethnic inequities in mortality between adults with/without intellectual and developmental disability, we compared patterns in age at death by race-ethnic status among adults who did/ did not have intellectual and developmental disability reported on their death certificate in the United States. Data were from the 2005-2017 U.S. Multiple Cause-of-Death Mortality files. Average age at death by racial-ethnic status was compared between adults, age 18 and older, with/without different types of intellectual and developmental disability reported on their death certificate (N = 32,760,741). A multiple descent pattern was observed among adults without intellectual or developmental disability, with age at death highest among Whites, followed by Asians, Hispanics and Blacks, then American Indians. In contrast, a bifurcated pattern was observed among adults with intellectual disability, with age at death highest among Whites, but lower and similar among all racial-ethnic minority groups. The severity of racial-ethnic inequities in age at death was most pronounced among adults with cerebral palsy. Policy makers and public health experts should be aware that racial-ethnic inequities are different for adults with intellectual and developmental disability - all minorities with intellec-tual and developmental disability are at greater risk of premature death than their White counterparts.
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页数:7
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