Mortality of adults with developmental disabilities living in California institutions and community care, 1985-1994.
We compared risk factor-adjusted mortality for California adults with developmental disabilities based on 22,576 adults receiving services in California, 1985-1994. Mortality rates were adjusted for factors such as age and level of functioning. Risk factor-adjusted mortality was 72% higher in community care than in institutions. The mortality pattern over the years 1993-1994, which had not previously been studied, was comparable to that of 1985-1992. The substantially increased risk in community care suggests that community settings may be less effective in preventing mortality in this population.
Strauss
D
D
Department of Statistics, University of California 92521, USA. strauss@citrus.ucr.edu
Kastner
T A
TA
Shavelle
R
R
D000328:Adult; D017677:Age Distribution; D000368:Aged; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D002140:California / Q000453:epidemiology; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007326:Institutionalization / Q000706:statistics & numerical data*; D008607:Intellectual Disability / Q000401:mortality* / Q000534:rehabilitation; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D017678:Sex Distribution; D013223:Statistics as Topic