title: Examining outpatient health care utilization among adults with severe or profound intellectual disabilities living in an urban setting: a brief snap shot.
abstract: The present study examined the health status and outpatient health care utilization among 52 adults with severe or profound intellectual disabilities (IDs) living with their families or in group homes in New York City. Bivariate and regression analyses among demographic variables, medical conditions, health care utilization, and type of living situation were conducted. Findings indicate that demographic factors and health statuses were similar regardless of living situation, except for age and the presence of Down Syndrome, that is, younger people and people with Down Syndrome were more likely to live with family than in group homes. The results indicated that regardless of where they lived, individuals had high rates (70%) of overweight/obesity. The mean number of internal medicine, specialty medicine, nursing, and total clinic visits were significantly higher for those living in group homes compared to those living with their families. The findings and their implications are discussed with respect to social work policy and practice.
authors.affiliation: YAI/National Institute for People with Disabilities, 460 West 34th Street, New York, NY 10001, USA. jmlcares@yai.org
authors.forename: Joel M
authors.initials: JM
authors.lastname: Levy
authors.forename: Shelly
authors.initials: S
authors.lastname: Botuck
authors.forename: Arie
authors.initials: A
authors.lastname: Rimmerman
mesh_terms: D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D017028:Caregivers / Q000706:statistics & numerical data; D005195:Family Relations; D005260:Female; D005500:Follow-Up Studies; D016352:Group Homes; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D020380:Needs Assessment; D019989:Persons with Intellectual Disabilities / Q000534:rehabilitation*; D011336:Probability; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D014481:United States; D014505:Urban Population