title: Place of residence and preventive health care for intellectual and developmental disabilities services recipients in 20 states.
abstract: OBJECTIVE
  We identified trends in the receipt of preventive health care by adults with intellectual and developmental disabilities by type of residential setting.
  
  
  METHODS
  We used data from the 2008-2009 collection round of the National Core Indicators (NCI) program. Participating states drew random samples of adults receiving developmental disabilities services. The study was observational, with both self-report and report by proxy. Once the random samples were drawn in each state, data were collected using the NCI Adult Consumer Survey. Trained interviewers administered the survey in person.
  
  
  RESULTS
  The likelihood of a person receiving preventive care procedures was related to age, level of intellectual disability, mobility, health status, and state. Type of living arrangement also affected whether a person received these health services, even after controlling for state, level of disability, and other personal characteristics. In general, people living with parents or relatives were consistently the least likely to receive preventive health exams and procedures.
  
  
  CONCLUSIONS
  With growing numbers of adults being served in the family home, educational and policy-based efforts to ensure access to preventive care are increasingly critical.
authors.affiliation: Human Services Research Institute, 2336 Massachusetts Ave., Cambridge, MA 02140, USA. jbershadsky@hsri.org
authors.forename: Julie
authors.initials: J
authors.lastname: Bershadsky
authors.forename: Sarah
authors.initials: S
authors.lastname: Taub
authors.forename: Joshua
authors.initials: J
authors.lastname: Engler
authors.forename: Charles R
authors.initials: CR
authors.lastname: Moseley
authors.forename: K Charlie
authors.initials: KC
authors.lastname: Lakin
authors.forename: Roger J
authors.initials: RJ
authors.lastname: Stancliffe
authors.forename: Sheryl
authors.initials: S
authors.lastname: Larson
authors.forename: Renata
authors.initials: R
authors.lastname: Ticha
authors.forename: Caitlin
authors.initials: C
authors.lastname: Bailey
authors.forename: Valerie
authors.initials: V
authors.lastname: Bradley
mesh_terms: D000328:Adult; D000367:Age Factors; D003625:Data Collection; D002658:Developmental Disabilities / Q000517:prevention & control*; D055088:Early Detection of Cancer / Q000706:statistics & numerical data; D005260:Female; D006320:Hearing Tests / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D011314:Preventive Health Services / Q000592:standards / Q000706:statistics & numerical data* / Q000639:trends; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D014481:United States; D014611:Vaccination / Q000706:statistics & numerical data; D014787:Vision Tests / Q000706:statistics & numerical data