Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Socioeconomic disadvantage, social participation and networks and the self-rated health of English men and women with mild and moderate intellectual disabilities: cross sectional survey
AU - Emerson, Eric
AU - Hatton, Chris
PY - 2008/2
Y1 - 2008/2
N2 - Background: Extremely high rates of mortality and morbidity have been reported among people with intellectual disabilities. Virtually no research has addressed the potential social determinants of health status within this very vulnerable population. Method: Cross-sectional survey of self-reported health status and indicators of socioeconomic disadvantage and social connectedness in 1273 English adults with mild or moderate intellectual disabilities. Results: Indicators of socioeconomic disadvantage accounted for a statistically significant proportion of variation in health status, over and above any variation attributable to the personal characteristics and living circumstances of participants. Indicators of social participation and networks did not add to the explanatory power of the model. Among the indicators of socioeconomic disadvantage, hardship was more strongly associated with variation in health status than either employment status or area-level deprivation. Conclusion: As in the general population, self-reported health was associated with indicators of socioeconomic disadvantage, especially hardship. In contrast, there was no evidence of any association between health status and social participation and networks.
AB - Background: Extremely high rates of mortality and morbidity have been reported among people with intellectual disabilities. Virtually no research has addressed the potential social determinants of health status within this very vulnerable population. Method: Cross-sectional survey of self-reported health status and indicators of socioeconomic disadvantage and social connectedness in 1273 English adults with mild or moderate intellectual disabilities. Results: Indicators of socioeconomic disadvantage accounted for a statistically significant proportion of variation in health status, over and above any variation attributable to the personal characteristics and living circumstances of participants. Indicators of social participation and networks did not add to the explanatory power of the model. Among the indicators of socioeconomic disadvantage, hardship was more strongly associated with variation in health status than either employment status or area-level deprivation. Conclusion: As in the general population, self-reported health was associated with indicators of socioeconomic disadvantage, especially hardship. In contrast, there was no evidence of any association between health status and social participation and networks.
KW - health inequalities
KW - intellectual disabilities
KW - networks
KW - self-reported health
KW - social participation
KW - socioeconomic disadvantage
KW - LEARNING-DISABILITY
KW - MORTALITY
KW - PEOPLE
KW - INEQUALITIES
KW - RETARDATION
KW - MORBIDITY
KW - POVERTY
KW - ADULTS
KW - DISPARITIES
KW - DEMOGRAPHY
UR - http://www.scopus.com/inward/record.url?scp=38549102192&partnerID=8YFLogxK
U2 - 10.1093/eurpub/ckm041
DO - 10.1093/eurpub/ckm041
M3 - Journal article
VL - 18
SP - 31
EP - 37
JO - European Journal of Public Health
JF - European Journal of Public Health
SN - 1464-360X
IS - 1
ER -