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How do multimorbidity and lifestyle factors impact the perceived health of adults with intellectual disabilities?
Background Adults with intellectual disability (ID) have poorer physical and perceived health than the general population. Knowledge of perceived health predictors is both limited and important for guiding the development of preventive actions. The aims of this study were to investigate (1) the asso...
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| Published in: | Journal of intellectual disability research 2021-08, Vol.65 (8), p.772-783 |
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| Main Authors: | , , , , , , , |
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| container_end_page | 783 |
| container_issue | 8 |
| container_start_page | 772 |
| container_title | Journal of intellectual disability research |
| container_volume | 65 |
| creator | Olsen, M. I. Halvorsen, M. B. Søndenaa, E. Langballe, E. M. Bautz‐Holter, E. Stensland, E. Tessem, S. Anke, A. |
| description | Background
Adults with intellectual disability (ID) have poorer physical and perceived health than the general population. Knowledge of perceived health predictors is both limited and important for guiding the development of preventive actions. The aims of this study were to investigate (1) the associations between perceived health and demographics, degree of ID, physical health conditions, and weight and physical activity level and (2) lifestyle factors and multimorbidity as predictors for perceived health adjusted for age, gender, and level of ID.
Method
The North Health in Intellectual Disability study is a community based cross‐sectional survey. The POMONA‐15 health indicators were used. Univariate and multivariate logistic regression analyses with poor versus good health as the dependent variable were applied.
Results
The sample included 214 adults with a mean age 36.1 (SD 13.8) years; 56% were men, and 27% reported perceiving their health as poor. In univariate analyses, there were significant associations between poor health ratings and female gender, lower motor function, number of physical health conditions and several indicators of levels of physical activity. In the final adjusted model, female gender [odds ratio (OR) 2.4, P |
| doi_str_mv | 10.1111/jir.12845 |
| format | article |
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Adults with intellectual disability (ID) have poorer physical and perceived health than the general population. Knowledge of perceived health predictors is both limited and important for guiding the development of preventive actions. The aims of this study were to investigate (1) the associations between perceived health and demographics, degree of ID, physical health conditions, and weight and physical activity level and (2) lifestyle factors and multimorbidity as predictors for perceived health adjusted for age, gender, and level of ID.
Method
The North Health in Intellectual Disability study is a community based cross‐sectional survey. The POMONA‐15 health indicators were used. Univariate and multivariate logistic regression analyses with poor versus good health as the dependent variable were applied.
Results
The sample included 214 adults with a mean age 36.1 (SD 13.8) years; 56% were men, and 27% reported perceiving their health as poor. In univariate analyses, there were significant associations between poor health ratings and female gender, lower motor function, number of physical health conditions and several indicators of levels of physical activity. In the final adjusted model, female gender [odds ratio (OR) 2.4, P < 0.05], level of ID (OR 0.65, P < 0.05), numbers of physical health conditions (OR 1.6, P < 0.001) and lower motor function (OR 1.5 P < 0.05) were significant explanatory variables for poor perceived health, with a tendency to independently impact failure to achieve 30 min of physical activity daily (OR 2.0, P = 0.07).
Conclusion
Adults with ID with female gender, reduced motor function and more physical health conditions are at increased risk of lower perceived health and should be given attention in health promoting interventions. A lack of physical activity tends to negatively influence perceived health.</description><identifier>ISSN: 0964-2633</identifier><identifier>ISSN: 1365-2788</identifier><identifier>EISSN: 1365-2788</identifier><identifier>DOI: 10.1111/jir.12845</identifier><identifier>PMID: 33977582</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Activity level ; Adults ; Comorbidity ; Exercise ; Females ; Gender ; Health Conditions ; Health indicators ; Health promotion ; Health status ; Intellectual disabilities ; Intellectual Disability ; lifestyle ; Lifestyles ; Medical disciplines: 700 ; Medisinske Fag: 700 ; Motor ability ; multimorbidity ; perceived health ; Physical activity ; Physical Activity Level ; Physical Health ; VDP</subject><ispartof>Journal of intellectual disability research, 2021-08, Vol.65 (8), p.772-783</ispartof><rights>2021 The Authors. published by MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disibilities and John Wiley & Sons Ltd.</rights><rights>2021 The Authors. Journal of Intellectual Disability Research published by MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disibilities and John Wiley & Sons Ltd.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>info:eu-repo/semantics/openAccess</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4125-9ab641dac7196b357671b1f1b00c1e2a1b266f1d39e2a1678f1bf943832150bc3</citedby><cites>FETCH-LOGICAL-c4125-9ab641dac7196b357671b1f1b00c1e2a1b266f1d39e2a1678f1bf943832150bc3</cites><orcidid>0000-0002-4955-2231 ; 0000-0002-5962-7612 ; 0000-0002-5104-4498 ; 0000-0002-2491-2560 ; 0000-0001-8616-1478 ; 0000-0002-8536-510X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,882,26548,27905,27906,30980</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33977582$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Olsen, M. I.</creatorcontrib><creatorcontrib>Halvorsen, M. B.</creatorcontrib><creatorcontrib>Søndenaa, E.</creatorcontrib><creatorcontrib>Langballe, E. M.</creatorcontrib><creatorcontrib>Bautz‐Holter, E.</creatorcontrib><creatorcontrib>Stensland, E.</creatorcontrib><creatorcontrib>Tessem, S.</creatorcontrib><creatorcontrib>Anke, A.</creatorcontrib><title>How do multimorbidity and lifestyle factors impact the perceived health of adults with intellectual disabilities?</title><title>Journal of intellectual disability research</title><addtitle>J Intellect Disabil Res</addtitle><description>Background
Adults with intellectual disability (ID) have poorer physical and perceived health than the general population. Knowledge of perceived health predictors is both limited and important for guiding the development of preventive actions. The aims of this study were to investigate (1) the associations between perceived health and demographics, degree of ID, physical health conditions, and weight and physical activity level and (2) lifestyle factors and multimorbidity as predictors for perceived health adjusted for age, gender, and level of ID.
Method
The North Health in Intellectual Disability study is a community based cross‐sectional survey. The POMONA‐15 health indicators were used. Univariate and multivariate logistic regression analyses with poor versus good health as the dependent variable were applied.
Results
The sample included 214 adults with a mean age 36.1 (SD 13.8) years; 56% were men, and 27% reported perceiving their health as poor. In univariate analyses, there were significant associations between poor health ratings and female gender, lower motor function, number of physical health conditions and several indicators of levels of physical activity. In the final adjusted model, female gender [odds ratio (OR) 2.4, P < 0.05], level of ID (OR 0.65, P < 0.05), numbers of physical health conditions (OR 1.6, P < 0.001) and lower motor function (OR 1.5 P < 0.05) were significant explanatory variables for poor perceived health, with a tendency to independently impact failure to achieve 30 min of physical activity daily (OR 2.0, P = 0.07).
Conclusion
Adults with ID with female gender, reduced motor function and more physical health conditions are at increased risk of lower perceived health and should be given attention in health promoting interventions. A lack of physical activity tends to negatively influence perceived health.</description><subject>Activity level</subject><subject>Adults</subject><subject>Comorbidity</subject><subject>Exercise</subject><subject>Females</subject><subject>Gender</subject><subject>Health Conditions</subject><subject>Health indicators</subject><subject>Health promotion</subject><subject>Health status</subject><subject>Intellectual disabilities</subject><subject>Intellectual Disability</subject><subject>lifestyle</subject><subject>Lifestyles</subject><subject>Medical disciplines: 700</subject><subject>Medisinske Fag: 700</subject><subject>Motor ability</subject><subject>multimorbidity</subject><subject>perceived health</subject><subject>Physical activity</subject><subject>Physical Activity Level</subject><subject>Physical Health</subject><subject>VDP</subject><issn>0964-2633</issn><issn>1365-2788</issn><issn>1365-2788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>7QJ</sourceid><sourceid>3HK</sourceid><recordid>eNp1kc9rFDEUx4Modq0e_Ac04KUeps1LJsnMqUiptqVQKHoOSSbDZslMtknGZf97027rQfBd8h758H0_vgh9BHIKNc42Pp0C7Vr-Cq2ACd5Q2XWv0Yr0om2oYOwIvct5QwgR0Iq36IixXkre0RV6uIo7PEQ8LaH4KSbjB1_2WM8DDn50ueyDw6O2JaaM_bStGS5rh7cuWed_uwGvnQ5ljeOI9VBFMt75Wvq5uBCcLYsOePBZGx988S6fv0dvRh2y-_D8HqNf3y9_Xlw1t3c_ri--3Ta2BcqbXhvRwqCthF4YxqWQYGAEQ4gFRzUYKsQIA-sfCyG7-jX2LesYBU6MZcfo80HXJp-Ln9Uck1ZACJOKQteKSpwciG2KD0vdVU0-2zq2nl1csqKc1ntBJ0lFv_yDbuKS5jp_pXg9M6dSVurrS8uYc3Kj2iY_6bSvbdWjU6o6pZ6cquynZ8XFTG74S75YU4GzA7Dzwe3_r6Ruru8Pkn8ARGacKg</recordid><startdate>202108</startdate><enddate>202108</enddate><creator>Olsen, M. I.</creator><creator>Halvorsen, M. B.</creator><creator>Søndenaa, E.</creator><creator>Langballe, E. M.</creator><creator>Bautz‐Holter, E.</creator><creator>Stensland, E.</creator><creator>Tessem, S.</creator><creator>Anke, A.</creator><general>Wiley Subscription Services, Inc</general><general>Wiley</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><scope>3HK</scope><orcidid>https://orcid.org/0000-0002-4955-2231</orcidid><orcidid>https://orcid.org/0000-0002-5962-7612</orcidid><orcidid>https://orcid.org/0000-0002-5104-4498</orcidid><orcidid>https://orcid.org/0000-0002-2491-2560</orcidid><orcidid>https://orcid.org/0000-0001-8616-1478</orcidid><orcidid>https://orcid.org/0000-0002-8536-510X</orcidid></search><sort><creationdate>202108</creationdate><title>How do multimorbidity and lifestyle factors impact the perceived health of adults with intellectual disabilities?</title><author>Olsen, M. I. ; Halvorsen, M. B. ; Søndenaa, E. ; Langballe, E. M. ; Bautz‐Holter, E. ; Stensland, E. ; Tessem, S. ; Anke, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4125-9ab641dac7196b357671b1f1b00c1e2a1b266f1d39e2a1678f1bf943832150bc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Activity level</topic><topic>Adults</topic><topic>Comorbidity</topic><topic>Exercise</topic><topic>Females</topic><topic>Gender</topic><topic>Health Conditions</topic><topic>Health indicators</topic><topic>Health promotion</topic><topic>Health status</topic><topic>Intellectual disabilities</topic><topic>Intellectual Disability</topic><topic>lifestyle</topic><topic>Lifestyles</topic><topic>Medical disciplines: 700</topic><topic>Medisinske Fag: 700</topic><topic>Motor ability</topic><topic>multimorbidity</topic><topic>perceived health</topic><topic>Physical activity</topic><topic>Physical Activity Level</topic><topic>Physical Health</topic><topic>VDP</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Olsen, M. I.</creatorcontrib><creatorcontrib>Halvorsen, M. B.</creatorcontrib><creatorcontrib>Søndenaa, E.</creatorcontrib><creatorcontrib>Langballe, E. M.</creatorcontrib><creatorcontrib>Bautz‐Holter, E.</creatorcontrib><creatorcontrib>Stensland, E.</creatorcontrib><creatorcontrib>Tessem, S.</creatorcontrib><creatorcontrib>Anke, A.</creatorcontrib><collection>Wiley Open Access</collection><collection>Wiley Free Archive</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>NORA - Norwegian Open Research Archives</collection><jtitle>Journal of intellectual disability research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Olsen, M. I.</au><au>Halvorsen, M. B.</au><au>Søndenaa, E.</au><au>Langballe, E. M.</au><au>Bautz‐Holter, E.</au><au>Stensland, E.</au><au>Tessem, S.</au><au>Anke, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>How do multimorbidity and lifestyle factors impact the perceived health of adults with intellectual disabilities?</atitle><jtitle>Journal of intellectual disability research</jtitle><addtitle>J Intellect Disabil Res</addtitle><date>2021-08</date><risdate>2021</risdate><volume>65</volume><issue>8</issue><spage>772</spage><epage>783</epage><pages>772-783</pages><issn>0964-2633</issn><issn>1365-2788</issn><eissn>1365-2788</eissn><abstract>Background
Adults with intellectual disability (ID) have poorer physical and perceived health than the general population. Knowledge of perceived health predictors is both limited and important for guiding the development of preventive actions. The aims of this study were to investigate (1) the associations between perceived health and demographics, degree of ID, physical health conditions, and weight and physical activity level and (2) lifestyle factors and multimorbidity as predictors for perceived health adjusted for age, gender, and level of ID.
Method
The North Health in Intellectual Disability study is a community based cross‐sectional survey. The POMONA‐15 health indicators were used. Univariate and multivariate logistic regression analyses with poor versus good health as the dependent variable were applied.
Results
The sample included 214 adults with a mean age 36.1 (SD 13.8) years; 56% were men, and 27% reported perceiving their health as poor. In univariate analyses, there were significant associations between poor health ratings and female gender, lower motor function, number of physical health conditions and several indicators of levels of physical activity. In the final adjusted model, female gender [odds ratio (OR) 2.4, P < 0.05], level of ID (OR 0.65, P < 0.05), numbers of physical health conditions (OR 1.6, P < 0.001) and lower motor function (OR 1.5 P < 0.05) were significant explanatory variables for poor perceived health, with a tendency to independently impact failure to achieve 30 min of physical activity daily (OR 2.0, P = 0.07).
Conclusion
Adults with ID with female gender, reduced motor function and more physical health conditions are at increased risk of lower perceived health and should be given attention in health promoting interventions. A lack of physical activity tends to negatively influence perceived health.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33977582</pmid><doi>10.1111/jir.12845</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-4955-2231</orcidid><orcidid>https://orcid.org/0000-0002-5962-7612</orcidid><orcidid>https://orcid.org/0000-0002-5104-4498</orcidid><orcidid>https://orcid.org/0000-0002-2491-2560</orcidid><orcidid>https://orcid.org/0000-0001-8616-1478</orcidid><orcidid>https://orcid.org/0000-0002-8536-510X</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of intellectual disability research, 2021-08, Vol.65 (8), p.772-783 |
| issn | 0964-2633 1365-2788 1365-2788 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); NORA - Norwegian Open Research Archives; Wiley-Blackwell Read & Publish Collection |
| subjects | Activity level Adults Comorbidity Exercise Females Gender Health Conditions Health indicators Health promotion Health status Intellectual disabilities Intellectual Disability lifestyle Lifestyles Medical disciplines: 700 Medisinske Fag: 700 Motor ability multimorbidity perceived health Physical activity Physical Activity Level Physical Health VDP |
| title | How do multimorbidity and lifestyle factors impact the perceived health of adults with intellectual disabilities? |
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