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Titolo:
EXTERNAL CAUSES OF DEATH AMONG PERSONS WITH DEVELOPMENTAL DISABILITY - THE EFFECT OF RESIDENTIAL PLACEMENT
Autore:
STRAUSS D; SHAVELLE R; ANDERSON TW; BAUMEISTER A;
Indirizzi:
UNIV CALIF RIVERSIDE,DEPT STAT RIVERSIDE CA 92521 UNIV BRITISH COLUMBIA,FAC MED,DEPT HLTH CARE & EPIDEMIOL VANCOUVER BCCANADA VANDERBILT UNIV,KENNEDY CTR NASHVILLE TN 00000
Titolo Testata:
American journal of epidemiology
fascicolo: 9, volume: 147, anno: 1998,
pagine: 855 - 862
SICI:
0002-9262(1998)147:9<855:ECODAP>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
SEVERE MENTAL-RETARDATION; MORTALITY; COMMUNITY; PEOPLE; LIFE; INDIVIDUALS; CHILDREN;
Keywords:
DEATH RATE; GROUP HOMES; MENTAL RETARDATION; RESIDENTIAL FACILITIES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
28
Recensione:
Indirizzi per estratti:
Citazione:
D. Strauss et al., "EXTERNAL CAUSES OF DEATH AMONG PERSONS WITH DEVELOPMENTAL DISABILITY - THE EFFECT OF RESIDENTIAL PLACEMENT", American journal of epidemiology, 147(9), 1998, pp. 855-862

Abstract

The authors analyzed death rates from external causes (accidents, injuries, homicides, etc.) for persons with developmental disability in California. There were 520 such deaths during the 1981-1995 study period, based on 733,705 person-years of exposure; this represents all persons who received any services from the state. Compared with the general California population, persons with developmental disability were atlower risk of homicide, suicide, and poisonings (standardized mortality ratios, 0.31-0.68), but higher risk of pedestrian accidents, falls,fires, and, especially, drowning (standardized mortality ratio = 6.22), A major focus of the study was comparisons between different residential settings. Persons in semi-independent living had significantly higher risk than did those in their family home or group homes, with homicides rates being three times higher and pedestrian accidents rates being doubled, while persons in institutions had much lower risks withrespect to most causes. Of the 28 deaths due to drug and medication overdoses, 79 percent occurred in supported living or small-group homes. Avoidable deaths could be reduced by making direct care staff more aware of the risks and better trained in acute care, along with improved monitoring of special incidents.

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Documento generato il 22/09/20 alle ore 17:17:42