Abstract：
BACKGROUND:Women with intellectual and developmental disabilities (IDD) are bearing children at increasing rates. However, there is very little research about pregnancy experiences and birth outcomes among women with IDD. No studies to date have examined birth outcomes with a US population-based sample. OBJECTIVE:The main objective was to estimate the national occurrence of deliveries in women with IDD and to compare their birth outcomes to women without IDD. METHODS:We examined the 2007-2011 Nationwide Inpatient Sample of the Healthcare Cost and Utilization Project to compare birth outcomes in women with and without IDD. Birth outcomes included preterm birth, low birth weight, and stillbirth. Multivariable regression analyses compared birth outcomes between women with and without IDD controlling for race/ethnicity, maternal age, household income, health insurance status and type, comorbidity, region and hospital location, teaching status, ownership, and year. RESULTS:Of an estimated 20.6 million deliveries identified through the HCUP 2007-2011 data 10,275 occurred in women with IDD. In adjusted regression analyses, women with IDD compared to those without IDD were significantly more likely to have preterm birth (OR = 1.46; 95%CI: 1.26-1.69, p < 0.001), low birth weight (OR = 1.61, 95%CI: 1.27-2.05, p < 0.001), and stillbirth (OR = 2.40, 95% CI: 1.70-3.40, p < 0.001). CONCLUSION:This study provides a first examination of the birth outcomes among women with IDD in the United States using a largest population-based sample. There are significant differences in birth outcomes between women with and without IDD. Understanding the causes of these differences and addressing these causes are critical to improving pregnancy outcomes among women with IDD.
journal_name
Disabil Health Jjournal_title
Disability and health journalauthors
Akobirshoev I,Parish SL,Mitra M,Rosenthal Edoi
10.1016/j.dhjo.2017.02.010subject
Has Abstractpub_date
2017-07-01 00:00:00pages
406-412issue
3eissn
1936-6574issn
1876-7583pii
S1936-6574(17)30061-4journal_volume
10pub_type
杂志文章abstract：BACKGROUND:Most studies that investigate the impact of pain on function have focused on a particular pain site and use unidimensional measures of disability, making it difficult to know how pain impacts on different areas of functioning and whether different pain characteristics impact differently on function. AIM:To ...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2013.04.007
更新日期：2013-10-01 00:00:00
abstract：BACKGROUND:Female sterilization accounts for 50% of all contraceptive use in the U.S. The extent to which U.S. women with physical and/or sensory disabilities have undergone female sterilization is unknown. OBJECTIVE:Our primary objective was to determine the prevalence of sterilization for women with physical/sensory...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2016.12.020
更新日期：2017-07-01 00:00:00
abstract：BACKGROUND:Little is known about the availability and technical quality of online information related to the medical care of people with disability, despite the potential of this information to alter clinical interactions and treatment decisions. OBJECTIVES:This review examines the utility of internet search engines f...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2019.100877
更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:Middle-aged and older African American women experience disproportionate rates of functional limitations and disability from osteoarthritis (OA) compared to other racial ethnic groups; however, little is known about what factors contribute to this disparity within African American women. OBJECTIVE:To examin...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2016.02.004
更新日期：2016-07-01 00:00:00
abstract：BACKGROUND:Young adults with cerebral palsy (CP) are reported to be less active than their typically developing peers, have higher rates of sedentary behaviors, engage in slower tempo activities, and overall participate in a smaller variety of physical activities (PA). Functional motor level and environmental barriers ...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2019.02.008
更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:Parents caring for a child with a rare disease report unmet needs, the origins of which are varied and complex. Few studies have systematically attempted to identify the supportive care needs of parents with a child with a rare disease comprehensively. We have used the widely accepted Supportive Care Needs F...
journal_title：Disability and health journal
pub_type： 杂志文章,评审
doi：10.1016/j.dhjo.2015.03.009
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:Hip osteoarthritis, a common age-associated condition, produces considerable disability that may be influenced by a variety of factors other than age. This study examines the magnitude and impact of the presence of comorbid and/or concurrent depression and anxiety symptoms on the disability experienced befor...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2008.10.001
更新日期：2009-01-01 00:00:00
abstract：BACKGROUND:Youth with disabilities experience greater levels of peer victimization and psychosocial distress than non-disabled youth. However, the extent to which exposure to peer victimization mediates the relationship between disability status and psychosocial distress is unknown. OBJECTIVE:To determine whether the ...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2014.09.006
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:Many young adults, specifically those with a diagnosis of autism spectrum disorder (ASD), do not meet the national physical activity (PA) guidelines. One way to address this problem may be to examine the factors that motivate individuals to engage in PA. However, the majority of current literature does not c...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2018.05.004
更新日期：2018-10-01 00:00:00
abstract：BACKGROUND:Learning disabilities and attention disorders (LD/AD) are highly prevalent neurodevelopmental conditions that influence developmental trajectories and whose impacts exist throughout the life course. Self-advocacy skills are critical for college students with LD/AD, which are underpinned by understanding of s...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2019.100827
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Advances in medical care have increased the long-term survival of patients with spina bifida. Despite this growing population, limited knowledge is available on age-related illnesses in adults with spina bifida, particularly prostate cancer for which there is no published data. OBJECTIVE:Our aim was to desc...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2019.100866
更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:People with disabilities tend to be at risk for secondary conditions. There is a need for comprehensive disability and health databases, including geographic information systems to evaluate trends in health, functioning, and employment. OBJECTIVE:We evaluated county levels in morbidity and mortality across ...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2017.01.003
更新日期：2017-10-01 00:00:00
abstract：BACKGROUND:The transition to adulthood, the gradual change in roles and responsibilities, is identified as a challenging time for adolescents and young adults with physical disabilities, including those with cerebral palsy. Health care, education, employment, independent living, and community engagement have been ident...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2016.09.008
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Studies have reported that adolescents with intellectual and developmental disabilities (IDD) have a higher prevalence of obesity due to medication intake, poor diet, and physical inactivity. More importantly, they lack awareness and comprehension to prevent weight problems. Thereby, health-promoting practic...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2019.03.012
更新日期：2019-10-01 00:00:00
abstract：BACKGROUND:Prior studies on the impact of disabling work injury have neglected social support as a key mediating factor. This study investigates how permanent impairment from a work injury affects marital formation, an indicator of social support and integration with the potential to affect psychosocial adjustment and ...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2012.10.001
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND:the purpose of this study was to describe the distribution and relationship of 16 secondary medical problems, impairments, and participation limitations among adults with disabilities to demographic characteristics, self-reported health, satisfaction with life, and social participation. METHODS:data were an...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2007.11.006
更新日期：2008-01-01 00:00:00
abstract：BACKGROUND:Little is known about health care experiences among people with and without disabilities. OBJECTIVE:We sought to explore perceptions of people with and without disabilities related to their health care experiences. METHODS:Nineteen persons with and without disabilities participated in one of four focus gro...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2015.08.007
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:Perceived social support has been found to be associated with depression, subjective well-being and psychological health in cross-sectional studies in people with physical disabilities. No longitudinal studies have been conducted to examine these associations over time using a comprehensive measure of social...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2018.09.005
更新日期：2019-04-01 00:00:00
abstract：BACKGROUND:People with developmental disabilities are at disproportionately high risk of abuse. Although considerable evidence exists on the health-related consequences of abuse in the general population, little is known about those consequences in people with developmental disabilities. OBJECTIVE:To examine the relat...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2018.09.007
更新日期：2019-04-01 00:00:00
abstract：BACKGROUND:Disability is a dynamic process where functional status may change over time. Examination of the Medicare population suggests that, for those over age 65, disability status will fluctuate in 30% of beneficiaries each year. Less is known about those under age 65. The dynamic nature of disability is of relevan...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2013.10.007
更新日期：2014-04-01 00:00:00
abstract：BACKGROUND:Women with disabilities experience higher rates of intimate partner violence (IPV) than the general population. Reproductive coercion, a type of intimate partner violence, is associated with an increased risk of unintended pregnancy (UIP), yet little is known about this relationship among women with disabili...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2019.100849
更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:Adults who are deaf or hard of hearing (D/HoH) have lower levels of health literacy compared to their counterparts who can hear. It is unclear, however, whether or not this inequality manifests in adolescence. OBJECTIVE OR HYPOTHESIS:This study aims to determine levels of health literacy among D/HoH adolesc...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2020.100929
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:This paper is an introduction to four papers that present the findings of the 2007 "State of the Science in Aging with Developmental Disabilities: Charting Lifespan Trajectories and Supportive Environments for Healthy Community Living" symposium. The overall goal of this symposium was to increase our underst...
journal_title：Disability and health journal
pub_type： 杂志文章,评审
doi：10.1016/j.dhjo.2008.04.001
更新日期：2008-07-01 00:00:00
abstract：BACKGROUND:People living with disabilities are significantly more likely than their peers to find health professionals' skills and facilities inadequate. The 66th World Health Assembly called for better health care for people with disabilities including more inclusive health services and a stronger focus on professiona...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2020.100985
更新日期：2021-01-01 00:00:00
abstract：BACKGROUND:Florida has the third largest population in the U.S. of persons living with disabilities, making optimizing health outcomes for this population paramount. Though the state has a long-standing and robust program to reduce tobacco use, prevention efforts do not specifically target persons with disabilities. O...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2013.01.008
更新日期：2013-07-01 00:00:00
abstract：BACKGROUND:Emerging research demonstrates that light-intensity physical activity is favorably associated with numerous health outcomes among the general population, even independent of high-intensity physical activity. OBJECTIVE:To examine the association between accelerometer-assessed light-intensity physical activit...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2017.08.007
更新日期：2018-04-01 00:00:00
abstract：BACKGROUND:Adults with physical disabilities typically engage in low levels of physical activity (PA), thus a better understanding of how motivational factors and behavior vary over time and in relation to disability type and severity is needed. OBJECTIVE/HYPOTHESIS:To examine temporal changes in theory of planned beh...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2018.09.003
更新日期：2019-01-01 00:00:00
abstract：:The World Health Organization in collaboration with the World Bank developed the World Report on Disability to inform governments of countries about the importance of disability, analyze scientific information, and provide recommendations for action at the national and international levels. The report is remarkably re...
journal_title：Disability and health journal
pub_type： 杂志文章,评审
doi：10.1016/j.dhjo.2011.05.001
更新日期：2011-07-01 00:00:00
abstract：BACKGROUND:Prior research has established health disparities between people with and without disabilities. However, disparities within the disability population, such as those related to type of disability, have been much less studied. OBJECTIVE:To examine differences in chronic conditions and health status between su...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2013.04.006
更新日期：2013-10-01 00:00:00
abstract：BACKGROUND:There is substantial evidence that pain intensity and sleep are related, with findings generally suggesting more support for the influence of sleep on pain intensity than vice versa. However, the strength and direction of the relationship has been found to vary among different populations, with few studies i...
journal_title：Disability and health journal
pub_type： 杂志文章
doi：10.1016/j.dhjo.2020.100908
更新日期：2020-07-01 00:00:00
