عنوان انگلیسی مقاله:
Severe developmental disability and the transition to adulthood
ترجمه فارسی عنوان مقاله:
ناتوانی رشد شدید و انتقال به بزرگسالی
Sciencedirect - Elsevier - Disability and Health Journal , 13 (2020) 100912. doi:10.1016/j.dhjo.2020.100912
Jessica N. Hoyle, MMT *, James N. Laditka, DA, PhD, Sarah B. Laditka, PhD
Background: Developmental disabilities are serious and long-lasting. There are few studies of developmental
disability in the transition to adulthood, when the programs that provided support in childhood
may no longer be available.
Objective: We studied associations of long-lasting developmental disabilities with health, behaviors, and
well-being in adulthood.
Methods: We used the Panel Study of Income Dynamics (1968e2017), its Child Development Supplement
(CDS, 1997, 2002, 2007), and its Transition into Adulthood Supplement (TAS, every-other year, 2005
e2017) (n ¼ 2702) following a national sample from childhood through age 28, defining serious
developmental disabilities using diagnoses and reports from parents, teachers, schools, children, and
young adults. We tested differences in proportions using Chi-square tests, estimated differences in least
squares means, and used logistic regression to compare results for those with and without developmental
disabilities. We adjusted results for age, sex, race, immigrant status, family income, region,
metropolitan statistical area, educational attainment, and employment status, accounting for sampling
weights and survey design.
Results: At ages 18e21, 8.2% had serious developmental disability (95% confidence interval, CI 6.6e9.8).
They were more likely to report: no high school graduation (19.3% vs. 4.3%), being assaulted physically
(32.1% vs. 20.4%) or sexually (14.4% vs. 6.6%), serious criminal arrests (25.7% vs. 13.2%), smoking (30.8% vs.
12.8%), sedentariness (5.8% vs. 1.1%), obesity (39.2% vs. 23.4%), diabetes (9.1% vs. 2.1%), and work disability
(18.7% vs. 4.3%) (all p < 0.01) compared to peers without developmental disability.
Conclusions: Results indicate opportunities to promote education, self-direction, safety, and well-being
for people transitioning to adulthood with serious developmental disabilities.
Keywords: Disability | Disparities | Developmental disability | Intellectual disability | Panel study of income dynamics