RACIAL AND ETHNIC HEALTH DISPARITIES AMONG PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES Sandra Magaña, Miguel A. Morales, Susan Parish, & Henan Li American Association on Intellectual & Developmental Disabilities (AAIDD) Conference June 2, 2015 |Louisville, KY
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RACIAL AND ETHNIC HEALTH DISPARITIES AMONG PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES Sandra Magaña, Miguel A. Morales, Susan Parish, & Henan.
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RACIAL AND ETHNIC HEALTH DISPARITIES AMONG PEOPLE WITH
INTELLECTUAL AND DEVELOPMENTAL DISABILITIES
Sandra Magaña, Miguel A. Morales, Susan Parish, & Henan Li
American Association on Intellectual & Developmental Disabilities (AAIDD) Conference
June 2, 2015 |Louisville, KY
CONTENTS
• Introduction• Research question• Methods• Findings• Limitations• Implications
HEALTH DISPARITIES
Social determinants• Income (Adler & Stewart, 2010;
• Are there racial and ethnic disparities in health status among adults with IDD?• Are there differences in health status among
Latinos and Blacks with IDD compared to Latinos & Blacks without IDD?• Outcomes: health status, mental health status,
obesity & diabetes
METHODS
• Sample- National Health Interview Survey (2000-2010)- Medical Expenditure Panel Survey (2002-2011)
• IDD identification- NHIS: Health Status and Limitation of Activity (1,094)- MEPS: ICD codes (181 individuals, 90 overlapping)- Final weighted sample of 972,099 (1,131 adults with
IDD)
METHODS
• Demographic variables- Age (continuous)- Race/ethnicity- Family income (<125% vs.
≥ 125% FPL)- Urban vs. rural (based on
Metropolitan Statistical Area)- Marital status (married vs.
not married)- Education (< HS vs.
graduated HS)- Insurance status (insured
all year vs. not insured all year)
• Outcome variables- Health status
(fair/poor vs. good/very good/excellent)
- Mental health status (fair/poor vs. good/very good/excellent)
- Obesity (BMI ≥ 30; yes vs. no)
- Diabetes (yes vs. no)
METHODS
• Data analysis: - Survey weight & variance adjustment - Software: Stata 13- Racial & ethnic differences: chi-square & t-tests- Demographic factors related to ethnic disparities in IDD:
• Black and Latino adults with IDD have worse health than their white counterparts and the non-IDD adults within their racial/ethnic group. • Intersectionality of IDD status and racial/ethnic
identities contribute to compromised health outcomes• Existing initiatives have failed to address racial
and disability based health disparities• Need for more research on minority adults with
IDD living in the community
REFERENCES
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CONTACT US
The contents of this presentation were developed under a grant from the United States Department of Health and Human Services, Administration for Community Living (ACL), National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) Grant # 90RT5020-01-00. However, those contents do not necessarily represent the policy of the Department of Health and Human Services (DHHS), and you should not assume endorsement by the Federal Government.