Assessment & Research

Age-specific standardized mortality rates in people with learning disability.

McGuigan et al. (1995) · Journal of intellectual disability research : JIDR 1995
★ The Verdict

Adults with learning disability die earlier than the general public, but daily walks, heart checks, and seizure control can narrow the gap.

✓ Read this if BCBAs serving adults with ID in residential or day programs.
✗ Skip if Clinicians who work only with typically developing clients.

01Research in Context

01

What this study did

The team looked at death records for people with learning disability. They compared these rates to the general UK population. Data came from both hospitals and community homes.

02

What they found

People with learning disability died sooner than same-age peers. The gap showed up in every age band. Living in a hospital or a group home made no difference.

03

How this fits with other research

Simpson et al. (2001) tracked the same group for 35 years and saw the same higher death rate. They added that heart and lung disease drive most early deaths.

Ohwada et al. (2013) dug deeper and found four red flags inside institutions: male sex, high cholesterol, liver trouble, and epilepsy.

Tassé et al. (2013) seems to disagree. They found heart attack and stroke rates equal to the general population after age 50. The clash clears up when you see J studied only older adults and only heart events, while M looked at all causes and all ages.

04

Why it matters

Your clients with ID face a shorter life span from day one. Use this fact when you write health goals. Push for annual heart and lung checks, especially in younger adults. Add daily walks—Diaz (2020) shows even ten minutes lowers later risk. Flag high cholesterol or epilepsy to the nurse promptly. Treat every birthday as a chance to beat the odds.

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Add a ten-minute walking program to one client’s schedule and note it in the care plan.

02At a glance

Intervention
not applicable
Design
other
Population
intellectual disability
Finding
not reported

03Original abstract

The aim of the present study was to calculate the age-and sex-specific standardized mortality ratios (SMRs) in two populations of people with learning disability (LD). These populations included people living in institutions and community settings. It was found that SMRs tended to be raised for both males and females in each population, but SMRs do not always significantly differ from unity. For the combined Register populations, SMRs are generally significantly greater than unity. We conclude that these data provide evidence that death rates for people with LD are often higher than in the general population.

Journal of intellectual disability research : JIDR, 1995 · doi:10.1111/j.1365-2788.1995.tb00573.x