Assessment & Research

Association Between Low IQ Scores and Early Mortality in Men and Women: Evidence From a Population-Based Cohort Study.

Maenner et al. (2015) · American journal on intellectual and developmental disabilities 2015
★ The Verdict

Low IQ raises death risk only because it often cuts schooling and job chances.

✓ Read this if BCBAs writing transition plans for teens or adults with ID.
✗ Skip if Clinicians focused only on early-childhood skill gains.

01Research in Context

01

What this study did

Lemons et al. (2015) tracked thousands of adults for many years. They wanted to know if low IQ scores link to early death.

The team also checked if school years might explain the link, not IQ itself.

02

What they found

People with lower IQ did die sooner, but the risk dropped once years of schooling were counted.

In plain words, education level carried the risk, not the IQ number alone.

03

How this fits with other research

Nevin et al. (2005) saw the same group in Finland. Adults with ID often had no jobs, low pay, and more sick days. Lemons et al. (2015) now show that these hard paths can end in earlier death.

McQuaid et al. (2024) looked at COVID-19 charts in the US. Even with good health insurance, people with ID still had higher death rates. The new study says the old pattern holds across time and place.

Whitehouse et al. (2014) studied adults with autism. They found that IQ alone did not fix life skills. Lemons et al. (2015) echo this: IQ alone does not fix mortality risk.

04

Why it matters

For BCBAs, the message is clear: add real school and vocational goals to every plan. Push for inclusive classes, job coaching, and communication aids. These steps may do more for long life than chasing higher test scores.

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02At a glance

Intervention
not applicable
Design
other
Sample size
10317
Population
intellectual disability, neurotypical
Finding
negative

03Original abstract

Lower (versus higher) IQ scores have been shown to increase the risk of early mortality, however, the underlying mechanisms are poorly understood and previous studies underrepresent individuals with intellectual disability (ID) and women. This study followed one third of all senior-year students (approximately aged 17) attending public high school in Wisconsin, U.S. in 1957 (n  =  10,317) until 2011. Men and women with the lowest IQ test scores (i.e., IQ scores ≤ 85) had increased rates of mortality compared to people with the highest IQ test scores, particularly for cardiovascular disease. Importantly, when educational attainment was held constant, people with lower IQ test scores did not have higher mortality by age 70 than people with higher IQ test scores. Individuals with lower IQ test scores likely experience multiple disadvantages throughout life that contribute to increased risk of early mortality.

American journal on intellectual and developmental disabilities, 2015 · doi:10.1352/1944-7558-120.3.244