Autism & Developmental

Healthy behaviors and lifestyles in young adults with a history of developmental disabilities.

Rurangirwa et al. (2006) · Research in developmental disabilities 2006
★ The Verdict

Young adults with DD are sober but heavy, uninformed about sex, and behind on check-ups.

✓ Read this if BCBAs serving transition-age clients in clinic, school, or residential settings.
✗ Skip if Clinicians focused only on early childhood or severe behavior reduction.

01Research in Context

01

What this study did

Rurangirwa et al. (2006) asked young adults with developmental disabilities about smoking, drinking, sex, doctor visits, and weight.

The team used a survey. They compared answers to national norms for people the same age.

02

What they found

The group used less tobacco, alcohol, and had fewer sexual partners than typical peers.

Yet they had higher body weight, missed sex education, skipped preventive care, and faced more abuse.

Mixed picture: safer on drugs, riskier on weight and health access.

03

How this fits with other research

Lee et al. (2022) tried a six-month weight-loss program for teens with IDD. The scale barely moved. This extends the 2006 warning that extra pounds start early and are hard to shift.

Li et al. (2018) counted the cost: each obese adult with IDD racks up about $2,500 more medical bills every year. The dollars back up the 2006 risk flag.

Boudreau et al. (2015) saw the same story in kids: by age eight, children with delays already play fewer sports. The couch-potato path starts young and tracks into the young-adult years.

04

Why it matters

You can praise lower smoking rates, but you must still act on weight, sex ed, and doctor visits. Build movement into daily routines, teach body boundaries, and schedule annual exams. Small habits now prevent big costs later.

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Add a 10-minute brisk walk to the session plan and book the client’s yearly physical if it is missing.

02At a glance

Intervention
not applicable
Design
survey
Population
developmental delay
Finding
mixed

03Original abstract

OBJECTIVE: Measure select Healthy People 2010 Leading Health Indicators in young adults with and without a history of developmental disabilities (DD) using a population-based cohort. METHODS: Young adults were interviewed to assess the prevalence of seven Leading Health Indicators: physical activity, overweight and obesity, tobacco use, substance abuse, responsible sexual behavior, injury and violence, and access to healthcare. RESULTS: Young adults with a history of DD were less likely to be involved in tobacco use, substance abuse and sexual activity. Areas of concern included below normal Body Mass Index, lack of HIV/AIDS and sex education, preventive healthcare services for women, and victimization. CONCLUSIONS: Despite some healthy lifestyle indicators, health gaps may place young adults with a history of DD at risk for poor health and quality of life.

Research in developmental disabilities, 2006 · doi:10.1016/j.ridd.2005.01.003