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Recent mortality patterns in California
1School of Allied Health Sciences, East Carolina University, Greenville, NC 27858, USA.
Mental Retardation
|November 6, 1998
Summary
Mortality rates for individuals with developmental disabilities were analyzed from 1991-1995. Community residences showed higher mortality, though a declining trend was observed in these facilities.
Area of Science:
- Public Health
- Disability Studies
- Health Services Research
Background:
- This study examines mortality trends among individuals with developmental disabilities in California between 1991 and 1995.
- Two cohorts were analyzed, focusing on the period following the implementation of the Coffelt settlement in April 1993.
- The research utilizes data from the California Department of Developmental Services.
Discussion:
- Community residence was statistically associated with increased mortality rates compared to other settings.
- A declining trend in mortality was observed in community facilities during the study period.
- Developmental centers did not exhibit a similar trend of declining mortality.
Key Insights:
- Individuals with developmental disabilities residing in community settings experienced higher mortality rates.
- While community facilities showed a decrease in mortality over time, developmental centers did not.
- The findings highlight disparities in mortality outcomes based on residential setting.
Outlook:
- Further research is needed to understand the factors contributing to higher mortality in community residences.
- Investigating the sustainability of declining mortality trends in community facilities is crucial.
- Policy implications for improving health outcomes and reducing mortality disparities for this population should be explored.