Correspondence: Dr Xiaoying Zheng, Institute of Population Research/APEC Health Science Academy (HeSAY), Peking University, No 5 Yiheyuan Road, Haidian District, Beijing 100871, China (e-mail: [email protected]).Search for more papers by this author

P. He,

P. He

orcid.org/0000-0001-5040-5012

China Center for Health Development Studies, Peking University, Beijing, China

Institute of Population Research, Peking University, Beijing, China

Department of Population, Family and Reproductive Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA

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G. Chen,

G. Chen

Institute of Population Research, Peking University, Beijing, China

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T. Liu,

T. Liu

Institute of Population Research, Peking University, Beijing, China

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L. Zhang,

L. Zhang

Institute of Population Research, Peking University, Beijing, China

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X. Zheng,

Corresponding Author

X. Zheng

[email protected]

Institute of Population Research, Peking University, Beijing, China

APEC Health Science Academy (HeSAY), Peking University, Beijing, China

First published: 19 July 2018

https://doi.org/10.1111/jir.12517

Citations: 5

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Abstract

Background

Intellectual disabilities (IDs) have become a public health concern worldwide, but few studies on rehabilitation service utilisation in this population were conducted in developing countries. We aimed to examine trends and socioeconomic disparities in the utilisation of rehabilitation services among adults with IDs in China.

Methods

We obtained data from a population-based survey by using a multistage, randomised, cluster sampling process to ascertain adults with IDs in 2006 and a selected subsample for follow-up surveys during 2007–2013. Psychiatrists ascertained individuals with IDs ascertained by intelligence quotient score under 70, deficits in two or more adaptive behaviours and age of onset under 18 years.

Results

Overall, the utilisation rate of rehabilitation services significantly increased from 10.1% in 2007 to 33.7% in 2013, with an annual average percentage growth of 34.3% when adjusting for multiple confounders. The mounting trends remained significant in all socioeconomic groups. The growth rates among lower socioeconomic participants were much higher than those among higher socioeconomic participants, and the strength in the association between socioeconomic position (education and region) and rehabilitation service utilisation declined in 2007–2013.

Conclusions

This study found an upward trend in rehabilitation service utilisation in Chinese adults with IDs during 2007–2013, and socioeconomic disparities in rehabilitation service use in this population showed a downward trend over time.

Conflicts of Interest

None declared.

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Volume62, Issue9

September 2018

Pages 775-784

Rehabilitation service utilisation among adults with intellectual disabilities: Trends and socioeconomic disparities in China

Abstract

Background

Methods

Results

Conclusions

Conflicts of Interest

References

Citing Literature

References

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Rehabilitation service utilisation among adults with intellectual disabilities: Trends and socioeconomic disparities in China

Abstract

Background

Methods

Results

Conclusions

Conflicts of Interest

References

Citing Literature

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