Mortality of adults with developmental disabilities living in California institutions and community care, 1985-1994

Ment Retard. 1998 Oct;36(5):360-71. doi: 10.1352/0047-6765(1998)036<0360:MOAWDD>2.0.CO;2.


We compared risk factor-adjusted mortality for California adults with developmental disabilities based on 22,576 adults receiving services in California, 1985-1994. Mortality rates were adjusted for factors such as age and level of functioning. Risk factor-adjusted mortality was 72% higher in community care than in institutions. The mortality pattern over the years 1993-1994, which had not previously been studied, was comparable to that of 1985-1992. The substantially increased risk in community care suggests that community settings may be less effective in preventing mortality in this population.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Age Distribution
  • Aged
  • Ambulatory Care / statistics & numerical data*
  • California / epidemiology
  • Female
  • Health Care Surveys
  • Humans
  • Institutionalization / statistics & numerical data*
  • Intellectual Disability / mortality*
  • Intellectual Disability / rehabilitation
  • Male
  • Middle Aged
  • Retrospective Studies
  • Risk Factors
  • Sex Distribution
  • Statistics as Topic