Access to healthcare services by people with intellectual disabilities: A rural-urban comparison

Nicholson, L. and Cooper, S.A. (2011) Access to healthcare services by people with intellectual disabilities: A rural-urban comparison. Journal of Intellectual Disabilities, 15(2), pp. 115-130. (doi:10.1177/1744629511412659)

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Access to healthcare services is poor both for adults with intellectual disabilities and for people living in rural areas. Adults with intellectual disabilities in rural areas may therefore be at a double disadvantage. Representative data were analysed from 39 rural and 633 urban participants from Scotland. Information on demographics, healthcare, and access to services were collected from face-to-face interviews and primary care notes. Both direct comparison and binary logistic regression showed the rural sample to have had significantly more contact with primary (odds ratio = 4.02, 95% CI 1.56—10.35, P = 0.004) and secondary health care (OR = 3.93, 95% CI = 1.81—8.55, P = 0.001). Contact with allied healthcare professionals was not significantly different, except that people in the rural sample were significantly more likely to have had recent contact with a dentist and an optician. Contrary to the original hypothesis, adults with intellectual disabilities living in rural areas were not found to be disadvantaged.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Cooper, Professor Sally-Ann
Authors: Nicholson, L., and Cooper, S.A.
Subjects:H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > R Medicine (General)
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Journal of Intellectual Disabilities
ISSN (Online):1744-6309

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