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The prevalence of intellectual disability among 1-year cohorts of Finnish elderly as determined with the multiple register method
Authors:Hannu Westerinen  Markus Kaski  Lauri J. Virta  Fredrik Almqvist  Hannu Kautiainen  Matti Iivanainen
Affiliation:1. Department of Child Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, Finland;2. Rinnekoti Research Centre, Espoo, Finland;3. Group for Research on Health Security, Social Insurance Institution, Turku, Finland;4. Department of Child Psychiatry, University of Helsinki, Helsinki, Finland;5. Unit of Primary Health Care, Helsinki University Hospital, Helsinki, Finland;6. Unit of Primary Health Care, University of Eastern Finland, Finland;7. Department of Child Neurology, University of Helsinki, Helsinki, Finland
Abstract:Background Longevity is increasing among persons with intellectual disability (ID) simultaneously with that of the general population. There is a need to update prevalence figures of ID among the elderly. The aim of this study was to estimate the prevalence of ID among the elderly in Finland.

Method We combined data from 8 national health and social benefits registers to calculate the ID prevalence for age cohorts separated by 1-year intervals. We corrected a discontinuity due to loss of diagnostic information in the main registers at retirement age (65 years) by comparing the age distribution to that of the entire population.

Results The distribution correction more than doubled the number of persons with ID in this age group, resulting in an apparent prevalence of 0.75%.

Conclusions The 1-year interval between age cohorts proved useful in detecting discontinuities and permitted estimation. The new estimate for the prevalence of ID among the elderly is higher than those previously published, but congruent with the increasing life expectancy of elderly persons with ID.

Keywords:intellectual disability  prevalence  elderly  multiple register study  epidemiology
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