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Research ArticleOriginal Research

Characteristics Associated With Bone Mineral Density Screening in Adults With Intellectual Disabilities

Deborah Dreyfus, Emily Lauer and Joanne Wilkinson
The Journal of the American Board of Family Medicine January 2014, 27 (1) 104-114; DOI: https://doi.org/10.3122/jabfm.2014.01.130114
Deborah Dreyfus
From the Department of Family Medicine, Boston University, Boston, MA (DD, JW); and the Center for Developmental Disabilities Evaluation and Research, Eunice Kennedy Shriver Center, University of Massachusetts Medical School, Boston, MA (EL).
MD, MSc
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Emily Lauer
From the Department of Family Medicine, Boston University, Boston, MA (DD, JW); and the Center for Developmental Disabilities Evaluation and Research, Eunice Kennedy Shriver Center, University of Massachusetts Medical School, Boston, MA (EL).
MPH
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Joanne Wilkinson
From the Department of Family Medicine, Boston University, Boston, MA (DD, JW); and the Center for Developmental Disabilities Evaluation and Research, Eunice Kennedy Shriver Center, University of Massachusetts Medical School, Boston, MA (EL).
MD, MSc
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  • Article
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  • References
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Article Figures & Data

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    Figure 1.

    Patients participating in the study.

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    Table 1. Bivariate Analysis: Men
    VariablePeople (n)People Who Were Screened (%)Crude OR95% CI
    Individual characteristics
        Age (years)
            19–242935.10.130.06–0.03
            25–345449.20.240.13–0.44
            35–4477510.80.290.17–0.52
            45–5475714.10.400.23–0.69
            55–6440720.60.620.35–1.1
            65–7416225.30.810.43–1.5
            ≥756829.4Reference
        Antiepileptic medications
            Yes91918.91.91.5–2.4
            No208710.9Reference
        Proton pump inhibitor
            Yes52120.21.91.5–2.4
            No248511.9Reference
        Vitamin D
            Yes20243.16.04.4–8.1
            No280411.2Reference
        Special positioning
            Yes11927.72.61.7–3.9
            No267913.0Reference
        Ambulation
            Any assistance needed77624.73.22.6–3.9
            Independent21949.4Reference
        History of fracture
            Yes34628.93.22.5–4.1
            No266011.3Reference
        Cooperates with exams
            Uncooperative131815.21.31.1–1.6
            Cooperative168811.9Reference
        Thyroid abnormalities
            Yes36517.01.41.0–1.9
            No264112.8Reference
        Down syndrome
            Yes3688.70.580.40–0.86
            No263814.0Reference
        Diet texture
            Unusual64822.72.41.9–3.0
            Normal232410.8Reference
    Interpersonal characteristics
        Guardian
            Yes202614.71.51.2–1.9
            No98010.5Reference
        Received a flu shot during the time period studied
            Yes185016.72.31.8–2.9
            No11568.0Reference
    Organizational characteristics
        Residential setting
            24-hour support195215.71.91.5–2.2
            <24-hour support10548.9Reference
        Nursing-supported care coordination
            Yes117514.61.20.96–1.5
            No171012.5Reference
    • CI, confidence interval; OR, odds ratio.

    • View popup
    Table 2. Bivariate Analysis: Women
    VariablePeople (n)People Who Were Screened (%)Crude OR95% CI
    Individual characteristics
        Age (years)
            19–2422811.00.0480.022–0.11
            25–3451311.90.0540.026–0.11
            35–4462422.30.110.056–0.22
            45–5465744.90.320.16–0.63
            55–6433767.30.810.40–1.6
            65–7411079.81.50.69–3.5
            ≥754372.1Reference
        Antiepileptic medications
            Yes69641.81.61.3–1.9
            No181131.5Reference
        Proton Pump Inhibitor
            Yes38844.91.71.4–2.1
            No211932.5Reference
        Vitamin D
            Yes40663.34.33.4–5.3
            No210128.8Reference
        Depo-Provera use
            Yes13240.21.30.91–1.9
            No237534.1Reference
        Menstruation
            Yes152719.90.180.15–0.22
            No81057.7Reference
        Special positioning
            Yes11040.01.30.86–1.9
            No221134.3Reference
        Ambulation
            Any assistance needed80146.32.11.8–2.5
            Independent166528.8Reference
        History of fracture
            Yes31347.91.91.5–2.4
            No219432.5Reference
        Cooperates with exams
            Uncooperative105535.01.00.89–1.2
            Cooperative145234.0Reference
        Thyroid abnormalities
            Yes53943.41.61.3–2.0
            No196831.9Reference
        Down syndrome
            Yes29528.10.720.55–0.94
            No221235.2Reference
        Diet texture
            Unusual54646.72.01.6–2.4
            Normal193030.9Reference
    Interpersonal characteristics
        Guardian
            Yes156335.71.20.98–1.4
            No94432.2Reference
        Received a flu shot during the time period studied
            Yes162140.42.21.8–2.7
            No88623.4Reference
    Organizational characteristics
        Residential setting
            24-hour support157039.21.81.5–2.2
            <24-hr support93726.3Reference
        Nursing-supported care coordination
            Yes93036.31.20.98–1.4
            No149732.9Reference
    • CI, confidence interval; OR, odds ratio.

    • View popup
    Table 3. Logistic Regression: Female Model
    VariableCrude ORAdjusted OR95% CI
    Individual characteristics
        Age (years)
            19–240.0480.0680.03–0.16
            25–340.0520.0620.029–0.13
            35–440.110.120.06–0.25
            45–540.320.360.18–0.75
            55–640.800.930.45–1.9
            65–741.51.60.69–3.7
            ≥75 (Reference)1.01.0Reference
        Antiepileptic medication1.61.51.2–1.9
        Proton pump inhibitor1.71.31.0–1.7
        Vitamin D4.33.42.6–4.4
        Depo-Provera use1.31.81.2–2.7
        Down syndrome0.720.720.52–0.98
        Needs assistance with ambulation2.11.31.0–1.6
        History of fracture1.91.31.0–1.8
        Cooperative with exams1.00.700.56–0.87
    Interpersonal characteristic
        Received a flu shot during the time period studied2.21.41.1–1.8
    Organizational characteristic
        24-hour supported residential setting1.81.31.1–1.7
    • CI, confidence interval; OR, odds ratio.

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The Journal of the American Board of Family     Medicine: 27 (1)
The Journal of the American Board of Family Medicine
Vol. 27, Issue 1
January-February 2014
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Characteristics Associated With Bone Mineral Density Screening in Adults With Intellectual Disabilities
Deborah Dreyfus, Emily Lauer, Joanne Wilkinson
The Journal of the American Board of Family Medicine Jan 2014, 27 (1) 104-114; DOI: 10.3122/jabfm.2014.01.130114

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Characteristics Associated With Bone Mineral Density Screening in Adults With Intellectual Disabilities
Deborah Dreyfus, Emily Lauer, Joanne Wilkinson
The Journal of the American Board of Family Medicine Jan 2014, 27 (1) 104-114; DOI: 10.3122/jabfm.2014.01.130114
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  • Delivery of Health Care
  • Developmental Disabilities
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