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Mental Disabilities Increase the Risk of Respiratory Infection-related Healthcare Utilization

1
Institute of Health and Welfare Policy, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
2
Department of Gerontology and Health Care Management, Chang Gung University of Science and Technology, Taoyuan City 33303, Taiwan
3
Department of Medicine, School of Medicine, Fu Jen Catholic University, New Taipei City 24205, Taiwan
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(20), 3845; https://doi.org/10.3390/ijerph16203845
Received: 30 July 2019 / Revised: 2 October 2019 / Accepted: 8 October 2019 / Published: 11 October 2019
Patients with chronic mental illness are highly vulnerable to chronic respiratory problems. We examined the influence of mental disability on respiratory infection-related utilization risk in individuals with and without mental disabilities. A population-based, retrospective cohort design and two-part model were used to analyze respiratory infection-related utilization in individuals with MDs (MD group) and a matched reference group. The respiratory infection-related utilization rate in one year was lower in the MD group (53.8%) than in the reference group (56.6%). The odds ratios (ORs) were significantly higher among individuals with profound MDs (aOR = 1.10; 95% CI 1.07–1.14) and those with a history of dental cavities (aOR = 1.16; 95% CI: 1.13–1.19) or periodontal disease (aOR = 1.22; 95% CI: 1.19–1.26) after controlling for covariables. The average number of visits was higher in the MD group (5.3) than in the reference group (4.0). The respiratory infection-related utilization rate and average number of visits were significantly higher in the mild, moderate and severe disabled groups with a history of periodontal disease, respectively, than that of the reference group. In conclusion, healthcare authorities must develop an incentive program to prevent respiratory infections among individuals with MDs.
Keywords: mental disability; dental disease; healthcare utilization; respiratory infections; retrospective study; two-part model mental disability; dental disease; healthcare utilization; respiratory infections; retrospective study; two-part model
MDPI and ACS Style

Chiang, C.-H.; Tsai, M.-C.; Ng, Y.-Y.; Wu, S.-C. Mental Disabilities Increase the Risk of Respiratory Infection-related Healthcare Utilization. Int. J. Environ. Res. Public Health 2019, 16, 3845.

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