{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T03:51:24Z","timestamp":1774324284232,"version":"3.50.1"},"reference-count":16,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2004,7,1]],"date-time":"2004-07-01T00:00:00Z","timestamp":1088640000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2004,7]]},"abstract":"<jats:sec><jats:title>Objectives.<\/jats:title><jats:p> This article presents survey data about the health and behavioral characteristics of a randomly selected sample of 629 adults with mental retardation (MR) living in Massachusetts in 2000. The goals of this analysis were to: describe the health, behavioral, and functional characteristics of the sample; examine relationships between consumer health, behavior problems, and functioning; and analyze variations in health and behavior problems by type of residential setting (parent\/relative home, community residence, or institutional setting). <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods.<\/jats:title><jats:p> The authors analyzed data obtained from interviews with proxies (relatives, guardians, advocates, or program staff) on behalf of consumers and from state agency records. Chi-square analyses were conducted to examine the relationships between health, behavioral, and functional characteristics of consumers and differences in health and behaviors by type of residence. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results.<\/jats:title><jats:p> More than 80% of consumers were reported to have either \u201cexcellent\u201d or \u201cgood\u201d health. Overall health status did not significantly vary by residential type, but was significantly related to the presence of additional disabilities and some functional limitations. Several health and behavioral measures varied significantly by residential type: recent physical, dental, and ob\/gyn exams; medication usage; problem behaviors; and functional level. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions.<\/jats:title><jats:p> As large numbers of individuals with MR reach adulthood and old age, public health and medical professionals face the challenges of addressing the health and behavioral needs of this population, preventing secondary health conditions, and improving environmental conditions that may influence health and mental health. <\/jats:p><\/jats:sec>","DOI":"10.1016\/j.phr.2004.05.004","type":"journal-article","created":{"date-parts":[[2004,6,25]],"date-time":"2004-06-25T12:30:56Z","timestamp":1088166656000},"page":"401-408","source":"Crossref","is-referenced-by-count":28,"title":["Physical and Behavioral Health of Adults with Mental Retardation across Residential Settings"],"prefix":"10.1177","volume":"119","author":[{"given":"Ruth I.","family":"Freedman","sequence":"first","affiliation":[{"name":"Boston University School of Social Work, Boston, MA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Chassler","sequence":"additional","affiliation":[{"name":"Boston University School of Social Work, Boston, MA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2004,7,1]]},"reference":[{"key":"bibr1-j.phr.2004.05.004","volume-title":"Healthy People 2010","author":"Department of Health and Human Services (US)","year":"2000"},{"key":"bibr2-j.phr.2004.05.004","unstructured":"Special Olympics, Inc. Promoting health for individuals with mental retardation. Washington: Special Olympics, Inc.; 2001. p. 7."},{"key":"bibr3-j.phr.2004.05.004","unstructured":"Public Health Service (US). Closing the gap: a national blueprint for improving the health of individuals with mental retardation. Report of the Surgeon General's Conference on Health Disparities and Mental Retardation. Washington: Department of Health and Human Services (US); 2002 Feb. p. xii."},{"key":"bibr4-j.phr.2004.05.004","unstructured":"Department of Health and Human Services (US). Special hearing on promoting health for people with mental retardation before the U.S. Senate committee on appropriations. Washington: Government Printing Office; 2001. Report No.: 20201. p. 3."},{"key":"bibr5-j.phr.2004.05.004","volume-title":"The health status and needs of individuals with mental retardation","author":"Horwitz SM","year":"2000"},{"key":"bibr6-j.phr.2004.05.004","doi-asserted-by":"publisher","DOI":"10.1016\/0891-4222(95)00033-X"},{"issue":"1","key":"bibr7-j.phr.2004.05.004","volume-title":"Characteristics of and service use by persons with MR\/DD living in their own homes or with family members: NHIS-D analysis. 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