Journal on Developmental Disabilities

The Journal on Developmental Disabilities is a peer-reviewed journal with a growing regional and international readership.

Volume 13 Number 1	other issues
Developmental Disabilities and the Native Canadian Community	Editors / Review Board / Table of Contents Forward Response Editorial Articles Child Welfare System Characteristics of Maltreatment Travelling a Mirrored Pathway Cross-Cultural Assessment Mercury Contamination in Arctic Canada Risk Factors for Fragility Fractures Maternal Diabetes and her Offspring Breast Milk Versus Infant Formulae RSIG Reports Evidence-based Practice Verbal Prosody and Speech Perception Perceived Support and Inclusion Dual Diagnosis or Dual Confusion Aggression and Dual Diagnosis Job Satisfaction of the Instructional Therapist Admissions to a Specialized Dual Diagnosis Program
Risk Factors for Fragility Fractures in Persons With Developmental Disabilities E. Bruce Roe, Klaus Dittberner and William D. Leslie
Abstract Persons with moderate to severe developmental disabilities are at risk for low-trauma fractures but the associated risk factors have not been well-delineated. A chart review of 224 persons with developmental disabilities living in a residential care facility found that 40 (18%) had sustained 47 low-energy fractures of the appendicular skeleton. Logistic regression demonstrated a strong association between Aboriginal ethnicity and fractures that was not accounted for by other measured variables (adjusted odds ratio [OR] 3.03, 95% CI 1.38-6.69). Phenobarbital use was also a strong independent predictor (OR 2.69, 95% CI 1.18-6.12). The recognition of the high rate of fractures in this population as well as these risk predictors may help to direct screening and targeted interventions for those found to be at highest risk. download article >>

© 2007. Ontario Association on Developmental Disabilities. All rights reserved.

Web site design and layout: Ted Myerscough