The impact of transition on health

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The impact of transition on health and wellbeing in young people with learning disabilities: a systematic review Ms Genevieve Young-Southward1, Professor Chis Philo2, Professor Sally-Ann Cooper1 1University of Glasgow, Institute of Health and Wellbeing 2University of Glasgow, School of Geographical and Earth Sciences Introduction Transition – the move from childhood to adulthood – is an important stage in life for all young people Transition may impact health and wellbeing in a number of different ways Transition may be experienced differently by young people with learning disabilities Aim To review the current literature to identify whether transition to adulthood affects health and wellbeing in the population with learning disabilities, and in what particular ways Results Methods Inclusion criteria: Age of participants was between 13 and 24 years old Data for participants with learning disability was reported separately from those without learning disability Both transition and health were included Article was written in English 6 databases were searched using key search terms Grey literature and reference lists were hand searched A sample of titles and abstracts were screened by a second reviewer to check agreement 14,774 articles were initially extracted, of which 11 met the inclusion criteria (Figure 1) The results of the articles were mixed and in places contradictory Numerous health and wellbeing issues were identified in this population during transition, including obesity, sexual health and interpersonal conflict However, the majority of parents of children with learning disabilities rated their child’s quality of life during this period positively Database search Titles read n = 14,774 Excluded n = 14,262 Duplicate n = 161 Clearly not relevant n = 14,101 Abstracts read n = 512 Excluded n = 450 Wrong age group/age not reported n = 52 LD participants not reported separately n = 55 Both transition and health not included n = 328 Not English language n = 15 Papers read in full n = 62 Identified from reference list n = 18 + 1 published dataset Excluded n = 54 Wrong age group/age not reported n = 8 LD participants not reported separately n = 21 Both transition and health not included n = 25 Excluded n = 16 Wrong age group/age not reported n = 2 LD participants not reported separately n = 6 Both transition and health not included n = 8 Final inclusion n = 11 Figure 1:Inclusion and exclusion of articles Conclusions The studies in this review reveal a mixed picture of health and wellbeing outcomes for young people with learning disabilities during transition More research in this area, including secondary analysis of existing data, combined with qualitative exploration of young people’s transition experiences, is needed