Self Perceived Health Status, Comorbid Conditions and Health Related Behaviours in Individuals with Tourette Syndrome: A Canadian Population-Based Study (P1.007)

Objective: The objective of this study was to compare (1) self-perceived health status, (2) chronic co-morbid health conditions, and (3) health-related behaviors in individuals with and without Tourette Syndrome (TS) using population-based Canadian data. Background: Population-based data to describe the effects of TS on health status, comorbidity, and health-related behaviors are scarce. Methods: Data were derived from Canadian Community Health Survey (CCHS) 2010 and 2011 cycles. The CCHS is a national population-based cross-sectional survey that collects information related to health status, health care utilization, and health determinants for Canadians. Using these data, we evaluated the association between TS and self-perceived mental and physical health, fruit and vegetable consumption, physical exercise, and chronic physical and mental health conditions. Results: 122,884 Canadians participated with 122 participants diagnosed with TS. After controlling for age and gender, the TS population was less likely to have good self-perceived health status (OR = 0.21, p <0.001) and more likely to need help with instrumental activities of daily living (OR = 27.64, p<0.001). More individuals with TS than the general population were diagnosed with an anxiety disorder 47.3[percnt] (95[percnt] CI 32.5-62.1) vs 5.7[percnt] (95[percnt] CI 5.5-6.0), a mood disorder 16.9[percnt] (95[percnt] CI 8.1-25.8) vs 6.8[percnt] (95[percnt] CI 6.6-7.0), or asthma 20.1[percnt] (95[percnt] CI 10.0-30.4) vs 8.5[percnt] (95[percnt]CI 8.3-8.8). After controlling for age and sex, the odds of being diagnosed with an anxiety disorder, mood disorder or asthma were significantly higher in the TS population. We observed no significant differences in physical activity, fruit and vegetable consumption, life satisfaction, community belonging, or self-esteem. Conclusion: Individuals with TS experience a higher frequency of mental and physical health comorbidities, and require more assistance with activities of daily living than the general population. Despite these challenges, individuals with TS report similar overall life satisfaction to the general population. Disclosure: Dr. Yang has nothing to disclose. Dr. Hirsch has nothing to disclose. Dr. Roberts has nothing to disclose. Dr. Martino has nothing to disclose. Dr. Jette has nothing to disclose. Dr. Pringsheim has nothing to disclose.