Multimorbidity in older people with intellectual disability
- 20 April 2020
- journal article
- research article
- Published by Wiley in Journal of Applied Research in Intellectual Disabilities
- Vol. 33 (6), 1234-1244
- https://doi.org/10.1111/jar.12743
Abstract
Background There is paucity of research from Australia about comorbidity in older people with intellectual disability (PwID). This paper examines the burden of chronic diseases and associated sociodemographic correlates in a cohort of PwID aged 60+. Methods A cross‐sectional survey was used with community‐dwelling older PwID in urban/rural regions of two Australian states. Recruitment was undertaken via a multi‐prong approach and each subject (N = 391; 236 urban/155 rural) personally interviewed. Results Findings show older PwID experience considerable multimorbidity (X = 3.8; 53.5% had 2–6 conditions). Conditions included arthritis (40%), diabetes (26%), cardiovascular diseases (23.6%), asthma (16.1%), carcinomas (10.0%) and mental health disorders (34.5%). Conclusions There was significant multimorbidity in older PwID, with evolution of life trajectories of select conditions associated with socioeconomic disadvantage and heath facility access barriers. Greater scrutiny of progressive health debilitation leading into older age and increased engagement by healthcare systems is required earlier in the lives of PwID.Funding Information
- Australian Research Council (LP30100168)
This publication has 34 references indexed in Scilit:
- Prevalence and treatment of diabetes mellitus and hypertension among older adults with intellectual disability in comparison with the general populationBMC Geriatrics, 2017
- A Pilot Study on Function and Disability of Aging People with Down Syndrome in ItalyJournal of Policy and Practice in Intellectual Disabilities, 2015
- Multiple physical and mental health comorbidity in adults with intellectual disabilities: population-based cross-sectional analysisBMC Family Practice, 2015
- Assessment of an incentivised scheme to provide annual health checks in primary care for adults with intellectual disability: a longitudinal cohort studyThe Lancet Psychiatry, 2014
- Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the USAThe Lancet, 2014
- Overweight and obesity in older people with intellectual disabilityResearch in Developmental Disabilities, 2012
- The Role of Training in Improving Community Care Staff Awareness of Mental Health Problems in People with Intellectual DisabilitiesJournal of Applied Research in Intellectual Disabilities, 2006
- Cardiovascular disease prevalence and risk factors of persons with mental retardationMental Retardation and Developmental Disabilities Research Reviews, 2006
- Waist circumference, waist–hip ratio and body mass index and their correlation with cardiovascular disease risk factors in Australian adultsJournal of Internal Medicine, 2003
- The Influence of Intellectual Disability on Life ExpectancyThe Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, 2002