Multimorbidity in older people with intellectual disability

Date

2020

Authors

Hussain, Rafat
Wark, Stuart
Janicki, Matthew
Parmenter, Trevor
Knox, Marie

Journal Title

Journal ISSN

Volume Title

Publisher

Blackwell Publishing Inc.

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.

Description

Keywords

ageing, Australia, health, intellectual disability, multimorbidity

Citation

Source

Journal of Applied Research in Intellectual Disabilities

Type

Journal article

Book Title

Entity type

Access Statement

License Rights

DOI

10.1111/jar.12743

Restricted until

2099-12-01