McCarron Mary, Cleary Eimear, McCallion Philip
1 School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
2 Center for Excellence in Aging and Community Wellness, University at Albany, Albany, NY, USA.
Res Aging. 2017 Jul;39(6):693-718. doi: 10.1177/0164027516684172.
BACKGROUND/OBJECTIVES: Largely unresearched are the similarities and differences compared to the general population in the aging of people with an intellectual disability (ID). Data reported here compare the health and health-care utilization of the general aging population in Ireland with those who are aging with ID.
Data for comparisons were drawn from the 2010 The Irish Longitudinal Study on Ageing (TILDA) and the Intellectual Disability Supplement (IDS)-TILDA Wave 1 data sets.
TILDA participants were community dwelling only while IDS-TILDA participants were drawn from community and institutional settings.
TILDA consists of a sample of 8,178 individuals aged 50 years and older who were representative of the Irish population. The IDS-TILDA consists of a random sample of 753 persons aged 40 and older. Using age 50 as the initial criterion, 478 persons with ID were matched with TILDA participants on age, sex, and geographic location to create the sample for this comparison.
Both studies gathered self-reported data on physical and mental health, behavioral health, functional limitations, and health-care utilization.
Rates of chronic disease appeared higher overall for people with ID as compared to the general population. There were also age-related differences in the prevalence of diabetes and cancer and different rates of engagement between the two groups in relevant behavioral health activities such as smoking. There were higher utilization levels among IDS-TILDA participants for allied health and general practitioner visits.
Different disease trajectories found among IDS-TILDA participants raise concerns. The longitudinal comparison of data for people with ID and for the general population offered a better opportunity for the unique experiences of people with ID to be included in data that inform health planning.
背景/目的：与普通人群相比，智力残疾（ID）人群老龄化方面的异同很大程度上尚未得到研究。本文报告的数据比较了爱尔兰普通老龄人口与患有ID的老龄人口的健康状况和医疗保健利用情况。
用于比较的数据来自2010年爱尔兰老龄化纵向研究（TILDA）和智力残疾补充研究（IDS）-TILDA第一轮数据集。
TILDA的参与者仅为居住在社区的人群，而IDS-TILDA的参与者则来自社区和机构环境。
TILDA由8178名年龄在50岁及以上的个体组成，这些个体代表了爱尔兰人口。IDS-TILDA由753名年龄在40岁及以上的随机样本组成。以50岁为初始标准，将478名患有ID的人与TILDA参与者在年龄、性别和地理位置上进行匹配，以创建用于此次比较的样本。
两项研究都收集了关于身心健康、行为健康、功能限制和医疗保健利用的自我报告数据。
与普通人群相比，ID人群的慢性病总体发病率似乎更高。糖尿病和癌症的患病率也存在年龄相关差异，并且两组在吸烟等相关行为健康活动中的参与率不同。IDS-TILDA参与者在接受联合健康服务和看全科医生方面的利用率更高。
IDS-TILDA参与者中发现的不同疾病轨迹令人担忧。对ID人群和普通人群的数据进行纵向比较，为将ID人群的独特经历纳入为健康规划提供信息的数据提供了更好的机会。
