Patterns of multimorbidity in an older population of persons with an intellectual disability: Results from the intellectual disability supplement to the Irish longitudinal study on aging (IDS-TILDA)
Patterns of multimorbidity in an older population of persons with an intellectual disability: Results from the intellectual disability supplement to the Irish longitudinal study on aging (IDS-TILDA)
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DOI：
10.1016/j.ridd.2012.07.029
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发表时间：
2013-01-01
影响因子：
3.1
通讯作者：
McCallion, Philip
中科院分区：
文献类型：
--
作者：
McCarron, Mary;Swinburne, Janet;McCallion, Philip
多病(两种或两种以上慢性病)在老年人群中被广泛研究，这项研究既探索了新兴概念化的相关性，也探索了有智力障碍的人中多病是老龄化特征的程度。方法：数据来自爱尔兰老龄化纵向研究(IDS-Tilda)的第一波数据，该研究包括753名40岁及以上的ID患者。通过对身份证患者和/或其照顾者进行面对面访谈，使用标准化方案收集了有关12种慢性病存在的信息。建立了多病患病率，并用Logistic回归模型检验了模式。然后将出现的ID患者的多发病模式与其他老年人的报道进行比较，结果：71%的IDS-Tilda样本建立了多发病，其中女性风险最高，即使在4049岁的人群中，多发病的比率也很高(63%)。眼部疾病和心理健康问题最常与第二种疾病相关，最常见的多发病模式是精神健康/神经疾病。讨论：进一步调查、关注心理健康问题和制定承认慢性病疾病负荷的治疗指南对于缓解多种慢性病的负面影响和预防成年ID患者随着年龄的增长而增加残疾至关重要。(C)2012爱思唯尔有限公司。保留所有权利。
Multimorbidity (2 or more chronic conditions) is being widely studied in older populations and this study explores both the relevance of emerging conceptualizations and the extent to which multimorbidity is a feature of aging in persons with an intellectual disability.Methods: Data was generated from wave one of the intellectual disability supplement to the Irish longitudinal study on aging (IDS-TILDA) which included 753 persons with an ID aged 40 years and over. Information on the presence of 12 chronic conditions was collected using a standardized protocol administered in face to face interviews with persons with ID and/or their caregivers. Prevalence of multimorbidity was established and patterns were examined using logistic regression models. The patterns of multimorbidity for people with ID that emerged were then compared with those reported for other older adults,Results: Multimorbidity was established for 71% of the IDS-TILDA sample with women at highest risk and rates of multimorbidity was high (63%) even among those aged 4049 years. Eye disease and mental health problems were most often associated with a second condition and the most prevalent multimorbidity pattern was mental health/neurological disease.Discussion: Further investigation, attention to mental health issues and the development of treatment guidelines that recognize chronic condition disease load are critical to mitigating the negative impact of multiple chronic conditions and preventing additional disability in adults with ID as they age. (C) 2012 Elsevier Ltd. All rights reserved.