1,721,020 research outputs found
Dual sensory impairment among a cohort of older adults living in Ireland: A nested case-control study of the Irish Longitudinal Study on Ageing cohort
No full textBackground: Little information is available on the implications of hearing loss, visual impairment and dual sensory impairment among older adults with an intellectual disability (ID) living in Ireland and this paper aims to address the health concerns associated with sensory impairment among this population. Methods: A representative sample of 753 persons aged 40 years and older at all levels of ID and full range of residential circumstances from the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA) participants were matched with general older population TILDA participants on age, sex and geographic location within Ireland. Demographic data on samples included age, sex, visual impairment (yes/no), hearing impairment (yes/no) and dual sensory impairment (yes/no). For those with intellectual disability (ID) data was also gathered on level of intellectual disability, residence, needing assistance with activities of daily living (ADL) and instrumental activities of daily living, self-rated health, loneliness, doctor’s diagnosis of endocrine disease and of dementia and doctor’s report of two or more chronic health conditions. Bivariate analysis of associations between visual, hearing and dual sensory impairment with the measures of physical and mental health was completed and logistic regression analysis to generate adjusted odds ratios for associations between sensory impairment and physical and mental health conditions.Results: As compared to the matched general population participants, in participants with ID dual sensory impairment was more often associated with poor self-rated health, limitations with two or more ADLs, loneliness and multimorbidity. People with ID were 4.4 times more likely to be multimorbid if they were visually impaired compared with an odds ratio of 2.4 in TILDA participants.Conclusion: Previous studies found significant associations between hearing and visual impairment among older populations. Analysis here also suggests the burden of sensory impairment increases both with ID and then with level of I
Health and Health-Care Utilization of the Older Population of Ireland: Comparing the Intellectual Disability Population and the General Population
No full textBackground/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. Design: 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. Setting: TILDA participants were community dwelling only while IDS-TILDA participants were drawn from community and institutional settings. Participants: 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. Measurements: Both studies gathered self-reported data on physical and mental health, behavioral health, functional limitations, and health-care utilization. Results: 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. Conclusion: 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. </jats:sec
Social connections for older people with intellectual disability in Ireland: Results from wave one of IDS-TILDA
No full textBackground: The literature on influences of community versus congregated settings raises questions about how social inclusion can be optimised for people with intellectual disability. This study examines social contacts for older people with intellectual disability in Ireland, examining differences in social connection for adults with intellectual disability and other adults.
Materials & methods: Data were drawn from the IDS-TILDA study in Ireland. A nationally representative sample (n = 753) included adults aged 40 years and older, with additional comparison with general population participants. Predictors of social contacts were explored.
Results: Residence, level of intellectual disability and age were significant factors determining social contact. People in institutional residences, older respondents and those with severe/profound intellectual disability had the lowest levels of contact; older adults with intellectual disability had much lower rates than general population counterparts.
Conclusions: Community-dwelling people with intellectual disability have greater social contact than those living in institutions, but levels are below those for other adults in Ireland
Experience of end-of-life issues with people with intellectual disability
No full textThis chapter aims to examine available end-of-life research involving people with intellectual disability, with a focus on their experiences, rather than the views of others such as caregivers and clinicians. In part, it is intended to complement Chapter 1, which dealt with general community experiences. This chapter provides an overview of the current participation and experience of people with intellectual disability in end-of-life matters. Many ensuing chapters offer further detail and these are referred to throughout
Positioning the issues : an agenda for future end-of-life research, policy and practice
No full textRegardless of disability, race or creed, the inevitability of death is an undeniable part of our common humanity. Recognising this shared reality, one theme of this book is awareness of end-of-life issues in the general community and how they apply to people with intellectual and developmental disability. Chapter 1 focuses on end of life for everyone, and many subsequent chapters mention the general-community context. In this present chapter, we many mention issues current in the broader end-of-life literature that have not yet received attention in the intellectual and developmental disability field and are therefore not represented elsewhere in this book. We also refer to topics presented in the disability-specific chapters. However, our intention is not to summarise points made elsewhere, as the respective chapter authors have presented their concerns clearly. Instead, we consider several cross-cutting or overlooked issues to put forward important parts of a practical research, policy and practice agenda intended to assist people with intellectual and developmental disability to have opportunities they want for active participation, social inclusion and self-determination in all end-of-life dimensions
Accessible funerals and people with intellectual disability
No full textFunerals are an enduring ritual, meeting social, religious/spiritual and emotional needs. O'Rourke and et al. (2011, p. 731), noted that "The term funeral refers to a ceremony in which a body or remains are present, in contrast to a memorial service, where the body or remains are generally absent". Although this chapter is predominantly about funerals, we also consider other Western funeral-related rituals such as wakes. We also focus on recent trends towards personalisation and participation at funerals
Total tooth loss and complete denture use in older adults with intellectual disabilities in Ireland: Older adults with intellectual disabilities
No full textObjectives
The objectives of this study were to describe the reported dentate status and complete denture use of older people with intellectual disability (ID) and compare with those of older people in the general population in Ireland.
Methods
The first wave of the Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing (IDS-TILDA) study provides opportunity to measure edentulism and complete denture use in a nationally representative sample of older people with ID in Ireland. Data drawn from the first wave of IDS-TILDA were matched using propensity score matching with data from The Irish Longitudinal Study on Ageing (TILDA), a study among older adults in Ireland. All IDS-TILDA variables showing significant association (P < 0.05) with edentulism were entered into a regression model to identify predictors of edentulism.
Result
The proportion of the 478 IDS-TILDA participants with no teeth was higher (34.1 percent) than the proportion of participants with no teeth in the 478 matched TILDA participants (14.9 percent). Only age was predictive of edentulism among older adults with ID. Edentulism was prevalent earlier for those with ID. Notably, 61.3 percent of edentulous older people with ID were without dentures.
Conclusion
Older people with ID are more likely to be edentulous than those without ID in Ireland and when they lose their teeth, they are unlikely to use dentures. This suggests a need for targeted measures to maintain the teeth of this group and, in the short term, the provision of replacement teeth in this population, where indicated
Feasiblity of anthropometric measurements for large-scale application in the Irish longitudinal study on ageing in people with intellectual disability (IDS-TILDA) : an exploratory study
No full textTHESIS 10432Malnutrition, either as under- or over-nutrition, is a risk factor for increased morbidity and mortality, and overweight and obesity represent one of the most pressing public health concerns of our time. Effective identification, prevention, treatment and monitoring of malnutrition require effective and high-quality assessment to guide interventions and measure their success. Yet no nationally representative anthropometric data on adults with intellectual disability (ID) exists in Ireland
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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