{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T03:46:11Z","timestamp":1791776771863,"version":"4.3.4"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Research Intellect Disabil"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People with intellectual disabilities who menstruate are underrepresented in menopause research and care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A mixed\u2010methods service evaluation was conducted in one NHS Trust. In Phase 1, prescribing data from electronic health records for women aged 40\u201379 with intellectual disabilities (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009149) was extracted and statistically compared to estimates for the general population. Phase 2 comprised a focus group with psychiatrists (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096) and an interview with a GP (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091); data were analysed using framework analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      HRT was prescribed to 3.3% of people with intellectual disabilities, versus 17.2% in the general population, indicating significantly lower prescribing (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). Qualitative themes highlighted low clinician awareness, diagnostic overshadowing, concerns about monitoring and system\u2010level issues. Facilitators included psychiatrist advocacy, proactive carers and clearer primary\u2010to\u2010secondary care collaboration.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Women with LD were substantially less likely to receive HRT, suggesting a marked inequity in menopause care. Recommendations are made to improve recognition, treatment access and outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jar.70192","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T11:57:16Z","timestamp":1773143836000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Disparities in Hormone Replacement Therapy Prescribing for Women With Intellectual Disabilities"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9577-6773","authenticated-orcid":false,"given":"Charis","family":"Bontoft","sequence":"first","affiliation":[{"name":"Hertfordshire Partnership University NHS Foundation Trust (HPFT)  Hatfield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6554-5472","authenticated-orcid":false,"given":"Indermeet","family":"Sawhney","sequence":"additional","affiliation":[{"name":"Hertfordshire Partnership University NHS Foundation Trust (HPFT)  Hatfield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asif","family":"Zia","sequence":"additional","affiliation":[{"name":"Hertfordshire Partnership University NHS Foundation Trust (HPFT)  Hatfield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Adams","sequence":"additional","affiliation":[{"name":"Hertfordshire Partnership University NHS Foundation Trust (HPFT)  Hatfield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Allen L. N. L.2024.\u201cAre You Menopause Aware? Learning Disability Today.\u201dhttps:\/\/www.learningdisabilitytoday.co.uk\/topic\/health\/are\u2010you\u2010menopause\u2010aware\/."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S430203"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2008.10.002"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.r1695"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.7748\/mhp.2021.e1590"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.70017"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(13)62026\u20107"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.7748\/phc.2022.e1759"},{"key":"e_1_2_11_10_1","unstructured":"IBM Corp.2022.\u201cIBM SPSS Statistics for Windows (Version 29.0) [Computer Software].\u201dIBM Corp."},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/bld.12527"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/146900470100500204"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/136218070300900108"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468\u20103156.2003.00182.x"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/17446295231182246"},{"key":"e_1_2_11_16_1","unstructured":"National Health Service Business Services Authority.2024.\u201cHormone Replacement Therapy: England April 2015 to June 2024 [Data Summary]. NHSBSA.\u201dhttps:\/\/nhsbsa\u2010opendata.s3.eu\u2010west\u20102.amazonaws.com\/hrt\/hrt_June_2024_v001.html."},{"key":"e_1_2_11_17_1","unstructured":"National Institute for Health and Care Excellence.2024.\u201cMenopause: Identification and Management [NICE Guideline NG23].\u201dhttps:\/\/www.nice.org.uk\/guidance\/ng23\/resources\/menopause\u2010identification\u2010and\u2010management\u2010pdf\u20101837330217413."},{"key":"e_1_2_11_18_1","unstructured":"NHS.2022.\u201cMenopause\u2014Symptoms. NHS.\u201dhttps:\/\/www.nhs.uk\/conditions\/menopause\/symptoms\/."},{"key":"e_1_2_11_19_1","unstructured":"Office for National Statistics.2022.\u201cPopulation and Household Estimates England and Wales: Census2021.\u201dhttps:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/populationandmigration\/populationestimates\/bulletins\/populationandhouseholdestimatesenglandandwales\/census2021."},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12706"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203413081_chapter_9"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468\u20103148.2006.00298.x"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2021.12.001"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2018.02.008"}],"container-title":["Journal of Applied Research in Intellectual Disabilities"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jar.70192","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jar.70192","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jar.70192","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T03:14:39Z","timestamp":1791774879000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jar.70192"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/jar.70192"],"URL":"https:\/\/doi.org\/10.1111\/jar.70192","archive":["Portico"],"relation":{},"ISSN":["1360-2322","1468-3148"],"issn-type":[{"value":"1360-2322","type":"print"},{"value":"1468-3148","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2025-09-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70192"}}