{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T08:47:41Z","timestamp":1782204461228,"version":"3.54.5"},"reference-count":65,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"vor","delay-in-days":33,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"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":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This paper examines differences in health, well\u2010being and social inclusion between two generations of adults with intellectual disability in their 40s, measured 12\u2009years apart.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Data was drawn from Waves 1 and 5 of the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing. Descriptive statistics were calculated at Waves 1 and 5 and outcomes were analysed using\n                      <jats:styled-content style=\"fixed-case\">CHAID<\/jats:styled-content>\n                      (Chi Squared Automatic Interaction Detection) decision tree.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Wave was the main predictor of increased weekly contact with friends (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), internet use (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and alcohol consumption (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Mild exercise (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and moderate exercise decreased (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Self\u2010rated health (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and mental health ratings (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006) improved, while loneliness declined (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.041). Use of general practitioners (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), social work (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and home help (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.020) declined, whereas optician (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) and dermatological services (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048) increased.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Intergenerational changes were observed, with improved social inclusion and health perceptions, alongside shifts in behaviour and healthcare use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jar.70254","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:01:21Z","timestamp":1780531281000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intergenerational Change in Health, Well\u2010Being and Social Inclusion for Two Groups of Adults With Intellectual Disability Aged 40\u201349: Findings From a National Longitudinal Study"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3519-0994","authenticated-orcid":false,"given":"K\u00e1lya Yasmine Nunes","family":"de Lima","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery, Trinity Centre for Ageing and the Life Course in Intellectual Disability Trinity College  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren","family":"McCausland","sequence":"additional","affiliation":[{"name":"School of Nursing and 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