{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T08:03:58Z","timestamp":1789718638259,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010414","name":"Health Research Board","doi-asserted-by":"publisher","award":["IDS\u2010TILDA\u20102021\u2010001"],"award-info":[{"award-number":["IDS\u2010TILDA\u20102021\u2010001"]}],"id":[{"id":"10.13039\/100010414","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J intellect Disabil Res"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adults with intellectual disability experience significant health issues that increase with age. Longitudinal analyses offer important evidence on how the trajectories of these conditions' develop and change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were drawn from five waves of IDS\u2010TILDA, with a nationally representative sample of over 700 adults with intellectual disability aged 40 and over in Ireland from 2009 to 2023. Twelve chronic conditions and multimorbidity (\u2265\u20092 chronic conditions) were explored. Generalised linear mixed models assessed associations with demographic and clinical characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three in four ageing adults with intellectual disability were multimorbid. Those aged 65\u2009+\u2009had sevenfold higher odds of multimorbidity than those under 50. Gastrointestinal, mental health and neurological conditions were the most common conditions, affecting 41.65%, 41.31% and 29.40% of the cohort, respectively. Women, those with more severe intellectual disability and those living in residential care were particularly at risk of having more health conditions while those with Down syndrome had increased risks of eye, endocrine and heart disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>As people with intellectual disability age, the trajectory and burden of disease increase in tandem. Longitudinal evidence from this study points to the urgent need for earlier prevention and upstream action to reduce the widening inequality gap with the general population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jir.70179","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T07:37:37Z","timestamp":1789717057000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Chronic Health Condition Trajectories and Multimorbidity in Older Adults With Intellectual Disability: A Brief Report of 15\u2009years of Longitudinal Evidence From IDS\u2010TILDA"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3340-9537","authenticated-orcid":false,"given":"Martin","family":"McMahon","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery, Trinity Centre for Ageing and Intellectual Disability Trinity College  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8047-3126","authenticated-orcid":false,"given":"Aviejay","family":"Paul","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Trinity Centre for Ageing and Intellectual Disability Trinity College  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7484-8635","authenticated-orcid":false,"given":"Catriona","family":"Ryan","sequence":"additional","affiliation":[{"name":"Biostatistics Unit, Discipline of Public Health and Primary Care, School of Medicine Trinity College Dublin  Dublin Ireland"},{"name":"Wellcome\u2010HRB Clinical Research Facility St James's Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2209-4859","authenticated-orcid":false,"given":"Louise","family":"Lynch","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Trinity Centre for Ageing and Intellectual Disability Trinity College  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5129-6399","authenticated-orcid":false,"given":"Philip","family":"McCallion","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Trinity Centre for Ageing and Intellectual Disability Trinity College  Dublin Ireland"},{"name":"School of Social Work, Temple University Barnett College of Public Health  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2531-0422","authenticated-orcid":false,"given":"Mary","family":"McCarron","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Trinity Centre for Ageing and Intellectual Disability Trinity College  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3097-8048","authenticated-orcid":false,"given":"Eilish","family":"Burke","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Trinity Centre for Ageing and Intellectual Disability Trinity College  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/brb3.431"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(12)60240\u20102"},{"key":"e_1_2_10_4_1","volume-title":"The Case for More Action and More Research Into Health Care Provision and Health Inequalities for People With Intellectual Disabilities","author":"Chapman H. M.","year":"2024"},{"key":"e_1_2_10_5_1","unstructured":"Committee on the Future of Healthcare.2017. \u201cSl\u00e1intecare Report. Committee on the Future of Healthcare.\u201dhttps:\/\/www.oireachtas.ie\/en\/committees\/32\/future\u2010of\u2010healthcare\/."},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102019\u2010036465"},{"key":"e_1_2_10_7_1","volume-title":"Health Inequalities and People With Intellectual Disabilities","author":"Emerson E.","year":"2014"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jppi.70028"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12314"},{"key":"e_1_2_10_10_1","unstructured":"Health Service Executive.2011. \u201cTime to Move on From Congregated Settings: A Strategy for Community Inclusion: Report of the Working Group on Congregated Settings.\u201d Health Service Executive.https:\/\/www.hse.ie\/eng\/services\/list\/4\/disability\/congregatedsettings\/timetomoveon."},{"key":"e_1_2_10_11_1","unstructured":"Health Service Executive.2012. \u201cTransforming Lives: Programme to Implement the Recommendations of the Value for Money and Policy Review of Disability Services in Ireland.\u201d Health Service Executive."},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2014.01.022"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12067"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0256294"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/17446295221107281"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2019.04.005"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)71146-6"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12194"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2022.104197"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2012.07.029"},{"key":"e_1_2_10_21_1","volume-title":"Longitudinal Dynamics in the Ageing of People With an Intellectual Disability: Evidence From the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS\u2010TILDA)","author":"McCarron M. 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