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Intergenerational Change in Health, Well-Being and Social Inclusion for Two Groups of Adults With Intellectual
Kálya Yasmine Nunes de Lima1, Darren McCausland1, Philip McCallion1,2
1School of Nursing and Midwifery, Trinity Centre for Ageing and the Life Course in Intellectual Disability, Trinity College, Dublin, Ireland.
Background:
This paper examines differences in health, well-being and social inclusion between two generations of adults with intellectual disability in their 40s, measured 12 years apart.
Method:
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 CHAID (Chi Squared Automatic Interaction Detection) decision tree.
Results:
Wave was the main predictor of increased weekly contact with friends (p < 0.001), internet use (p < 0.001) and alcohol consumption (p < 0.001). Mild exercise (p < 0.001) and moderate exercise decreased (p < 0.001). Self-rated health (p < 0.001) and mental health ratings (p = 0.006) improved, while loneliness declined (p = 0.041). Use of general practitioners (p < 0.001), social work (p < 0.001) and home help (p = 0.020) declined, whereas optician (p = 0.001) and dermatological services (p = 0.048) increased.
Conclusion:
Intergenerational changes were observed, with improved social inclusion and health perceptions, alongside shifts in behaviour and healthcare use.
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