A comparative analysis of the prevalence and predictors of chronic pain in older adults with and without intellectual disability in Australia

ABSTRACT

Background

There is little research comparatively assessing prevalence of pain between older people either with or without intellectual disability. This paper explores health and social factors associated with chronic pain in these two groups.

Method

A cross-sectional survey was undertaken in New South Wales and Queensland, Australia. Inclusion criteria were adults either with or without intellectual disability, aged 60 years and older, and currently living in community-settings. Univariate and multivariable analyses were undertaken on a sample of 391 adults with intellectual disability and 920 adults without intellectual disability.

Results

Key findings included higher prevalence of pain in the intellectual disability group, along with higher rates of osteoarthritis, falls, oral health problems, and mood disorders.

Conclusions

Mitigating risk factors for conditions that cause chronic pain in older adults is crucial. As longevity increases, the healthcare sector needs to prioritise chronic pain management for people with intellectual disabilities through appropriate treatment strategies.

KEYWORDS:

• Ageing
• Australia
• chronic pain
• intellectual disability
• well-being

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

The project was funded by a linkage grant from the Australian Research Council [grant number LP130100168] and by contributions from the following industry partners: Ability Options, Endeavour Foundation, The Ascent Group and Uniting. We are deeply indebted to our industry partners, the project Steering Committee and the study participants who generously provided time and support.