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A Settings and Systems Approach to Promoting the Health and Wellbeing of People with an Intellectual Disability

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  • Andrew Joyce

    (Centre for Social Impact, Swinburne University of Technology, Hawthorn, VIC 3122, Australia)

Abstract

Research has shown that people with an intellectual disability have higher rates of certain preventable health conditions and a higher rate of avoidable mortality relative to the general population. With respect to health behaviours, they also have lower levels of physical activity and poorer nutrition. Despite the increased health needs, this population cohort is less likely to have the opportunity to participate in health promotion programs. The interventions that have been delivered are programmatic and individual in focus and have lacked a broader ecological and settings focus, which makes them very difficult to scale. Health promotion programs designed for the general population, such as lifestyle campaigns, rarely reach people with an intellectual disability. This increases the importance of ensuring that the settings in which they live and engage with are as health promoting as possible. Interventions have been particularly absent in the workplace for people with an intellectual disability. This paper highlights gaps in a settings-and-systems-based approach to promoting the health and wellbeing of people with an intellectual disability, particularly with respect to workplace health promotion. The paper concludes with recommendations for a systems approach that integrates approaches across multiple settings to better promote the health of this population cohort.

Suggested Citation

  • Andrew Joyce, 2024. "A Settings and Systems Approach to Promoting the Health and Wellbeing of People with an Intellectual Disability," IJERPH, MDPI, vol. 21(4), pages 1-10, March.
  • Handle: RePEc:gam:jijerp:v:21:y:2024:i:4:p:409-:d:1365645
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    References listed on IDEAS

    as
    1. Brousselle, Astrid & Champagne, François, 2011. "Program theory evaluation: Logic analysis," Evaluation and Program Planning, Elsevier, vol. 34(1), pages 69-78, February.
    2. Resnicow, K. & Page, S.E., 2008. "Embracing chaos and complexity: A quantum change for public health," American Journal of Public Health, American Public Health Association, vol. 98(8), pages 1382-1389.
    3. Noelia Flores & Carmen Moret-Tatay & Belén Gutiérrez-Bermejo & Andrea Vázquez & Cristina Jenaro, 2021. "Assessment of Occupational Health and Job Satisfaction in Workers with Intellectual Disability: A Job Demands–Resources Perspective," IJERPH, MDPI, vol. 18(4), pages 1-16, February.
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    Cited by:

    1. Andrew Joyce & Perri Campbell & Jenny Crosbie & Erin Wilson, 2024. "Workplace Structures and Culture That Support the Wellbeing of People with an Intellectual Disability," IJERPH, MDPI, vol. 21(11), pages 1-14, October.

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