General health of adults with autism spectrum disorders – A whole country population cross-sectional study / Ewelina RYDZEWSKA in Research in Autism Spectrum Disorders, 60 (April 2019)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 60 (April 2019) . - p.59-66 Titre : General health of adults with autism spectrum disorders – A whole country population cross-sectional study Type de document : Texte imprimé et/ou numérique Auteurs : Ewelina RYDZEWSKA, Auteur ; Laura A. HUGHES-MCCORMACK, Auteur ; Christopher GILLBERG, Auteur ; Angela HENDERSON, Auteur ; Cecilia MACINTYRE, Auteur ; Julie RINTOUL, Auteur ; Sally-Ann COOPER, Auteur Article en page(s) : p.59-66 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Adults  General health status  Health inequalities  Observational study Index. décimale : PER Périodiques Résumé : Background General health status in adult populations with autism spectrum disorders has been little studied. We aimed to investigate general health status and predictors of poor health in adults with autism spectrum disorders compared with other adults. Method Whole country data were drawn from Scotland’s Census, 2011. We calculated and compared the frequencies of health status in adults with and without autism spectrum disorders. We then used logistic regressions to calculate odds ratios (OR) with 95% confidence intervals (95% CI) of autism predicting poor general health in the whole population, adjusted for age and gender, and OR (95% CI) of age and gender predicting poor general health within the autism spectrum disorders population. Results Autism spectrum disorders were reported for 6649/3,746,584 (0.2%) adults aged 25+years, of whom 46.8% (N?=?3111) had poor general health, compared with 23.7% (N?=?887,878) of other people. Poor health was common across the entire lifecourse for adults with autism spectrum disorders. Autism had OR?=?5.1 (4.9–5.4, 95% CI) for predicting poor general health, or OR?=?7.5 (6.9–8.2, 95% CI) when the interaction with age was included. Poorer health was more common at older age, and for women. Conclusions Poor general health merits attention across the full lifecourse for adults with autism. Health practitioners need to be alert to the burden of potential health problems to seek them out to be addressed, and so the health agenda can turn towards potential mechanisms for prevention and better support for adults who may call upon services for people with autism. En ligne : https://doi.org/10.1016/j.rasd.2019.01.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=387 [article] General health of adults with autism spectrum disorders – A whole country population cross-sectional study [Texte imprimé et/ou numérique] / Ewelina RYDZEWSKA, Auteur ; Laura A. HUGHES-MCCORMACK, Auteur ; Christopher GILLBERG, Auteur ; Angela HENDERSON, Auteur ; Cecilia MACINTYRE, Auteur ; Julie RINTOUL, Auteur ; Sally-Ann COOPER, Auteur . - p.59-66. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 60 (April 2019) . - p.59-66 Mots-clés : Autism spectrum disorder  Adults  General health status  Health inequalities  Observational study Index. décimale : PER Périodiques Résumé : Background General health status in adult populations with autism spectrum disorders has been little studied. We aimed to investigate general health status and predictors of poor health in adults with autism spectrum disorders compared with other adults. Method Whole country data were drawn from Scotland’s Census, 2011. We calculated and compared the frequencies of health status in adults with and without autism spectrum disorders. We then used logistic regressions to calculate odds ratios (OR) with 95% confidence intervals (95% CI) of autism predicting poor general health in the whole population, adjusted for age and gender, and OR (95% CI) of age and gender predicting poor general health within the autism spectrum disorders population. Results Autism spectrum disorders were reported for 6649/3,746,584 (0.2%) adults aged 25+years, of whom 46.8% (N?=?3111) had poor general health, compared with 23.7% (N?=?887,878) of other people. Poor health was common across the entire lifecourse for adults with autism spectrum disorders. Autism had OR?=?5.1 (4.9–5.4, 95% CI) for predicting poor general health, or OR?=?7.5 (6.9–8.2, 95% CI) when the interaction with age was included. Poorer health was more common at older age, and for women. Conclusions Poor general health merits attention across the full lifecourse for adults with autism. Health practitioners need to be alert to the burden of potential health problems to seek them out to be addressed, and so the health agenda can turn towards potential mechanisms for prevention and better support for adults who may call upon services for people with autism. En ligne : https://doi.org/10.1016/j.rasd.2019.01.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=387

Mortality in 787,666 school pupils with and without autism: A cohort study / Gillian S. SMITH in Autism, 25-1 (January 2021)  

Public ISBD [article]  inAutism > 25-1 (January 2021) . - p.300-304 Titre : Mortality in 787,666 school pupils with and without autism: A cohort study Type de document : Texte imprimé et/ou numérique Auteurs : Gillian S. SMITH, Auteur ; Michael FLEMING, Auteur ; Deborah KINNEAR, Auteur ; Angela HENDERSON, Auteur ; Jill P PELL, Auteur ; Craig MELVILLE, Auteur ; Sally-Ann COOPER, Auteur Article en page(s) : p.300-304 Langues : Anglais (eng) Mots-clés : adolescents  autism spectrum disorders  death  mortality  prevalence  risk factor epidemiology  school-age children Index. décimale : PER Périodiques Résumé : There are few studies on the deaths of children and young people with autism; some studies on children and adults combined suggest that those with autism may have higher death rates than other people. More children are diagnosed with autism than in the past, suggesting that there are now more children with milder autism who have the diagnosis than in the past, so studies in the past might not apply to the current generation of children and young people diagnosed with autism. We examined the rates of death in children and young people in Scotland using recorded information in Scotland's annual pupil census, linked to the National Records of Scotland deaths register, between 2008 and 2015. In total, 9754 (1.2%) out of 787,666 pupils had autism. Six pupils with autism died in the study period, compared with 458 other pupils. This was equivalent to 16 per 100,000 for pupils with autism and 13 per 100,000 pupils without autism; hence, the rate of death was very similar. In the pupils with autism, the most common causes of death were diseases of the nervous system, whereas they were from external causes in the comparison pupils. The autism group had some deaths due to epilepsy which might have been prevented by good quality care. We cautiously conclude that the death rate in the current generation of children and young adults with autism is no higher than for other children, but that even in this high-income country, some deaths could be prevented by high quality care. En ligne : http://dx.doi.org/10.1177/1362361320944037 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=437 [article] Mortality in 787,666 school pupils with and without autism: A cohort study [Texte imprimé et/ou numérique] / Gillian S. SMITH, Auteur ; Michael FLEMING, Auteur ; Deborah KINNEAR, Auteur ; Angela HENDERSON, Auteur ; Jill P PELL, Auteur ; Craig MELVILLE, Auteur ; Sally-Ann COOPER, Auteur . - p.300-304. Langues : Anglais (eng) in Autism > 25-1 (January 2021) . - p.300-304 Mots-clés : adolescents  autism spectrum disorders  death  mortality  prevalence  risk factor epidemiology  school-age children Index. décimale : PER Périodiques Résumé : There are few studies on the deaths of children and young people with autism; some studies on children and adults combined suggest that those with autism may have higher death rates than other people. More children are diagnosed with autism than in the past, suggesting that there are now more children with milder autism who have the diagnosis than in the past, so studies in the past might not apply to the current generation of children and young people diagnosed with autism. We examined the rates of death in children and young people in Scotland using recorded information in Scotland's annual pupil census, linked to the National Records of Scotland deaths register, between 2008 and 2015. In total, 9754 (1.2%) out of 787,666 pupils had autism. Six pupils with autism died in the study period, compared with 458 other pupils. This was equivalent to 16 per 100,000 for pupils with autism and 13 per 100,000 pupils without autism; hence, the rate of death was very similar. In the pupils with autism, the most common causes of death were diseases of the nervous system, whereas they were from external causes in the comparison pupils. The autism group had some deaths due to epilepsy which might have been prevented by good quality care. We cautiously conclude that the death rate in the current generation of children and young adults with autism is no higher than for other children, but that even in this high-income country, some deaths could be prevented by high quality care. En ligne : http://dx.doi.org/10.1177/1362361320944037 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=437

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