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 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] / 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

Prevalence of sensory impairments, physical and intellectual disabilities, and mental health in children and young people with self/proxy-reported autism: Observational study of a whole country population / Ewelina RYDZEWSKA in Autism, 23-5 (July 2019)  

Public ISBD [article]  inAutism > 23-5 (July 2019) . - p.1201-1209 Titre : Prevalence of sensory impairments, physical and intellectual disabilities, and mental health in children and young people with self/proxy-reported autism: Observational study of a whole country population Type de document : texte imprimé 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.1201-1209 Langues : Anglais (eng) Mots-clés : autism  children  comorbidities  hearing  mental health  physical disability  vision  young people Index. décimale : PER Périodiques Résumé : This study investigated the comorbid conditions in a whole country population of children/young people aged 0-24 years with and without autism. Data were drawn from Scotland's Census 2011. We calculated the percentage with autism, their extent of comorbid conditions, odds ratio (with 95% confidence intervals) of autism predicting comorbidities, adjusted for age and gender, and odds ratio for age and gender predicting comorbidities within the cohort with autism. A total of 25,063/1,548,819 (1.6%) had autism: 19,880 (79.3%) males and 5183 (20.7%) females. Autism had an odds ratio of 5.4 (5.1-5.6) for predicting deafness/partial hearing loss, odds ratio of 8.9 (8.1-9.7) for blindness/partial sight loss, odds ratio of 49.7 (38.1-64.9) for intellectual disabilities, odds ratio of 15.7 (13.4-18.5) for mental health conditions, odds ratio of 15.8 (14.1-17.8) for physical disability and odds ratio of 3.9 (3.8-4.0) for other conditions. Females with autism were more likely to have each additional condition than males, including intellectual disabilities, suggesting they may have more severe autism than males and adding evidence that autism may be currently underdiagnosed in more intellectually able females. These conditions are disabling and have a significant impact on long-term quality of life; their coexistence with autism adds extra complexity. It is important to raise clinicians' awareness of this extent of comorbidity, and to have accurate prevalence data to plan prevention and intervention measures, and to follow health inequality trends. En ligne : http://dx.doi.org/10.1177/1362361318791279 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=401 [article] Prevalence of sensory impairments, physical and intellectual disabilities, and mental health in children and young people with self/proxy-reported autism: Observational study of a whole country population [texte imprimé] / 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.1201-1209. Langues : Anglais (eng) in Autism > 23-5 (July 2019) . - p.1201-1209 Mots-clés : autism  children  comorbidities  hearing  mental health  physical disability  vision  young people Index. décimale : PER Périodiques Résumé : This study investigated the comorbid conditions in a whole country population of children/young people aged 0-24 years with and without autism. Data were drawn from Scotland's Census 2011. We calculated the percentage with autism, their extent of comorbid conditions, odds ratio (with 95% confidence intervals) of autism predicting comorbidities, adjusted for age and gender, and odds ratio for age and gender predicting comorbidities within the cohort with autism. A total of 25,063/1,548,819 (1.6%) had autism: 19,880 (79.3%) males and 5183 (20.7%) females. Autism had an odds ratio of 5.4 (5.1-5.6) for predicting deafness/partial hearing loss, odds ratio of 8.9 (8.1-9.7) for blindness/partial sight loss, odds ratio of 49.7 (38.1-64.9) for intellectual disabilities, odds ratio of 15.7 (13.4-18.5) for mental health conditions, odds ratio of 15.8 (14.1-17.8) for physical disability and odds ratio of 3.9 (3.8-4.0) for other conditions. Females with autism were more likely to have each additional condition than males, including intellectual disabilities, suggesting they may have more severe autism than males and adding evidence that autism may be currently underdiagnosed in more intellectually able females. These conditions are disabling and have a significant impact on long-term quality of life; their coexistence with autism adds extra complexity. It is important to raise clinicians' awareness of this extent of comorbidity, and to have accurate prevalence data to plan prevention and intervention measures, and to follow health inequality trends. En ligne : http://dx.doi.org/10.1177/1362361318791279 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=401

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