[article]
Titre : |
Prevalence of Substance Use Disorder Among Autistic Youth With and Without Co-Occurring Mental Health Conditions and a History of Trauma |
Type de document : |
Texte imprimé et/ou numérique |
Auteurs : |
Jeanette M. GARCIA, Auteur ; Kristy A. ANDERSON, Auteur ; John R. MOORE, Auteur ; Tanya RENN, Auteur ; Jessica E. RAST, Auteur |
Article en page(s) : |
p.1704-1713 |
Langues : |
Anglais (eng) |
Mots-clés : |
autistic disorder comorbidity mental disorders substance-related disorders youth |
Index. décimale : |
PER Périodiques |
Résumé : |
ABSTRACT There is limited research on the prevalence of substance use disorders (SUDs) in autistic youth. Additionally, while mental health conditions and history of trauma have been associated with a higher prevalence of SUD in non-autistic youth, the research in autistic youth is scarce. Therefore, the purpose of this study was to examine the prevalence of SUDs in autistic youth compared to non-autistic youth with co-occurring mental health conditions and adverse childhood experiences. Data from 22,828 autistic youth and 601,348 non-autistic youth were drawn from the Child and Caregiver Linked Utilization and Outcomes Database (CCOULD). SUDs were identified using categorized ICD-10 diagnostic codes, and mental health comorbidities included six conditions (ADHD, anxiety, depression, bipolar disorder, schizophrenia/psychotic disorders, trauma/stress-related disorders), substantiated maltreatment allegations, and placement history. Overall prevalence of SUD was lower among autistic youth (1.7%) compared to non-autistic youth (3.8%, p?0.001). Both mental health comorbidities and maltreatment allegations were significantly associated with having a SUD, regardless of autism diagnosis. Placement in out-of-home care significantly reduced the likelihood of SUD among non-autistic youth (UOR?=?0.83, 95% CI: 0.80?0.87) but more than doubled the odds among autistic youth (UOR?=?2.36, 95% CI: 1.88?2.97). While prevalence rates of SUDs are lower in autistic youth compared to non-autistic youth, the presence of co-occurring mental health conditions and adverse childhood experiences may increase SUD rates to a greater extent in autistic youth. Future research should further investigate the complex relationships among SUDs, adverse childhood experiences, and mental health conditions in autistic youth. |
En ligne : |
https://doi.org/10.1002/aur.70081 |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=566 |
in Autism Research > 18-8 (August 2025) . - p.1704-1713
[article] Prevalence of Substance Use Disorder Among Autistic Youth With and Without Co-Occurring Mental Health Conditions and a History of Trauma [Texte imprimé et/ou numérique] / Jeanette M. GARCIA, Auteur ; Kristy A. ANDERSON, Auteur ; John R. MOORE, Auteur ; Tanya RENN, Auteur ; Jessica E. RAST, Auteur . - p.1704-1713. Langues : Anglais ( eng) in Autism Research > 18-8 (August 2025) . - p.1704-1713
Mots-clés : |
autistic disorder comorbidity mental disorders substance-related disorders youth |
Index. décimale : |
PER Périodiques |
Résumé : |
ABSTRACT There is limited research on the prevalence of substance use disorders (SUDs) in autistic youth. Additionally, while mental health conditions and history of trauma have been associated with a higher prevalence of SUD in non-autistic youth, the research in autistic youth is scarce. Therefore, the purpose of this study was to examine the prevalence of SUDs in autistic youth compared to non-autistic youth with co-occurring mental health conditions and adverse childhood experiences. Data from 22,828 autistic youth and 601,348 non-autistic youth were drawn from the Child and Caregiver Linked Utilization and Outcomes Database (CCOULD). SUDs were identified using categorized ICD-10 diagnostic codes, and mental health comorbidities included six conditions (ADHD, anxiety, depression, bipolar disorder, schizophrenia/psychotic disorders, trauma/stress-related disorders), substantiated maltreatment allegations, and placement history. Overall prevalence of SUD was lower among autistic youth (1.7%) compared to non-autistic youth (3.8%, p?0.001). Both mental health comorbidities and maltreatment allegations were significantly associated with having a SUD, regardless of autism diagnosis. Placement in out-of-home care significantly reduced the likelihood of SUD among non-autistic youth (UOR?=?0.83, 95% CI: 0.80?0.87) but more than doubled the odds among autistic youth (UOR?=?2.36, 95% CI: 1.88?2.97). While prevalence rates of SUDs are lower in autistic youth compared to non-autistic youth, the presence of co-occurring mental health conditions and adverse childhood experiences may increase SUD rates to a greater extent in autistic youth. Future research should further investigate the complex relationships among SUDs, adverse childhood experiences, and mental health conditions in autistic youth. |
En ligne : |
https://doi.org/10.1002/aur.70081 |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=566 |
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