COVID-19 Risk: Adult Medicaid Beneficiaries with Autism, Intellectual Disability, and Mental Health Conditions

Autor/inn/en	Schott, Whitney; Tao, Sha; Shea, Lindsay
Titel	COVID-19 Risk: Adult Medicaid Beneficiaries with Autism, Intellectual Disability, and Mental Health Conditions
Quelle	In: Autism: The International Journal of Research and Practice, 26 (2022) 4, S.975-987 (13 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Schott, Whitney) ORCID (Shea, Lindsay)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/13623613211039662
Schlagwörter	Risk; COVID-19; Pandemics; Autism; Pervasive Developmental Disorders; Intellectual Disability; Adults; Health Insurance; Public Policy; Residential Care; Hospitals; Comorbidity; Immunization Programs; Correlation; Incidence; Outreach Programs + Suchen Sie Ihr Suchwort? Risiko; Autismus; Intellect; Disability; Disabilities; Verstand; Behinderung; Krankenversicherung; Öffentliche Ordnung; Krankengymnast; Krankenhaus; Immunisierung; Korrelation; Vorkommen; Jobcoaching
Abstract	Adults on the autism spectrum and those with intellectual disability or mental health conditions may be at increased risk of contracting COVID-19 or experiencing more severe illness if infected. We identified risk factors for COVID-19 among adults enrolled in Medicaid with an autism spectrum disorder diagnosis, intellectual disability, or mental health conditions. We examined adults ages 20-64 years with 9-month continuous enrollment over 2008-2012 using Medicaid Analytic eXtract data. There were 83,150 autistic adults and 615,607 adults with intellectual disability meeting inclusion criteria; of a random sample of 1 million beneficiaries without autism spectrum disorder or intellectual disability, 35.3% had any mental health condition. Beneficiaries on the spectrum, those with intellectual disability, and those with mental health conditions all had higher odds of risk factors for becoming infected with COVID-19 (living in a residential facility, receiving services in the home from outside caregivers, having had a long hospitalization, and having had avoidable hospitalizations) and higher odds of comorbidities associated with severe illness from COVID-19. Clinicians should anticipate high prevalence of comorbidities and risk factors for severe illness from COVID-19 among these populations. Health officials and non-governmental organizations should target these groups with outreach for the COVID-19 vaccine and support continued efforts for appropriate mitigation measures. (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01