The Health Status of Adults on the Autism Spectrum

Autor/inn/en	Croen, Lisa A.; Zerbo, Ousseny; Qian, Yinge; Massolo, Maria L.; Rich, Steve; Sidney, Stephen; Kripke, Clarissa
Titel	The Health Status of Adults on the Autism Spectrum
Quelle	In: Autism: The International Journal of Research and Practice, 19 (2015) 7, S.814-823 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/1362361315577517
Schlagwörter	Autism; Pervasive Developmental Disorders; Comorbidity; Adults; Comparative Analysis; Depression (Psychology); Anxiety; Schizophrenia; Suicide; Psychological Patterns; Incidence; Diseases; Seizures; Obesity; Hypertension; Diabetes; Neurological Impairments; Coding; Individual Characteristics; Gender Differences; Health Insurance; Statistical Analysis; California + Suchen Sie Ihr Suchwort? Autismus; Angst; Schizophrenie; Selbstmord; Vorkommen; Disease; Krankheit; Anfallsleiden; Adipositas; Bluthochdruck; Hypertonie; Neurodegenerative Erkrankung; Codierung; Programmierung; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Geschlechterkonflikt; Krankenversicherung; Statistische Analyse; Kalifornien
Abstract	Compared to the general pediatric population, children with autism have higher rates of co-occurring medical and psychiatric illnesses, yet very little is known about the general health status of adults with autism. The objective of this study was to describe the frequency of psychiatric and medical conditions among a large, diverse, insured population of adults with autism in the United States. Participants were adult members of Kaiser Permanente Northern California enrolled from 2008 to 2012. Autism spectrum disorder cases (N?=?1507) were adults with autism spectrum disorder diagnoses (International Classification of Diseases-9-Clinical Modification codes 299.0, 299.8, 299.9) recorded in medical records on at least two separate occasions. Controls (N?=?15,070) were adults without any autism spectrum disorder diagnoses sampled at a 10:1 ratio and frequency matched to cases on sex and age. Adults with autism had significantly increased rates of all major psychiatric disorders including depression, anxiety, bipolar disorder, obsessive-compulsive disorder, schizophrenia, and suicide attempts. Nearly all medical conditions were significantly more common in adults with autism, including immune conditions, gastrointestinal and sleep disorders, seizure, obesity, dyslipidemia, hypertension, and diabetes. Rarer conditions, such as stroke and Parkinson's disease, were also significantly more common among adults with autism. Future research is needed to understand the social, healthcare access, and biological factors underlying these observations. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01