General health status of youth with autism with and without intellectual disabilities transitioning from special education, and its relationship to personal and family circumstances: longitudinal cohort study
| Autor: | Genevieve Young-Southward, Michael Fleming, Keith F. Widaman, Sally-Ann Cooper, Ewelina Rydzewska, Daniel F. Mackay, Yasamin Bolourian, Jan Blacher |
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| Rok vydání: | 2021 |
| Předmět: |
Gerontology
Autism Intellectual and Developmental Disabilities (IDD) Ethnic group health status Context (language use) Special education Logistic regression Clinical Research Behavioral and Social Science Developmental and Educational Psychology medicine longitudinal studies Socioeconomic status Health inequalities Pediatric Prevention transition Odds ratio medicine.disease Brain Disorders Quality Education Psychiatry and Mental health Mental Health life course epidemiology Household income Psychology |
| Zdroj: | International journal of developmental disabilities, vol 69, iss 4 Rydzewska, E, Fleming, M, Mackay, D, Young-Southward, G, Blacher, J, Ross Bolourian, Y, Widaman, K & Cooper, S-A 2021, ' General health status of youth with autism with and without intellectual disabilities transitioning from special education, and its relationship to personal and family circumstances : Longitudinal cohort study ', International journal of developmental disabilities, pp. 1-9 . https://doi.org/10.1080/20473869.2021.1966600 |
| ISSN: | 2047-3877 2047-3869 |
| Popis: | Objective: Transition from school to early adulthood incurs many changes and may be associated with deterioration in general health in youth with autism. We aimed to investigate this.Method: The National Longitudinal Transitions Study-2 is a USA nationally representative sample of youth receiving special education services, aged 13–17 at wave 1, followed-up over 10 years in five data collection waves. We conducted random-effects ordered logistic regressions to determine the odds ratios (OR) with 95% confidence intervals of wave, age, sex, ethnicity/race, additional intellectual disabilities, parental/guardian relationship status, and household income being associated with general health status in youth with autism.Results: Across waves, only between 74.3%–69.6% had excellent/very good health (71.7%–58.8% in those with co-occurring intellectual disabilities), but wave was not associated with health status. Associations were with age OR = 1.18 (1.04, 1.33), co-occurring intellectual disabilities OR = 1.56 (1.00, 2.44), and household income OR = 0.61 (0.40, 0.94) at $30,001–$50,000, OR = 0.44 (0.27, 0.72) at $50,001–$70,000, and OR = 0.34 (0.20, 0.56) at $70,001+. Sex, ethnicity/race, and parental/guardian relationship status were not associated with health status.Conclusion: There was little change in general health status longitudinally across the transitional period, but the proportion with excellent/very good health was low at each wave. Transitional planning should consider co-occurring intellectual disabilities, and the wider socioeconomic context in which children/youth with autism are raised. Lack of other longitudinal studies indicates a need for replication. |
| Databáze: | OpenAIRE |
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