Comorbids and underrepresented populations

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ASPartOfMe
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24 Dec 2021, 8:55 am

Adults with autism from underrepresented populations at higher risk for diabetes, high BP

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Adults with autism spectrum disorder from underrepresented populations were more likely than white adults with ASD to have cooccurring conditions such as diabetes and hypertension, according to a recent analysis of Medicaid data.

“Racial and ethnic differences in physical health conditions have been documented in studies of the general population and may be attributed to socioeconomic circumstances, discrimination in the health services environment, and/or genetic differences,” Whitney Schott, MA, PhD, an assistant research professor at the A.J. Drexel Autism Institute at Drexel University in Philadelphia, and colleagues wrote in Autism Research. “The present analysis seeks to fill a gap in the literature examining racial and ethnic disparities in cooccurring conditions among the autistic adult Medicaid population in the United States.”

The researchers reviewed data from 166,952 adult Medicaid beneficiaries with ASD and 466,851 adult Medicaid beneficiaries without ASD. The dataset included adults from each of the 50 United States. The majority of the individuals in both cohorts were white men.

While smaller studies had a lower prevalence of certain conditions among ASD populations, Schott and colleagues noted that their findings align with a larger study conducted in 2015 of adults with ASD who had private insurance.

“Differences in health condition prevalence among autistic adults in public versus private health insurance are to be expected, as Medicaid likely serves a more vulnerable population,” Schott and colleagues wrote. “Therefore, it is notable that we found similar prevalence of several conditions“.


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autisticelders
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24 Dec 2021, 5:34 pm

very interesting. So little has been done in researching older adults, and always with very small numbers. Could be that lack of diagnosis for older adults could really skew the numbers on this one, especially since poverty level adults generally don't seek care as readily. Over 5 million adults in the USA are autistic but very few of them have been diagnosed (CDC and Census info).


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autisticelders
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24 Dec 2021, 5:40 pm

after reading the study abstract, it seems this supports the things we already know about autism, the tendency to parkinsons, diabetes, eating/nutritional struggles, and epilepsy among other health issues. Confirmation of information believed from previous studies is welcome because if enough studies show this, then it can be looked for and addressed when autistic individuals appear in medical circumstances needing assessment and treatment


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