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/inn/en	Rydzewska, Ewelina; Fleming, Michael; Mackay, Daniel; Young-Southward, Genevieve; Blacher, Jan; Bolourian, Yasamin Ross; Widaman, Keith; Cooper, Sally-Ann
Titel	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
Quelle	In: International Journal of Developmental Disabilities, 69 (2023) 4, S.515-523 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Rydzewska, Ewelina) ORCID (Cooper, Sally-Ann)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	2047-3869
DOI	10.1080/20473869.2021.1966600
Schlagwörter	Special Education; Adolescents; Intellectual Disability; Autism Spectrum Disorders; Adjustment (to Environment); Individual Characteristics; Age Differences; Gender Differences; Racial Differences; Ethnicity; Marital Status; Parents; Family Income; Correlation; Health; Students with Disabilities; National Longitudinal Transition Study of Special Education Students + Suchen Sie Ihr Suchwort? Special needs education; Sonderpädagogik; Sonderschulwesen; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Intellect; Disability; Disabilities; Verstand; Behinderung; Autism; Autismus; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Age; Difference; Age difference; Altersunterschied; Geschlechterkonflikt; Rassenunterschied; Ethnizität; Familienstand; Eltern; Familieneinkommen; Korrelation; Gesundheit; Student; Students; Schüler; Schülerin; Studentin
Abstract	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. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01