在医疗补助计划成年人中自闭症的患病率
Eric Rubenstein1, Salina Tewolde2, Amy Michals3
1Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts.
JAMA psychiatry
|October 4, 2023
概括
在接受医疗补助的成年人中,自闭症的患病率正在显著上升,在2011年至2019年期间,自闭症患病率从每1000人中的4.2个增加到9.5个. 这突出了医疗补助计划.
科学领域:
- 公共卫生 公共卫生
- 自闭症谱系障碍流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿童自闭症的诊断增加了,但成人自闭症对医疗补助的影响仍未得到充分研究.
- 医疗补助保险许多自闭症成年人由于低收入或残疾而保险.
- 了解这一群体中自闭症患病率对于医疗保健规划至关重要.
研究的目的:
- 为了估计医疗补助申请数据中的自闭症成年人的患病率.
- 分析自闭症患病率趋势,按年龄,年龄和种族/种族.
- 在医疗补助系统中识别成人自闭症入学的模式.
主要方法:
- 一个长度队列研究成年医疗补助登记者 (18+) 与自闭症索赔 (2011-2019).
- 利用所有成年医疗补助计划注册者的1%随机样本进行比较.
- 患病率按每1000名入学者计算,以2019年的人口统计和种族/种族分析为准.
主要成果:
- 超过403,000个独特的成年人在医疗补助记录中提出了自闭症索赔.
- 自闭症患病率从每1000名入学者中的4.2个增加到9.5个 (2011-2019).
- 在25-34岁的年龄组中,患病率增幅最大 (195%);在所有年龄段,白人受注者患病率更高.
结论:
- 相当数量且日益增长的自闭症成年人加入医疗补助计划.
- 医疗补助计划在保险自闭症成年人随着年龄的增长中发挥着至关重要的作用.
- 这些数据对于了解自闭症成年人群的健康需求至关重要.
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