简要报告:在公共保险的自闭症患者中不充分识别症状性更年期
Teal W Benevides1, Barb Cook2, Laura G Klinger3
1Institute of Public and Preventive Health, Augusta University, 1120 15th Street, Suite 2300, Augusta, GA, 30912, USA. tbenevides@augusta.edu.
Journal of autism and developmental disorders
|August 29, 2024
概括
症状性更年期影响约4%的自闭症女性. 在这个群体中,ADHD,焦虑和睡眠障碍等同时出现的疾病更为常见,这凸显了需要更好的临床支持的需要.
科学领域:
- 神经发育障碍 神经发育障碍
- 生殖健康 生殖健康
- 老年学是一门学科.
背景情况:
- 更年期是一个与慢性疾病相关的自然衰老过程.
- 自闭症患者可能会以不同的方式经历更年期,但缺乏大规模研究.
- 了解自闭症妇女的更年期对于她们的健康和福祉至关重要.
研究的目的:
- 调查自闭症女性症状性更年期的患病率.
- 在这个人群中确定与症状性更年期相关的因素.
- 为了确定自闭症妇女在有症状的绝经期间同时出现的疾病的流行率.
主要方法:
- 对35-70岁的自闭症女性的Medicare和/或Medicaid数据的分析 (n=26,904).
- 症状性更年期病例与无症状参考组的比较.
- 后勤回归用于评估人口统计,入学率和共发生条件的关联.
主要成果:
- 大约4%的公共保险自闭症妇女 (46-70岁) 经历了症状性更年期记录.
- 智力障碍与较低的症状绝经率有关;医疗保险入学增加了记录的比率.
- 在有症状的个体中发现了ADHD,焦虑,抑郁,头痛/偏头痛,感官问题,性功能障碍和睡眠障碍的更高率.
结论:
- 需要改善初级保健提供者的支持,以帮助自闭症妇女讨论更年期症状和并发症.
- 自我报告症状的挑战可能会影响识别,特别是对于自闭症女性来说.
- 进一步研究医疗覆盖因素对于更好的识别和支持至关重要.
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