Evidence map›Paper›PMID 31462474›Full record

ArticleBMJ open2019

Relative influence of intellectual disabilities and autism on mental and general health in Scotland: a cross-sectional study of a whole country of 5.3 million children and adults.

Deborah Kinnear, Ewelina Rydzewska, Kirsty Dunn, Laura Anne Hughes-McCormack, Craig Melville, Angela Henderson, Sally-Ann Cooper

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. What are the autism research priorities of autistic adults in Scotland?Autism : the international journal of research and practice · 2024
    Article
  3. Article
  4. Article
  5. The Adapted Firesetting Assessment Scale: reliability and validity.Journal of intellectual disability research : JIDR · 2022
    Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Deborah KinnearInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK deborah.kinnear@glasgow.ac.uk.
Ewelina RydzewskaInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Kirsty DunnInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Laura Anne Hughes-McCormackInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Craig MelvilleInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Angela HendersonInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Sally-Ann CooperInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID 0000-0001-6054-7700
University of Glasgow · GB

Funding

Medical Research Council MC_PC_17217
6 · The paper itself

Abstract

objectivesTo determine the relative extent that autism and intellectual disabilities are independently associated with poor mental and general health, in children and adults.

designCross-sectional study. For Scotland's population, logistic regressions investigated odds of intellectual disabilities and autism predicting mental health conditions, and poor general health, adjusted for age and gender.

participants1 548 819 children/youth aged 0-24 years, and 3 746 584 adults aged more than 25 years, of whom 9396/1 548 819 children/youth had intellectual disabilities (0.6%), 25 063/1 548 819 children/youth had autism (1.6%); and 16 953/3 746 584 adults had intellectual disabilities (0.5%), 6649/3 746 584 adults had autism (0.2%). These figures are based on self-report.

main outcome measuresSelf-reported general health status and mental health.

resultsIn children/youth, intellectual disabilities (OR 7.04, 95% CI 6.30 to 7.87) and autism (OR 25.08, 95% CI 23.08 to 27.32) both independently predicted mental health conditions. In adults, intellectual disabilities (OR 3.50, 95% CI 3.20 to 3.84) and autism (OR 5.30, 95% CI 4.80 to 5.85) both independently predicted mental health conditions. In children/youth, intellectual disabilities (OR 18.34, 95% CI 17.17 to 19.58) and autism (OR 8.40, 95% CI 8.02 to 8.80) both independently predicted poor general health. In adults, intellectual disabilities (OR 7.54, 95% CI 7.02 to 8.10) and autism (OR 4.46, 95% CI 4.06 to 4.89) both independently predicted poor general health.

conclusionsBoth intellectual disabilities and autism independently predict poor health, intellectual disabilities more so for general health and autism more so for mental health. Intellectual disabilities and autism are not uncommon, and due to their associated poor health, sufficient services/supports are needed. This is not just due to coexistence of these conditions or just to having intellectual disabilities, as the population with autism is independently associated with substantial health inequalities compared with the general population, across the entire life course.

Indexed as

Health Status IndicatorsMental HealthAdolescentAdultAutistic DisorderChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantIntellectual DisabilityMaleScotlandautismgeneral healthintellectual disabilitiesmental health

Identifiers

PMID31462474
PMCPMC6719834
OpenAlexW2970501191

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.