Evidence map›Paper›PMID 35367189›Full record

ArticleDisability and health journal2022

A national profile of substance use disorder among Medicaid enrollees on the autism spectrum or with intellectual disability.

Anne M Roux, Sha Tao, Steven Marcus, Viktor Lushin, Lindsay L Shea

Abstract read
In one paragraph

Article in Disability and health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Substance Use Disorder Outcomes and Treatment by Autism Status in Medicaid Enrollees With Substance Use Disorder.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Alcohol and Disability Sports: Insights from Swiss Coaches.Substance abuse and rehabilitation · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Review
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

5 authors.

Anne M RouxA.J. Drexel Autism Institute, Drexel University, Philadelphia, PA 3020 Market Street, Suite 560, Philadelphia, PA 19104, USA. Electronic address: amr376@drexel.edu.
Sha TaoA.J. Drexel Autism Institute, Drexel University, Philadelphia, PA 3020 Market Street, Suite 560, Philadelphia, PA 19104, USA. Electronic address: st3237@drexel.edu.
Steven MarcusSchool of Social Policy and Practice, University of Pennsylvania, Philadelphia. 3535 Market St., 3rd Floor, Philadelphia, PA 19104, USA. Electronic address: marcuss@upenn.edu.
Viktor LushinSchool of Health Professions, Department of Social Work, Long Island University, 1 University Plaza, New York, NY 11201, USA. Electronic address: Victor.lushin@liu.edu.
Lindsay L SheaA.J. Drexel Autism Institute, Drexel University, Philadelphia, PA 3020 Market Street, Suite 560, Philadelphia, PA 19104, USA. Electronic address: ljl42@drexel.edu.

Funding

Identifying Co-Occurrence and Service Use Profiles of Alzheimer's Disease and Autism Spectrum DisorderR01MH117653 · NIMH · DREXEL UNIVERSITY · PI SHEA, LINDSAY LAWER · 2018 to 2021
$2.1M
NIMH NIH HHS R01 MH117653
6 · The paper itself

Abstract

backgroundRecent research has questioned the assumption that people with intellectual disability (ID) or autism spectrum disorder (ASD) are less at risk of substance use disorders (SUDs). Overall, little is known about SUDs among people with intellectual and developmental disabilities (/IDDs).

objectiveThis study aimed to estimate prevalence of SUD among Medicaid enrollees with ASD, ID, or ASD + ID; characterize these groups and types of SUDs; and identify risk of SUD by demographic and clinical characteristics within groups.

methodsWe used 2008-2012 national Medicaid data to identify enrollees with ASD, ID, ASD + ID and a sample without ASD/ID and identified SUDs within these individuals. We used descriptive statistics to characterize enrollee groups and types of SUDs, calculated SUD prevalence, and used modified Poisson regression to examine adjusted relative risk of SUD within disability groups.

resultsSUD prevalence increased yearly across disability groups to 1-2.2%, increasing most quickly among those with ASD. Alcohol abuse was the most common SUD among those with ID-only (57%) versus cannabis abuse among the ASD-only group (41%). Risk of SUD was higher among those with co-occurring psychiatric disorders - notably, depression.

conclusionsResults highlight increasing prevalence of SUD among Medicaid enrollees with ASD-only and ASD + ID and higher risk of SUD among those with depression and other psychiatric disorders. Understanding access to screening, diagnosis and treatment of SUD among people with I/DDs is a highly important question for future research.

Indexed as

Autism Spectrum DisorderAutistic DisorderIntellectual DisabilityPersons with DisabilitiesSubstance-Related DisordersHumansMedicaidAutism spectrum disorderIntellectual disorderMedicaidSubstance use disorder

Identifiers

PMID35367189
PMCPMC9232987

What OpenQuestion holds

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Registered trials

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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.