Evidence map›Paper›PMID 36941853›Full record

ArticleAutism in adulthood2023

Health Care Needs, Experiences, and Perspectives of Autistic Adults.

Micah O Mazurek, Eleonora Sadikova, Nancy Cheak-Zamora, Amber Hardin, Kristin Sohl, Beth A Malow

Abstract read
In one paragraph

Article in Autism in adulthood, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. The Power of ECHO Autism: Improving Confidence and Holistic Care for Autistic Adults.Journal of intellectual disability research : JIDR · 2026
    Article
  5. Atypical Visually Guided Precision Grip Control in Middle-Aged and Older Autistic Adults.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  6. Article
  7. The healthcare experiences of middle and older age autistic women in the United Kingdom.Autism : the international journal of research and practice · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. The dynamic and diverse experience of adults with brachial plexus birth injury: a collective case study.International journal of qualitative studies on health and well-being · 2024
    Article
  18. Review
  19. Article
  20. 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

6 authors.

Micah O MazurekDepartment of Human Services, School of Education and Human Development, University of Virginia, Charlottesville, Virginia, USA.ORCID https://orcid.org/0000-0001-7715-6538
Eleonora SadikovaDepartment of Human Services, School of Education and Human Development, University of Virginia, Charlottesville, Virginia, USA.
Nancy Cheak-ZamoraDepartment of Health Sciences, University of Missouri, Columbia, Missouri, USA.ORCID https://orcid.org/0000-0003-3645-3469
Amber HardinSupporting Transformative Autism Research (STAR) Initiative, University of Virginia, Charlottesville, Virginia, USA.
Kristin SohlDepartment of Child Health, University of Missouri, Columbia, Missouri, USA.
Beth A MalowDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Funding

Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Jeffrey L Neul · 2020 to 2026
$10.3M
NICHD NIH HHS P50 HD103537
6 · The paper itself

Abstract

Background: Autistic adults have high rates of co-occurring health conditions, suicide, and premature mortality, yet often experience health care barriers and poor health outcomes. A better understanding of the health care needs and experiences of autistic adults is essential for improving the health care system and patient experience. Methods: This study examined the perspectives of autistic adults regarding their health care experiences in primary care and other settings and their suggestions for improvement using both qualitative and quantitative methods. Twenty autistic adults (aged 18-35 years, 65% male) completed surveys and individual semi-structured interviews. Results: Qualitative data analysis results revealed 10 subthemes across 3 overarching themes: (1) system- and clinic-level factors affect access to care, (2) aspects of the clinic environment affect health care experiences, and (3) provider knowledge and practices affect health care experiences. Within the first theme, participants described barriers to obtaining services, including scheduling logistics, costs and inadequate insurance coverage, and transportation barriers. The second theme focused on aspects of the clinic environment that participants found especially relevant to their health care experiences and that required specific accommodations. This included sensory input, anxiety-provoking situations and procedures, and wait time. Within the third theme, participants emphasized aspects of providers' care that affected their health care experiences. Key factors included provider knowledge about autism, communication, rapport, and individualized care and patient-provider partnerships. Conclusion: Overall, the findings point to a need for provider training and improvements to the health care delivery system to better meet the unique needs of autistic adults.

Indexed as

access to careadultsautismhealth care servicesprimary carequalitative research

Identifiers

PMID36941853
PMCPMC10024270

What OpenQuestion holds

Textmetadata
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.