Evidence map›Paper›PMID 38809913›Full record

ArticlePloS one2024

"I am afraid of being treated badly if I show it": A cross-sectional study of healthcare accessibility and Autism Health Passports among UK Autistic adults.

Aimee Grant, Sarah Turner, Sebastian C K Shaw, Kathryn Williams, Hayley Morgan, Rebecca Ellis, Amy Brown

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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.

Aimee GrantSchool of Health and Social Care, Swansea University, Swansea, United Kingdom.ORCID 0000-0001-7205-5869
Sarah TurnerChildren's Hospital Research Institute, University of Manitoba, Winnipeg City, Canada.
Sebastian C K ShawDepartment of Medical Education, Brighton and Sussex Medical School, Brighton and Hove, United Kingdom.ORCID 0000-0001-9597-7436
Kathryn WilliamsAutistic UK CIC, Polegate, United Kingdom.ORCID 0000-0001-7274-3493
Hayley MorganSchool of Health and Social Care, Swansea University, Swansea, United Kingdom.
Rebecca EllisSchool of Health and Social Care, Swansea University, Swansea, United Kingdom.ORCID 0000-0002-7761-468X
Amy BrownSchool of Health and Social Care, Swansea University, Swansea, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutistic people are more likely to experience stigma, communication barriers and anxiety during healthcare. Autism Health Passports (AHPs) are a communication tool that aim to provide information about healthcare needs in a standardised way. They are recommended in research and policy to improve healthcare quality.

aimTo explore views and experiences of AHPs among Autistic people from the UK who have been pregnant.

methodsWe developed an online survey using a combination of open and closed questions focused on healthcare impairments and views and experiences of AHPs. Data were anlaysed using descriptive statistics, Kruskal-Wallis tests, and content analysis.

findingsOf 193 Autistic respondents (54% diagnosed, 22% undergoing diagnosis and 24% self-identifying), over 80% reported anxiety and masking during healthcare always or most of the time. Some significant differences were identified in healthcare (in)accessibility by diagnostic status. Only 4% of participants knew a lot about AHPs, with 1.5% of participants using one at least half of the time. Almost three quarters of respondents had not previously seen an AHP. Open text responses indicated that the biggest barrier to using an AHP was a belief that health professionals would discriminate against Autistic patients. Additional barriers included staff lack of familiarity with AHPs and respondents expecting a negative response to producing an AHP.

conclusionsOur findings suggest that AHPs are not reducing health inequalities for Autistic adults who have been pregnant. Alternative solutions are needed to reduce health inequalities for Autistic people.

Indexed as

Autistic DisorderHealth Services AccessibilityAdolescentAdultAnxietyCommunication BarriersCross-Sectional StudiesFemaleHumansMaleMiddle AgedPregnancySocial StigmaSurveys and QuestionnairesUnited KingdomYoung Adult

Identifiers

PMID38809913
PMCPMC11135756

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.