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Post published on Twitter/X on 1 Dec 2022 14:00

Twitter/X DOI work crossref External link integrated into the post Autism terms

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Morgan Krantz, Djhenne Dalmacy, Lauren Bishop, J. Madison Hyer, Brittany N. Hand (2023). Mortality rate and age of death among Medicare-enrolled autistic older adults. Research in Autism Spectrum Disorders, 100, 102077. Elsevier BV.

Publication date
February 2023
Identifier
10.1016/j.rasd.2022.102077
Authors
Morgan Krantz, Djhenne Dalmacy, Lauren Bishop, J. Madison Hyer, Brittany N. Hand
Source
Research in Autism Spectrum Disorders
Details
100, 102077
Reference type
article
Publisher
Elsevier BV
Metadata source
crossref

Abstract

Background: An emerging body of evidence suggests that autistic people are at greater risk for mortality than non-autistic people. Yet, relatively little is known about mortality rates among autistic people during older adulthood (i.e., age 65 or older). Methods: We examined 5-year mortality among a national US sample of Medicare-enrolled autistic (n=3,308) and non-autistic (n=33,080) adults aged 65 or older. Results: Autistic older adults had 2.87 times greater rate of mortality (95% CI=2.61-3.07) than non-autistic older adults. Among decedents (39.6% of autistic and 15.1% of non-autistic older adults), the median age of death was 72 years (IQR=69-78) for autistic and 75 years (IQR=70-83) for non-autistic older adults. Among autistic older adults, those with intellectual disability had 1.57 times greater rate of mortality (95% CI=1.41-1.76) than those without, and males had 1.27 times greater rate of mortality (95% CI=1.12-1.43) than females. Conclusions: Many trends regarding mortality observed in younger samples of autistic people were also observed in our study. However, we found only a three-year difference in median age at death between autistic and non-autistic decedents, which is a much smaller disparity than reported in some other studies. This potentially suggests that when autistic people live to the age of 65, they may live to a more similar age as non-autistic peers.

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