From: Autistic and transgender/gender diverse people’s experiences of health and healthcare
Cisgender autistic adults | Transgender/gender diverse autistic adults | |||||||
---|---|---|---|---|---|---|---|---|
Unadjusted model | Adjusted modela | Unadjusted model | Adjusted modela | |||||
OR (95% CI) | p-value (sig.) | OR (95% CI) | p-value (sig.) | OR (95% CI) | p-value (sig.) | OR (95% CI) | p-value (sig.) | |
Physical health conditions | ||||||||
Rates of diagnosed conditions | 1.690 (1.44, 2.87) | 4.48 × \({10}^{-10}\) (***) | 1.48 (1.25, 1.77) | 1.38 × \({10}^{-5}\) (***) | 2.05 (1.47, 2.87) | 2.94 × \({10}^{-5}\) (***) | 2.35 (1.67, 3.34) | 1.90 × \({10}^{-6}\) (***) |
Rates of suspected conditions | 1.71 (1.44, 2.04) | 1.44 × \({10}^{-9}\) (***) | 1.56 (1.30, 1.88) | 2.94 × \({10}^{-6}\) (***) | 2.30 (1.60, 3.38) | 1.50 × \({10}^{-5}\) (***) | 2.53 (1.74, 3.75) | 2.86 × \({10}^{-6}\) (***) |
Rates of condition assessment recommendations | 1.71 (1.45, 2.03) | 2.78 × \({10}^{-10}\) (***) | 1.55 (1.30, 1.85) | 2.07 × \({10}^{-6}\) (***) | 2.30 (1.53, 2.03) | 1.63 × \({10}^{-5}\) (***) | 2.46 (1.73, 3.53) | 1.09 × \({10}^{-6}\) (***) |
Specific physical health conditions | ||||||||
Arthritis/ongoing back or joint problems | 1.79 (1.47, 2.18) | 7.83 × \({10}^{-9}\) (***) | 1.63 (1.32, 2.01) | 6.49 × \({10}^{-6}\) (***) | 1.98 (1.38, 2.82) | 1.94 × \({10}^{-4}\) (***) | 2.27 (1.55, 3.31) | 2.82 × \({10}^{-5}\) (***) |
Blindness/partial sight | 0.80 (0.50, 1.28) | 0.38 | 1.03 (0.62, 1.69) | 0.91 | 0.50 (0.12, 1.39) | 0.26 | 0.57 (0.14, 1.62) | 0.38 |
Breathing conditions | 1.56 (1.28, 1.90) | 1.47 × \({10}^{-5}\) (***) | 1.50 (1.22, 1.85) | 1.19 × \({10}^{-4}\) (***) | 1.98 (1.38, 2.82) | 1.76 × \({10}^{-4}\) (***) | 1.95 (1.36, 2.79) | 3.01 × \({10}^{-4}\) (***) |
Cancer | 0.75 (0.50, 1.11) | 0.17 | 0.80 (0.52, 1.21) | 0.31 | 0.57 (0.20, 1.30) | 0.24 | 0.83 (0.28, 2.05) | 0.73 |
Deafness or hearing loss | 1.881 (1.358, 2.623) | 1.89 × \({10}^{-4}\) (***) | 1.705 (1.214, 2.407) | 0.00 (**) | 1.067 (0.487, 2.078) | 0.88 | 1.360 (0.61, 2.70) | 0.44 |
Diabetes | 1.84 (1.26, 2.72) | 0.00 (**) | 1.74 (1.17, 2.62) | 0.01 (**) | 1.34 (0.58, 2.74) | 0.48 | 1.79 (0.75, 3.8) | 0.16 |
Heart conditions | 1.99 (1.45, 2.74) | 2.59 × \({10}^{-5}\) (***) | 1.95 (1.41, 2.72) | 8.02 × \({10}^{-5}\) (***) | 1.24 (0.61, 2.30) | 0.55 | 1.68 (0.81, 3.18) | 0.15 |
High blood pressure | 1.22 (0.96, 1.55) | 0.11 | 1.13 (0.87, 1.48) | 0.37 | 1.01 (0.61, 1.61) | 0.98 | 1.76 (1.01, 2.94) | 0.04 (*) |
Intellectual disability | 3.75 (2.20, 6.72) | 3.61 × \({10}^{-6}\) (***) | 2.71 (1.54, 4.97) | 9.02 × \({10}^{-4}\) (***) | 4.10 (1.72, 9.15) | 8.79 × \({10}^{-4}\) (***) | 3.48 (1.42, 8.03) | 0.00 (**) |
Kidney or liver disease | 1.39 (0.89, 2.18) | 0.16 | 1.62 (1.02, 2.60) | 0.04 (*) | 1.01 (0.34, 2.37) | 1.00 | 1.45 (0.49, 2.60) | 0.46 |
Neurological condition | 2.04 (1.44, 2.92) | 9.42 × \({10}^{-5}\) (***) | 2.11 (1.47, 3.06) | 7.98 × \({10}^{-5}\) (***) | 5.18 (3.19, 8.31) | 2.17 × \({10}^{-11}\) (***) | 5.27 (3.20, 8.55) | 4.58 × \({10}^{-11}\) (***) |
Mental health conditions | ||||||||
Rates of diagnosed conditions | 4.86 (4.04, 5.86) | 4.00 × \({10}^{-16}\) (***) | 5.05 (4.16, 6.16) | 4.67 × \({10}^{-16}\) (***) | 12.02 (7.24, 21.50) | 4.00 × \({10}^{-16}\) (***) | 10.89 (6.53, 19.55) | 4.67 × \({10}^{-16}\) (***) |
Rates of suspected conditions | 1.99 (1.62, 2.45) | 1.19 × \({10}^{-10}\) (***) | 1.87 (1.50, 2.32) | 2.43 × \({10}^{-8}\) (***) | 2.88 (1.62, 4.86) | 3.00 × \({10}^{-5}\) (***) | 2.86 (1.78, 4.85) | 4.35 × \({10}^{-5}\) (***) |
Rates of condition assessment recommendations | 5.04 (4.16, 6.13) | 4.00 × \({10}^{-16}\) (***) | 5.27 (4.31, 6.46) | 4.67 × \({10}^{-16}\) (***) | 14.70 (8.29, 29.0) | 4.00 × \({10}^{-16}\) (***) | 13.27 (7.46, 26.25) | 9.74 × \({10}^{-16}\) (***) |
Specific mental health conditions | ||||||||
Anorexia nervosa | 3.40 (2.30, 5.15) | 3.17 × \({10}^{-9}\) (***) | 3.60 (2.39, 5.55) | 3.03 × \({10}^{-9}\) (***) | 5.08 (2.84, 8.92) | 2.83 × \({10}^{-8}\) (***) | 3.99 (2.20, 7.09) | 3.95 × \({10}^{-6}\) (***) |
Anxiety | 3.86 (3.26, 4.58) | 4.00 × \({10}^{-16}\) (***) | 3.84 (3.21, 4.60) | 4.67 × \({10}^{-16}\) (***) | 6.00 (4.25, 8.61) | 4.00 × \({10}^{-16}\) (***) | 5.24 (3.69, 7.56) | 4.67 × \({10}^{-16}\) (***) |
ADHD | 3.27 (2.43, 4.44) | 2.04 × \({10}^{-14}\) (***) | 4.82 (3.50, 6.71) | 4.67 × \({10}^{-16}\) (***) | 5.47 (3.52, 8.41) | 3.40 × \({10}^{-14}\) (***) | 6.73 (4.24, 10.60) | 7.13 × \({10}^{-16}\) (***) |
Binge eating | 1.80 (1.17, 2.80) | 0.01 (**) | 1.82 (1.16, 2.89) | 0.01 (**) | 1.29 (0.48, 2.89) | 0.60 | 1.10 (0.41, 2.51) | 0.83 |
Bipolar disorder | 2.200 (1.453, 3.384) | 2.76 × \({10}^{-4}\) (***) | 2.377 (1.541, 3.724) | 1.34 × \({10}^{-4}\) (***) | 3.396 (1.766, 6.243) | 1.54 × \({10}^{-4}\) (***) | 3.48 (1.78, 6.51) | 1.77 × \({10}^{-4}\) (***) |
Bulimia | 3.23 (1.87, 5.82) | 5.57 × \({10}^{-5}\) (***) | 3.51 (1.99, 6.50) | 3.64 × \({10}^{-5}\) (***) | 2.69 (0.96, 6.56) | 0.04 (*) | 2.09 (0.74, 5.18) | 0.14 |
Depression | 3.70 (3.12, 4.38) | 4.00 × \({10}^{-16}\) (***) | 3.61 (3.03, 4.32) | 4.67 × \({10}^{-16}\) (***) | 5.20 (3.69, 7.44) | 4.00 × \({10}^{-16}\) (***) | 4.89 (3.45, 7.03) | 4.67 × \({10}^{-16}\) (***) |
Insomnia | 2.58 (2.06, 3.25) | 5.02 × \({10}^{-16}\) (***) | 3.01 (2.37, 3.83) | 4.67 × \({10}^{-16}\) (***) | 3.56 (2.44, 5.14) | 3.34 × \({10}^{-11}\) (***) | 3.63 (2.47, 5.30) | 5.86 × \({10}^{-11}\) (***) |
OCD | 6.08 (4.21, 9.03) | 4.00 × \({10}^{-16}\) (***) | 6.62 (4.50, 10.00) | 4.67 × \({10}^{-16}\) (***) | 6.52 (3.78, 11.13) | 1.39 × \({10}^{-11}\) (***) | 5.65 (3.24, 9.78) | 1.09 × \({10}^{-9}\) (***) |
Panic disorder | 2.59 (1.92, 3.51) | 8.19 × \({10}^{-10}\) (***) | 3.02 (2.21, 4.16) | 1.27 × \({10}^{-11}\) (***) | 4.16 (2.63, 6.48) | 7.46 × \({10}^{-10}\) (***) | 4.13 (2.57, 6.56) | 4.12 × \({10}^{-9}\) (***) |
Personality disorder | 4.82 (3.27, 7.29) | 2.05 × \({10}^{-14}\) (***) | 4.77 (3.20, 7.32) | 2.31 × \({10}^{-13}\) (***) | 5.13 (2.82, 9.12) | 5.12 × \({10}^{-8}\) (***) | 4.01 (2.18, 7.23) | 6.31 × \({10}^{-6}\) (***) |
PTSD | 3.23 (2.47, 4.25) | 4.00 × \({10}^{-16}\) (***) | 3.68 (2.78, 4.91) | 4.67 × \({10}^{-16}\) (***) | 5.72 (3.83, 8.50) | 4.00 × \({10}^{-16}\) (***) | 5.67 (3.74, 8.53) | 4.67 × \({10}^{-16}\) (***) |
Postnatal depression | 1.74 (1.19, 2.58) | 0.00 (**) | 1.70 (1.14, 2.55) | 0.01 (*) | 0.80 (0.28, 1.87) | 0.66 | 0.72 (0.24, 1.71) | 0.51 |
Schizophrenia | 6.28 (2.61, 18.62) | 2.01 × \({10}^{-4}\) (***) | 7.24 (2.94, 21.82) | 9.17 × \({10}^{-5}\) (***) | 4.53 (0.92, 18.61) | 0.04 (*) | 4.89 (0.97, 20.70) | 0.03 (*) |
Seasonal affective disorder | 3.07 (2.04, 4.73) | 1.92× \({10}^{-7}\) (***) | 3.17 (2.07, 4.94) | 2.4 × \({10}^{-7}\) (***) | 4.27 (2.27, 7.78) | 4.00 × \({10}^{-6}\) (***) | 4.35 (2.29, 8.02) | 4.63 × \({10}^{-6}\) (***) |
Self-harm | 4.10 (3.17, 5.35) | 4.00 × \({10}^{-16}\) (***) | 4.58 (3.70, 6.09) | 4.67 × \({10}^{-16}\) (***) | 7.59 (5.18, 11.10) | 4.00 × \({10}^{-16}\) (***) | 5.84 (3.92, 8.69) | 4.67 × \({10}^{-16}\) (***) |