Molecular Autism | |
Physical health of autistic girls and women: a scoping review | |
Yona Lunsky1  Hilary K. Brown2  Gillian Einstein3  Stephanie Babinski4  Ami Tint5  Stephanie H. Ameis6  Meng-Chuan Lai7  Caroline Kassee8  Peter Szatmari9  | |
[1] Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, Canada;Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Canada;Dalla Lana School of Public Health, University of Toronto, Toronto, Canada;Department of Health and Society, University of Toronto Scarborough, Toronto, Canada;Dalla Lana School of Public Health, University of Toronto, Toronto, Canada;Department of Psychology, University of Toronto, Toronto, Canada;Tema Genus, Linköping University, Linköping, Sweden;Rotman Research Institute, Baycrest Hospital, Toronto, Canada;Dalla Lana School of Public Health, University of Toronto, Toronto, Canada;Department of Sociology, University of Toronto, Toronto, Canada;The Margaret and Wallace McCain Centre for Child, Youth and Family Mental Health, Centre for Addiction and Mental Health, 80 Workman Way, M6J 1H4, Toronto, ON, Canada;Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, Canada;The Margaret and Wallace McCain Centre for Child, Youth and Family Mental Health, Centre for Addiction and Mental Health, 80 Workman Way, M6J 1H4, Toronto, ON, Canada;Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, Canada;Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Canada;Department of Psychiatry, The Hospital for Sick Children, Toronto, Canada;The Margaret and Wallace McCain Centre for Child, Youth and Family Mental Health, Centre for Addiction and Mental Health, 80 Workman Way, M6J 1H4, Toronto, ON, Canada;Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, Canada;Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Canada;Department of Psychiatry, The Hospital for Sick Children, Toronto, Canada;Department of Psychology, University of Toronto, Toronto, Canada;Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK;Department of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan;The Margaret and Wallace McCain Centre for Child, Youth and Family Mental Health, Centre for Addiction and Mental Health, 80 Workman Way, M6J 1H4, Toronto, ON, Canada;Dalla Lana School of Public Health, University of Toronto, Toronto, Canada;The Margaret and Wallace McCain Centre for Child, Youth and Family Mental Health, Centre for Addiction and Mental Health, 80 Workman Way, M6J 1H4, Toronto, ON, Canada;Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Canada;Department of Psychiatry, The Hospital for Sick Children, Toronto, Canada; | |
关键词: Autism; Physical health; Sex differences; Gender; Girls; Women; Scoping review; | |
DOI : 10.1186/s13229-020-00380-z | |
来源: Springer | |
【 摘 要 】
BackgroundThere is a growing recognition of sex and gender influences in autism. Increasingly, studies include comparisons between sexes or genders, but few have focused on clarifying the characteristics of autistic girls’/women’s physical health.MethodsA scoping review was conducted to determine what is currently known about the physical health of autistic girls/women. We screened 1112 unique articles, with 40 studies meeting the inclusion criteria. We used a convergent iterative process to synthesize this content into broad thematic areas.ResultsAutistic girls/women experience more overall physical health challenges compared to non-autistic girls/women and to autistic boys/men. Emerging evidence suggests increased prevalence of epilepsy in autistic girls/women compared to non-autistic girls/women and to autistic boys/men. The literature also suggests increased endocrine and reproductive health conditions in autistic girls/women compared to non-autistic girls/women. Findings regarding gastrointestinal, metabolic, nutritional, and immune-related conditions are preliminary and inconsistent.LimitationsThe literature has substantial heterogeneity in how physical health conditions were assessed and reported. Further, our explicit focus on physical health may have constrained the ability to examine interactions between mental and physical health. The widely differing research aims and methodologies make it difficult to reach definitive conclusions. Nevertheless, in keeping with the goals of a scoping review, we were able to identify key themes to guide future research.ConclusionsThe emerging literature suggests that autistic girls/women have heightened rates of physical health challenges compared to non-autistic girls/women and to autistic boys/men. Clinicians should seek to provide holistic care that includes a focus on physical health and develop a women’s health lens when providing clinical care to autistic girls/women.
【 授权许可】
CC BY
【 预 览 】
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RO202104273670762ZK.pdf | 1227KB | download |