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The Role of Social Drivers of Health in Communication Abilities of Autistic Adolescents and Young Adults

Title: The Role of Social Drivers of Health in Communication Abilities of Autistic Adolescents and Young Adults
Language: English
Authors: Teresa Girolamo (ORCID 0000-0003-1714-3545); Alicia Escobedo; Lindsay Butler (ORCID 0000-0003-4106-1849); Caroline A. Larson (ORCID 0000-0001-7940-2528); Iván Campos; Kyle Greene-Pendelton
Source: Autism: The International Journal of Research and Practice. 2026 30(2):329-345.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 17
Publication Date: 2026
Document Type: Journal Articles; Reports - Research
Descriptors: Autism Spectrum Disorders; Adolescents; Young Adults; Health; Communication Skills; Social Influences; Barriers; Needs; Community; Correlation; Language Skills
Assessment and Survey Identifiers: Social Responsiveness Scale; Clinical Evaluation of Language Fundamentals; Peabody Picture Vocabulary Test; Raven Progressive Matrices; National Longitudinal Transition Study of Special Education Students
DOI: 10.1177/13623613251380448
ISSN: 1362-3613; 1461-7005
Abstract: Despite their relevance to outcomes in autism, little is known about how social drivers of health affect communication, especially in transition-aged autistic adolescents and young adults with structural language impairment. This knowledge gap limits our understanding of developmental trajectories and the ability to develop supports. This cross-sectional study examined the role of social drivers of health in the communication abilities of autistic individuals ages 13-30. Participants (N = 73) completed language, nonverbal cognitive assessments, and social drivers of health (sense of community, unmet services, barriers to services) measures. Data were analyzed descriptively and using mixed-effects modeling. More unmet service needs, more barriers to services, and a lower sense of community were associated with greater social communication impairment. In turn, both unmet service needs and barriers to services were negatively associated with functional communication. In regression modeling, language scores contributed to functional communication, and sense of community to social communication impairment. Findings support the relevance of language and social drivers of health in communication. Future work should focus on possible bidirectional relationships between these variables and explore and real-world translation.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1494608
Database: ERIC