Healthy Aging and Older Adults With Autism: A Scoping Review

Background and Objectives Autism spectrum disorder is a lifelong diagnosis. Although several studies have examined the effects of autism throughout childhood, few have considered older adulthood and the difference between the allistic (i.e., persons who are not autistic) population and autistic older adults. In literature regarding healthy aging, there is sparse evidence regarding the intersections of older adulthood and autism. The purpose of this scoping review was to examine the state of literature regarding autistic older adults and the domains of healthy aging, utilizing the framework conceived by Arksey and O'Malley (Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 2005;8(1): 19-32. doi:10.1080/1364557032000119616).Research Design and Methods To identify the research question, we took the following steps: identify the relevant studies; select studies; chart the data; and collate, summarize, and report the results. The specific domains of healthy aging considered include physical health, mobility, mental health, cognition and memory, and social connectedness.Results A total of 35 articles were selected for final review. Fifty-seven percent of these studies considered only 1 domain of healthy aging, 23% studied 2 domains, whereas 14% measured 3 domains and 6% assessed 4 domains. No study considered all 5 domains. Of the 5 domains considered for this scoping review, mental health and cognition and memory were the most represented domains in the studies.Discussion and Implications Overall, healthy aging among autistic older adults is largely understudied. More research is needed to better identify and tailor interventions and services for autistic older adults and their families to support healthy aging.