Work

Effects of communication disorder status on risk for eleven common health conditions in the All of Us Research Program in the USA: a cross-sectional study

Year: 2026

Type: article

Abstract: OBJECTIVE: To determine if communication disorders (1) increase the risk for common mental and physical health conditions and (2) if risk varies by age of onset (≤25 years (developmental) or >25 years (acquired)) by using the large-scale All of Us Research Program participant-reported survey data to electronic health records (EHR) data. We hypothesised that adults with a communication disorder would have a higher risk of mental and physical health conditions. DESIGN: A retrospective cross-sectional study. SETTING: Secondary analysis of EHR and online surveys conducted in the USA. PARTICIPANTS: We assessed 410 360 US adults enrolled in the All of Us Research Program from August 2023 to May 2024 for study eligibility. We used medical diagnosis of a communication disorder from EHR data to group participants into communication disorder (CD) and typical communication (TC) groups, and age of first diagnosis to assign to age of onset (≤25 years (developmental) or >25 years (acquired)) groups. 234 519 participants (median (IQR) age 57.00 (41.00, 68.00); 3700 (1.6%) qualified for the CD group) were included in the analyses. PRIMARY OUTCOME MEASURES: Primary outcome measures were diagnosis of 11 common mental and physical health conditions from EHR data. RESULTS: Multiple logistic regression models with propensity score weighting revealed that participants with CD had higher odds for attention deficit hyperactivity disorder, anxiety, asthma, cancer, chronic kidney disease, cardiovascular disease, depression, diabetes and hypertension. Estimates for chronic kidney disease (acquired: adjusted OR (AOR), 1.89 (1.62, 2.20); developmental: AOR, 1.26 (0.42, 3.82)), diabetes (acquired: AOR, 1.64 (1.49, 1.81); developmental: AOR, 1.51 (0.95, 2.41)), hypertension (acquired: AOR, 2.02 (1.85, 2.19); developmental: AOR, 1.16 (0.80, 1.68)) and substance use (acquired: AOR, 1.76 (1.47, 2.12); developmental: AOR, 1.08 (0.65, 1.82)) varied by age of onset. Confounding factors are controlled in the analysis, such as age, income, employment, enrolment, sex at birth, gender identity and US census division. CONCLUSION: Our study demonstrates that adults with CD experience health disparities compared with adults with TC, and that these disparities vary by age of onset of CD.

Source: BMJ Open

DOI: 10.1136/bmjopen-2025-103384

Authors: Hope S Lancaster, Srishti Nayak, Alicia Buttner, Tonia N Davis

Institutions: Boys Town National Research Hospital, Vanderbilt University Medical Center, California State University, Sacramento

Language: English

Topic: Language Development and Disorders

Subfield: Developmental and Educational Psychology

Field: Psychology

Domain: Social Sciences

SDGs: Good health and well-being, Reduced inequalities

Open Access status: gold

Estimated APC paid: $1,839