To describe positive mental health, or “flourishing,” and self-reported health trajectories among transition-aged young adults (TAYA) with developmental/learning and physical disabilities over a 12-year period, utilizing a population-based sample. This study features a secondary analysis of national data from the Panel Study of Income Dynamics Transition to Adulthood Supplement. The analytic sample included all TAYA with (n = 487) and without (n = 810) disabilities, including developmental/learning disabilities (DD/LD), attention deficit hyperactivity disorder (ADHD), and speech, hearing, and vision impairments who participated in 2017 Transition to Adulthood Supplement data collection (n = 1,297; age = 24.5, = 2.40). We utilized linear mixed modeling to retrospectively describe flourishing and self-reported health trajectories across 12 years among TAYA with and without disabilities between ages 18 to 28, adjusting for demographic and developmental characteristics. Relative to TAYA without disabilities, TAYA with speech [0.10, 0.85] and vision impairments [0.10, 0.92], DD/LD [0.38, 1.11], and ADHD [0.27, 0.97] demonstrated lower flourishing. TAYA with speech [0.07, 0.36] and vision impairments [0.08, 0.38], DD/LD [0.15, 0.411], and ADHD [0.14, 0.93] reported lower health. Relative to TAYA with other disabilities, TAYA with ADHD [0.14, 0.93] and DD/LD [0.01, 0.29] reported lower flourishing and health, respectively. Interaction effects and descriptive analyses revealed distinct patterns of change for TAYA with ADHD. TAYA with disabilities report lower flourishing and health, relative to TAYA without disabilities. TAYA with specific disabilities differ in their flourishing and health trajectories. Findings can inform the development of interventions for TAYA with disabilities.

中文翻译：

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残疾人向成年过渡时的健康和福祉：收入动态小组研究分析

利用基于人口的样本，描述患有发育/学习和身体残疾的过渡年龄年轻人 (TAYA) 在 12 年内的积极心理健康或“蓬勃发展”以及自我报告的健康轨迹。本研究对收入动态过渡到成人补助的小组研究的全国数据进行了二次分析。分析样本包括所有患有 (n = 487) 和无 (n = 810) 残疾的 TAYA，包括发育/学习障碍 (DD/LD)、注意力缺陷多动障碍 (ADHD) 以及参与的语言、听力和视力障碍2017 年过渡到成人补充数据收集（n = 1,297；年龄 = 24.5，= 2.40）。我们利用线性混合模型回顾性地描述了 18 至 28 岁之间有残疾和无残疾的 TAYA 12 年来的蓬勃发展和自我报告的健康轨迹，并根据人口和发育特征进行了调整。与没有残疾的 TAYA 相比，有言语障碍 [0.10, 0.85] 和视力障碍 [0.10, 0.92]、DD/LD [0.38, 1.11] 和 ADHD [0.27, 0.97] 的 TAYA 表现出较低的繁荣度。患有言语障碍 [0.07, 0.36] 和视力障碍 [0.08, 0.38]、DD/LD [0.15, 0.411] 和 ADHD [0.14, 0.93] 的 TAYA 报告健康状况较差。与患有其他残疾的 TAYA 相比，患有 ADHD [0.14, 0.93] 和 DD/LD [0.01, 0.29] 的 TAYA 的发育和健康状况分别较低。交互效应和描述性分析揭示了患有 ADHD 的 TAYA 的不同变化模式。与没有残疾的 TAYA 相比，患有残疾的 TAYA 的发育和健康状况较差。患有特定残疾的 TAYA 的成长和健康轨迹有所不同。研究结果可为 TAYA 残疾人的干预措施的制定提供信息。