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Logistic regression models revealed that older adults made proportionately fewer visits to primary care providers than younger adults (odds ratio 0.919; <jats:italic>p<\/jats:italic>=0.02). Yet for every 1\u2010year increase in age, the odds of being hospitalized increased by 5% (odds ratio 1.051; <jats:italic>p<\/jats:italic>=0.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>Adults with spina bifida have multiple organ\u2010system disorders. They have greater difficulty accessing services, and utilize emergency and inpatient healthcare at higher rates than the general population. In the future, adults with spina bifida will require access to more medical care and preventive services if they are to have optimal health, well\u2010being, and functioning.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dmcn.12952","type":"journal-article","created":{"date-parts":[[2015,11,3]],"date-time":"2015-11-03T04:28:44Z","timestamp":1446524924000},"page":"714-720","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Life course health and healthcare utilization among adults with spina bifida"],"prefix":"10.1111","volume":"58","author":[{"given":"Gregory S","family":"Liptak","sequence":"first","affiliation":[{"name":"State University of New York Upstate Medical University Syracuse NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura M","family":"Robinson","sequence":"additional","affiliation":[{"name":"The School of Medicine and Dentistry University of Rochester Rochester NY 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