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Autism and Developmental Screening in a Public, Primary Care Setting Primarily Serving Hispanics: Challenges and Results / Gayle C. WINDHAM in Journal of Autism and Developmental Disorders, 44-7 (July 2014)
[article]
Titre : Autism and Developmental Screening in a Public, Primary Care Setting Primarily Serving Hispanics: Challenges and Results Type de document : Texte imprimé et/ou numérique Auteurs : Gayle C. WINDHAM, Auteur ; Karen S. SMITH, Auteur ; Nila ROSEN, Auteur ; Meredith C. ANDERSON, Auteur ; Judith K. GRETHER, Auteur ; Richard B. COOLMAN, Auteur ; Stephen HARRIS, Auteur Article en page(s) : p.1621-1632 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders Developmental screening M-CHAT ASQ Hispanics Children’s health Index. décimale : PER Périodiques Résumé : We implemented screening of children 16–30 months of age (n = 1,760) from a typically under-served, primarily Hispanic, population, at routine pediatric appointments using the modified checklist for autism in toddlers (M-CHAT) and Ages and Stages Questionnaire. Screen positive rates of 26 and 39 %, respectively, were higher than previous reports. Hispanics were more likely to score M-CHAT positive than non-Hispanics (adjusted OR 1.7, 95 % CI 1.2–2.4), as were those screened in Spanish. About 30 % of screen-positive children were referred for further assessment, but only half were seen. Thus screening in this population is feasible, but may require additional resources. Attention to the cultural applicability of screening instruments, as well as to explaining the results or need for additional services to parents, is critical to serve the growing Hispanic population. En ligne : http://dx.doi.org/10.1007/s10803-014-2032-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=236
in Journal of Autism and Developmental Disorders > 44-7 (July 2014) . - p.1621-1632[article] Autism and Developmental Screening in a Public, Primary Care Setting Primarily Serving Hispanics: Challenges and Results [Texte imprimé et/ou numérique] / Gayle C. WINDHAM, Auteur ; Karen S. SMITH, Auteur ; Nila ROSEN, Auteur ; Meredith C. ANDERSON, Auteur ; Judith K. GRETHER, Auteur ; Richard B. COOLMAN, Auteur ; Stephen HARRIS, Auteur . - p.1621-1632.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 44-7 (July 2014) . - p.1621-1632
Mots-clés : Autism spectrum disorders Developmental screening M-CHAT ASQ Hispanics Children’s health Index. décimale : PER Périodiques Résumé : We implemented screening of children 16–30 months of age (n = 1,760) from a typically under-served, primarily Hispanic, population, at routine pediatric appointments using the modified checklist for autism in toddlers (M-CHAT) and Ages and Stages Questionnaire. Screen positive rates of 26 and 39 %, respectively, were higher than previous reports. Hispanics were more likely to score M-CHAT positive than non-Hispanics (adjusted OR 1.7, 95 % CI 1.2–2.4), as were those screened in Spanish. About 30 % of screen-positive children were referred for further assessment, but only half were seen. Thus screening in this population is feasible, but may require additional resources. Attention to the cultural applicability of screening instruments, as well as to explaining the results or need for additional services to parents, is critical to serve the growing Hispanic population. En ligne : http://dx.doi.org/10.1007/s10803-014-2032-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=236 Use of allied-health services and medication among adults with ASD in Latin America / A. TORRES in Autism Research, 14-10 (October 2021)
[article]
Titre : Use of allied-health services and medication among adults with ASD in Latin America Type de document : Texte imprimé et/ou numérique Auteurs : A. TORRES, Auteur ; D. LECUSAY, Auteur ; D. VALDEZ, Auteur ; A. ROSOLI, Auteur ; G. GARRIDO, Auteur ; S. CUKIER, Auteur ; C. S. PAULA, Auteur ; R. GARCIA, Auteur ; A. RATTAZZI, Auteur ; C. MONTIEL-NAVA, Auteur Article en page(s) : p.2200-2211 Langues : Anglais (eng) Mots-clés : Adult Autism Spectrum Disorder/drug therapy Autistic Disorder Caregivers Health Services Humans Latin America Hispanics allied health autism autism medication health disparities Index. décimale : PER Périodiques Résumé : ASD is a neurodevelopmental disorder that affects people across the entire lifespan, yet most of the research identifying the health and medical needs for autistic individuals have been among minors. As individuals with ASD transition to emerging adulthood, the services, already limited, become less available. This study aimed to identify the use of services for Latin American adults on the spectrum. We surveyed 295 caregivers of adults with ASD from six Latin American countries. Comparing the results for all the possible services observed in this study, the adults in our sample were primarily underserved: 84.4%-95.9% were receiving zero hours per week, 3.7%-12.9% 1%-10 h, 0%-1.7% 11-20, and only 0%-1% above 20?h of services. Almost half of the sample used medication, and neurologists were the most consulted health providers. Next to inexistent health care usage in Latin American adults with ASD highlights socioeconomic and health disparities in service provision for ASD in the region. The lack of services places adults with ASD in Latin America at a higher risk of worse symptom severity than autistic adults from regions with broader access to services. LAY SUMMARY: This study aimed to identify the quantity of services received by adults with autism in Latin America. Most of our sample was not receiving health services yet almost half had access to medication. This could mean that adults with autism in Latin America are at higher risk for poorer health. En ligne : http://dx.doi.org/10.1002/aur.2583 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450
in Autism Research > 14-10 (October 2021) . - p.2200-2211[article] Use of allied-health services and medication among adults with ASD in Latin America [Texte imprimé et/ou numérique] / A. TORRES, Auteur ; D. LECUSAY, Auteur ; D. VALDEZ, Auteur ; A. ROSOLI, Auteur ; G. GARRIDO, Auteur ; S. CUKIER, Auteur ; C. S. PAULA, Auteur ; R. GARCIA, Auteur ; A. RATTAZZI, Auteur ; C. MONTIEL-NAVA, Auteur . - p.2200-2211.
Langues : Anglais (eng)
in Autism Research > 14-10 (October 2021) . - p.2200-2211
Mots-clés : Adult Autism Spectrum Disorder/drug therapy Autistic Disorder Caregivers Health Services Humans Latin America Hispanics allied health autism autism medication health disparities Index. décimale : PER Périodiques Résumé : ASD is a neurodevelopmental disorder that affects people across the entire lifespan, yet most of the research identifying the health and medical needs for autistic individuals have been among minors. As individuals with ASD transition to emerging adulthood, the services, already limited, become less available. This study aimed to identify the use of services for Latin American adults on the spectrum. We surveyed 295 caregivers of adults with ASD from six Latin American countries. Comparing the results for all the possible services observed in this study, the adults in our sample were primarily underserved: 84.4%-95.9% were receiving zero hours per week, 3.7%-12.9% 1%-10 h, 0%-1.7% 11-20, and only 0%-1% above 20?h of services. Almost half of the sample used medication, and neurologists were the most consulted health providers. Next to inexistent health care usage in Latin American adults with ASD highlights socioeconomic and health disparities in service provision for ASD in the region. The lack of services places adults with ASD in Latin America at a higher risk of worse symptom severity than autistic adults from regions with broader access to services. LAY SUMMARY: This study aimed to identify the quantity of services received by adults with autism in Latin America. Most of our sample was not receiving health services yet almost half had access to medication. This could mean that adults with autism in Latin America are at higher risk for poorer health. En ligne : http://dx.doi.org/10.1002/aur.2583 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450