Disparity in autism spectrum disorder prevalence among Taiwan National Health Insurance enrollees: Age, gender and urbanization effects / Shang-Wei HSU in Research in Autism Spectrum Disorders, 6-2 (April-June 2012)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 6-2 (April-June 2012) . - p.836-841 Titre : Disparity in autism spectrum disorder prevalence among Taiwan National Health Insurance enrollees: Age, gender and urbanization effects Type de document : Texte imprimé et/ou numérique Auteurs : Shang-Wei HSU, Auteur ; Chung-Hsin CHIANG, Auteur ; Lan-Ping LIN, Auteur ; Jin-Ding LIN, Auteur Année de publication : 2012 Article en page(s) : p.836-841 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders  Prevalence  Gender  Age  Urbanization Index. décimale : PER Périodiques Résumé : The present study aims to characterize the prevalence of autism spectrum disorders (ASDs) in Taiwan while examining the effects of age, gender, and urbanization on ASD occurrence. A cross-sectional study was conducted to analyze data from 895,639 random health insurance claimants who claimed medical services in the year 2007. Autism was defined using the ICD-9-CM Diagnosis Code 299.0 (autism, current or active). The prevalence of autistic cases was found to be 12.3‰ (10,868/884,771) in the general population, with the prevalence among males (19.2‰) significantly higher than that among females (6‰). With regards to age distribution, we found that the autistic group (mean age = 16.0 years) was significantly younger than the general population (mean age = 37.2 years). A logistic regression analysis found that age, gender, residence urbanization level and Bureau of National Health Insurance regional division all constituted influence factors for autistic occurrence. The results demonstrate the importance of taking into account age, gender, and geographical disparities in autistic prevalence in order to implement appropriate public health policies for the ASD population. En ligne : http://dx.doi.org/10.1016/j.rasd.2011.09.006 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=150 [article] Disparity in autism spectrum disorder prevalence among Taiwan National Health Insurance enrollees: Age, gender and urbanization effects [Texte imprimé et/ou numérique] / Shang-Wei HSU, Auteur ; Chung-Hsin CHIANG, Auteur ; Lan-Ping LIN, Auteur ; Jin-Ding LIN, Auteur . - 2012 . - p.836-841. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 6-2 (April-June 2012) . - p.836-841 Mots-clés : Autism spectrum disorders  Prevalence  Gender  Age  Urbanization Index. décimale : PER Périodiques Résumé : The present study aims to characterize the prevalence of autism spectrum disorders (ASDs) in Taiwan while examining the effects of age, gender, and urbanization on ASD occurrence. A cross-sectional study was conducted to analyze data from 895,639 random health insurance claimants who claimed medical services in the year 2007. Autism was defined using the ICD-9-CM Diagnosis Code 299.0 (autism, current or active). The prevalence of autistic cases was found to be 12.3‰ (10,868/884,771) in the general population, with the prevalence among males (19.2‰) significantly higher than that among females (6‰). With regards to age distribution, we found that the autistic group (mean age = 16.0 years) was significantly younger than the general population (mean age = 37.2 years). A logistic regression analysis found that age, gender, residence urbanization level and Bureau of National Health Insurance regional division all constituted influence factors for autistic occurrence. The results demonstrate the importance of taking into account age, gender, and geographical disparities in autistic prevalence in order to implement appropriate public health policies for the ASD population. En ligne : http://dx.doi.org/10.1016/j.rasd.2011.09.006 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=150

Geographic differences in social-welfare oriented institutional care for people with disabilities in Taiwan, 2002–2009 / Lan-Ping LIN in Research in Autism Spectrum Disorders, 7-1 (January 2013)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 7-1 (January 2013) . - p.43-8 Titre : Geographic differences in social-welfare oriented institutional care for people with disabilities in Taiwan, 2002–2009 Type de document : Texte imprimé et/ou numérique Auteurs : Lan-Ping LIN, Auteur ; Shang-Wei HSU, Auteur ; Fang-Yu KUO, Auteur ; Jin-Ding LIN, Auteur Année de publication : 2013 Article en page(s) : p.43-8 Langues : Anglais (eng) Mots-clés : Disability  Disability institution  Institutional care  Social welfare Index. décimale : PER Périodiques Résumé : The present paper aims to provide information of long-term trend of distribution and utilization of institutional care resource for people with disabilities by different geographic areas in Taiwan. Data were analyzed using governmental reported general population by administrative area, population of persons with disabilities, and the profile of disability service institutions in Taiwan-Fuchien Area from 2002 to 2009. Results revealed that there were averagely 956,549 persons with disabilities and 15,172 institutional service beds (15.86 beds per 1000 persons with disabilities; range = 0–33‰) and the mean occupancy rate was 79% (area range: 36.26–92.09%). during the past 8 years. Many rural countries and off-shore islands have poorer disability service beds than other urban cities. The results also showed that the disability population (R2 = 0.093, p < 0.001), institutional service beds (R2 = 0.885, p = 0.001) and occupied service beds (R2 = 0.917, p < 0.001) were significantly increased in curve tests during 2002–2009. However, the service beds per 1000 persons with disabilities and occupancy rate were not statistical change during the past 8 years. The study highlights the service authorities should focus on the uneven distribution problem of disability institutional care, particularly in rural countries and off-shore islands in Taiwan. En ligne : http://dx.doi.org/10.1016/j.rasd.2012.07.008 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=179 [article] Geographic differences in social-welfare oriented institutional care for people with disabilities in Taiwan, 2002–2009 [Texte imprimé et/ou numérique] / Lan-Ping LIN, Auteur ; Shang-Wei HSU, Auteur ; Fang-Yu KUO, Auteur ; Jin-Ding LIN, Auteur . - 2013 . - p.43-8. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 7-1 (January 2013) . - p.43-8 Mots-clés : Disability  Disability institution  Institutional care  Social welfare Index. décimale : PER Périodiques Résumé : The present paper aims to provide information of long-term trend of distribution and utilization of institutional care resource for people with disabilities by different geographic areas in Taiwan. Data were analyzed using governmental reported general population by administrative area, population of persons with disabilities, and the profile of disability service institutions in Taiwan-Fuchien Area from 2002 to 2009. Results revealed that there were averagely 956,549 persons with disabilities and 15,172 institutional service beds (15.86 beds per 1000 persons with disabilities; range = 0–33‰) and the mean occupancy rate was 79% (area range: 36.26–92.09%). during the past 8 years. Many rural countries and off-shore islands have poorer disability service beds than other urban cities. The results also showed that the disability population (R2 = 0.093, p < 0.001), institutional service beds (R2 = 0.885, p = 0.001) and occupied service beds (R2 = 0.917, p < 0.001) were significantly increased in curve tests during 2002–2009. However, the service beds per 1000 persons with disabilities and occupancy rate were not statistical change during the past 8 years. The study highlights the service authorities should focus on the uneven distribution problem of disability institutional care, particularly in rural countries and off-shore islands in Taiwan. En ligne : http://dx.doi.org/10.1016/j.rasd.2012.07.008 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=179

A national survey of caregivers’ perspective of early symptoms of dementia among adults with an intellectual disability based on the DSQIID scale / Jin-Ding LIN in Research in Autism Spectrum Disorders, 8-3 (March 2014)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 8-3 (March 2014) . - p.275-280 Titre : A national survey of caregivers’ perspective of early symptoms of dementia among adults with an intellectual disability based on the DSQIID scale Type de document : Texte imprimé et/ou numérique Auteurs : Jin-Ding LIN, Auteur ; Lan-Ping LIN, Auteur ; Yi-Chen HSIA, Auteur ; Shang-Wei HSU, Auteur ; Chia-Ling WU, Auteur ; Cordia M. CHU, Auteur Article en page(s) : p.275-280 Langues : Anglais (eng) Mots-clés : Intellectual disability  Aging  Caregiver  Dementia  DSQIID Index. décimale : PER Périodiques Résumé : Abstract As life expectancy increases for persons with an intellectual disability, concerns have been raised that there will be an increased demand for health or social services, particularly to address the challenges posed by the problems of dementia. To plan services for people with an intellectual disability who might experience the consequences of aging, an important first step is to obtain epidemiological data on the prevalence of dementia in this vulnerable population. This study aimed to investigate the dementia prevalence rate and its associated demographical factors in adults with an intellectual disability in Taiwan. A national survey was conducted to recruit 460 community residents of at least 45 years of age with an intellectual disability. The Dementia Screening Questionnaire for Individuals with Intellectual Disabilities (DSQIID) was administered to caregivers to determine the symptoms of dementia in adults with an intellectual disability. The results indicated that 16.5% of the adults with an intellectual disability might have dementia conditions (DSQIID score ? 20). After controlling for other factors in a multiple logistic regression analysis, the older adults with intellectual disability (?55 vs. 45–54, OR = 2.594, 95% CI = 1.438–4.679) and those individuals with a comorbid diagnosis of mental illness or neurological disease (with vs. without, OR = 2.826, 95% CI = 1.593–5.012) had a higher risk of dementia than their counterparts. This study suggests that further longitudinal studies are needed to examine the specific aspects of the functions of living and morbidity that might be affected by aging and concomitant conditions in adults with an intellectual disability. En ligne : http://dx.doi.org/10.1016/j.rasd.2013.12.010 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=224 [article] A national survey of caregivers’ perspective of early symptoms of dementia among adults with an intellectual disability based on the DSQIID scale [Texte imprimé et/ou numérique] / Jin-Ding LIN, Auteur ; Lan-Ping LIN, Auteur ; Yi-Chen HSIA, Auteur ; Shang-Wei HSU, Auteur ; Chia-Ling WU, Auteur ; Cordia M. CHU, Auteur . - p.275-280. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 8-3 (March 2014) . - p.275-280 Mots-clés : Intellectual disability  Aging  Caregiver  Dementia  DSQIID Index. décimale : PER Périodiques Résumé : Abstract As life expectancy increases for persons with an intellectual disability, concerns have been raised that there will be an increased demand for health or social services, particularly to address the challenges posed by the problems of dementia. To plan services for people with an intellectual disability who might experience the consequences of aging, an important first step is to obtain epidemiological data on the prevalence of dementia in this vulnerable population. This study aimed to investigate the dementia prevalence rate and its associated demographical factors in adults with an intellectual disability in Taiwan. A national survey was conducted to recruit 460 community residents of at least 45 years of age with an intellectual disability. The Dementia Screening Questionnaire for Individuals with Intellectual Disabilities (DSQIID) was administered to caregivers to determine the symptoms of dementia in adults with an intellectual disability. The results indicated that 16.5% of the adults with an intellectual disability might have dementia conditions (DSQIID score ? 20). After controlling for other factors in a multiple logistic regression analysis, the older adults with intellectual disability (?55 vs. 45–54, OR = 2.594, 95% CI = 1.438–4.679) and those individuals with a comorbid diagnosis of mental illness or neurological disease (with vs. without, OR = 2.826, 95% CI = 1.593–5.012) had a higher risk of dementia than their counterparts. This study suggests that further longitudinal studies are needed to examine the specific aspects of the functions of living and morbidity that might be affected by aging and concomitant conditions in adults with an intellectual disability. En ligne : http://dx.doi.org/10.1016/j.rasd.2013.12.010 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=224

Outpatient visits and expenditures for children and adolescents diagnosed with autism spectrum disorders and co-occurring intellectual disability: An analysis of the national health insurance claims data / Lan-Ping LIN in Research in Autism Spectrum Disorders, 7-12 (December 2013)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 7-12 (December 2013) . - p.1625-1630 Titre : Outpatient visits and expenditures for children and adolescents diagnosed with autism spectrum disorders and co-occurring intellectual disability: An analysis of the national health insurance claims data Type de document : Texte imprimé et/ou numérique Auteurs : Lan-Ping LIN, Auteur ; Chiung-Ying KUAN, Auteur ; Shang-Wei HSU, Auteur ; Tzong-Nan LEE, Auteur ; Chia-Im LAI, Auteur ; Jia-Lin WU, Auteur ; Jin-Ding LIN, Auteur Article en page(s) : p.1625-1630 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders (ASD)  Intellectual disability (ID)  Medical expenditure  Outpatient  Healthcare Index. décimale : PER Périodiques Résumé : Abstract The primary healthcare service profile is important and provides valuable information on healthcare policies for patients with autism spectrum disorders (ASD) and co-occurring conditions. The present study analyzed data associated with outpatient care visits and expenditures in patients with ASD and co-occurring intellectual disability (ID) using healthcare setting insurance claims data in Taiwan. A retrospective analysis was conducted by merging database of healthcare setting medical care discharge claims used by the Taiwan Bureau of National Health Insurance and Disability Registration System. There were 5273 children and adolescents with ASD who utilized outpatient services during the year 2005. Taiwan NHI claims (510 cases with co-occurring ID and 4763 cases without ID) were analyzed in the study. The study found that ASD subjects without ID have 1.6-fold the annual outpatient visits of those with ID (13 visits vs. 8 visits). Those ASD cases with ID are more likely to use psychiatric visits and that individuals without ID use more rehabilitation services. The total annual outpatient care expenditure from 5273 children and adolescents with ASD was 137,842,159 New Taiwan Dollars (NTD). Cases without ID have increased medical costs compared with cases with ID in annual outpatient care expenditure (OR = 1.274, 95% CI = 1.173–1.384). A logistic regression analysis of outpatient expenditure (low vs. high) showed that of the cases with ASD and ID, the factors of age (reference: 6–11 years; 0–5 years, OR = 1.383, 95% CI = 1.106–1.730), severe illness (reference: no; OR = 1.838, 95% CI = 1.538–2.196), low income family (reference: no; OR = 1.799, 95% CI = 1.344–2.408), medical care setting (reference: clinic; private hospital: OR = 1.769, 95% CI = 1.199–2.610; corporate hospital, OR = 1.624, 95% CI = 1.139–2.315) and clinical unit (reference: psychiatric; rehabilitation, OR = 1.913, 95% CI = 1.651–2.344; pediatrics, OR = 1.461, 95% CI = 1.014–2.017) had more outpatient costs (on average) than their counterparts. Finally, this study highlights that health authorities should pay much attention to the factors which correlated to medical needs and costs of children and adolescents with ASD and ID to ensure efficacy of medication and continuing support for patients in treatment. En ligne : http://dx.doi.org/10.1016/j.rasd.2013.09.003 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=219 [article] Outpatient visits and expenditures for children and adolescents diagnosed with autism spectrum disorders and co-occurring intellectual disability: An analysis of the national health insurance claims data [Texte imprimé et/ou numérique] / Lan-Ping LIN, Auteur ; Chiung-Ying KUAN, Auteur ; Shang-Wei HSU, Auteur ; Tzong-Nan LEE, Auteur ; Chia-Im LAI, Auteur ; Jia-Lin WU, Auteur ; Jin-Ding LIN, Auteur . - p.1625-1630. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 7-12 (December 2013) . - p.1625-1630 Mots-clés : Autism spectrum disorders (ASD)  Intellectual disability (ID)  Medical expenditure  Outpatient  Healthcare Index. décimale : PER Périodiques Résumé : Abstract The primary healthcare service profile is important and provides valuable information on healthcare policies for patients with autism spectrum disorders (ASD) and co-occurring conditions. The present study analyzed data associated with outpatient care visits and expenditures in patients with ASD and co-occurring intellectual disability (ID) using healthcare setting insurance claims data in Taiwan. A retrospective analysis was conducted by merging database of healthcare setting medical care discharge claims used by the Taiwan Bureau of National Health Insurance and Disability Registration System. There were 5273 children and adolescents with ASD who utilized outpatient services during the year 2005. Taiwan NHI claims (510 cases with co-occurring ID and 4763 cases without ID) were analyzed in the study. The study found that ASD subjects without ID have 1.6-fold the annual outpatient visits of those with ID (13 visits vs. 8 visits). Those ASD cases with ID are more likely to use psychiatric visits and that individuals without ID use more rehabilitation services. The total annual outpatient care expenditure from 5273 children and adolescents with ASD was 137,842,159 New Taiwan Dollars (NTD). Cases without ID have increased medical costs compared with cases with ID in annual outpatient care expenditure (OR = 1.274, 95% CI = 1.173–1.384). A logistic regression analysis of outpatient expenditure (low vs. high) showed that of the cases with ASD and ID, the factors of age (reference: 6–11 years; 0–5 years, OR = 1.383, 95% CI = 1.106–1.730), severe illness (reference: no; OR = 1.838, 95% CI = 1.538–2.196), low income family (reference: no; OR = 1.799, 95% CI = 1.344–2.408), medical care setting (reference: clinic; private hospital: OR = 1.769, 95% CI = 1.199–2.610; corporate hospital, OR = 1.624, 95% CI = 1.139–2.315) and clinical unit (reference: psychiatric; rehabilitation, OR = 1.913, 95% CI = 1.651–2.344; pediatrics, OR = 1.461, 95% CI = 1.014–2.017) had more outpatient costs (on average) than their counterparts. Finally, this study highlights that health authorities should pay much attention to the factors which correlated to medical needs and costs of children and adolescents with ASD and ID to ensure efficacy of medication and continuing support for patients in treatment. En ligne : http://dx.doi.org/10.1016/j.rasd.2013.09.003 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=219

Personal and workplace factors for the risk of low back pain among institutional caregivers of people with intellectual, autistic or multiple disabilities / Jin-Ding LIN in Research in Autism Spectrum Disorders, 8-5 (May 2014)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 8-5 (May 2014) . - p.509-517 Titre : Personal and workplace factors for the risk of low back pain among institutional caregivers of people with intellectual, autistic or multiple disabilities Type de document : Texte imprimé et/ou numérique Auteurs : Jin-Ding LIN, Auteur ; Lan-Ping LIN, Auteur ; Sheng-Fang SU, Auteur ; Shang-Wei HSU, Auteur ; Ching-Hui LOH, Auteur ; Jia-Ling WU, Auteur ; Cordia M. CHU, Auteur Article en page(s) : p.509-517 Mots-clés : Low back pain  Musculoskeletal discomfort  Disability  Caregiver  Staff Index. décimale : PER Périodiques Résumé : The aims of the present study were to investigate the prevalence of LBP among institutional caregivers of people with intellectual, autistic or associated multiple disabilities and to examine the risk factors for LBP among this population. A cross-sectional, purposive sampling method was used to recruit into the study 1073 staff who were working in 15 disability welfare institutions. The survey materials included an introduction letter, an informed consent, and a structured questionnaire that queried the participant's demographic and working characteristics, healthy lifestyle, and previous and current LBP experiences. The present study results showed that 63.2% of the participants reported that they had LBP in the previous year. Many factors of the participants’ demographic characteristics (gender, BMI, and marital status), working conditions (years of working experience, weekly work days, labor-oriented work, and direct care staff), and health status (exercise habit, perceived health status, previous and more recent medication experience of musculoskeletal discomfort) associated with LBP occurrence were analyzed in univariate Chi-square analyses. Finally, multiple logistic regression analyses revealed that the factors of female gender (OR = 1.534, p = 0.039), being married (OR = 1.469, p = 0.027), being direct care staff (OR = 1.844, p = 0.025), having fair health status (OR = 1.518, p = 0.012), or previous (OR = 1.996, p 0.001) and more recent (OR = 2.744, p 0.001) medication experience of musculoskeletal discomfort were found to be more likely to have LBP than their counterparts. This study highlights that we should pay much closer attention to LBP risk factors and to plan necessary initiatives to avoid the progression of LBP in the workplace. En ligne : http://dx.doi.org/10.1016/j.rasd.2014.01.013 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=229 [article] Personal and workplace factors for the risk of low back pain among institutional caregivers of people with intellectual, autistic or multiple disabilities [Texte imprimé et/ou numérique] / Jin-Ding LIN, Auteur ; Lan-Ping LIN, Auteur ; Sheng-Fang SU, Auteur ; Shang-Wei HSU, Auteur ; Ching-Hui LOH, Auteur ; Jia-Ling WU, Auteur ; Cordia M. CHU, Auteur . - p.509-517. in Research in Autism Spectrum Disorders > 8-5 (May 2014) . - p.509-517 Mots-clés : Low back pain  Musculoskeletal discomfort  Disability  Caregiver  Staff Index. décimale : PER Périodiques Résumé : The aims of the present study were to investigate the prevalence of LBP among institutional caregivers of people with intellectual, autistic or associated multiple disabilities and to examine the risk factors for LBP among this population. A cross-sectional, purposive sampling method was used to recruit into the study 1073 staff who were working in 15 disability welfare institutions. The survey materials included an introduction letter, an informed consent, and a structured questionnaire that queried the participant's demographic and working characteristics, healthy lifestyle, and previous and current LBP experiences. The present study results showed that 63.2% of the participants reported that they had LBP in the previous year. Many factors of the participants’ demographic characteristics (gender, BMI, and marital status), working conditions (years of working experience, weekly work days, labor-oriented work, and direct care staff), and health status (exercise habit, perceived health status, previous and more recent medication experience of musculoskeletal discomfort) associated with LBP occurrence were analyzed in univariate Chi-square analyses. Finally, multiple logistic regression analyses revealed that the factors of female gender (OR = 1.534, p = 0.039), being married (OR = 1.469, p = 0.027), being direct care staff (OR = 1.844, p = 0.025), having fair health status (OR = 1.518, p = 0.012), or previous (OR = 1.996, p 0.001) and more recent (OR = 2.744, p 0.001) medication experience of musculoskeletal discomfort were found to be more likely to have LBP than their counterparts. This study highlights that we should pay much closer attention to LBP risk factors and to plan necessary initiatives to avoid the progression of LBP in the workplace. En ligne : http://dx.doi.org/10.1016/j.rasd.2014.01.013 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=229

Self-reported awareness and coping behaviors of low back pain among institutional caregivers for people with intellectual, autistic and associated multiple disabilities / Shang-Wei HSU in Research in Autism Spectrum Disorders, 10 (February 2015)  

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Ten-year trend analysis of autism severity: A nationwide population-based register study / Jin-Ding LIN in Research in Autism Spectrum Disorders, 5-1 (January-March 2011)  

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The interference of low back pain on everyday functions of life in care workers for persons with intellectual, autistic, and associated multiple disabilities: The Brief Pain Inventory short form (BPI-SF) survey / Jin-Ding LIN in Research in Autism Spectrum Disorders, 8-6 (June 2014)  

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The Roland–Morris disability scale for the assessment of non-specific low back pain outcomes among disability sector workers / Jin-Ding LIN in Research in Autism Spectrum Disorders, 8-12 (December 2014)  

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The study of geographic differences in the prevalence of disability among Taiwanese population / Jin-Ding LIN in Research in Autism Spectrum Disorders, 6-1 (January-March 2012)  

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