[article]
| Titre : |
Healthcare access and services use among US children with autism spectrum disorder |
| Type de document : |
Texte imprimé et/ou numérique |
| Auteurs : |
O. J. LINDLY, Auteur ; Katharine E. ZUCKERMAN, Auteur ; Karen A. KUHLTHAU, Auteur |
| Article en page(s) : |
p.1419-1430 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
autism spectrum disorder emergency medical services ethnicity health services accessibility healthcare disparities preventive health services race socioeconomic status |
| Index. décimale : |
PER Périodiques |
| Résumé : |
This study aimed to determine associations of healthcare access problems with services use among US children with autism spectrum disorder. We analyzed 2011-2014 National Health Interview Survey data on 651 children with autism spectrum disorder aged 2-17 years. There were three measures of healthcare access problems: (1) delays accessing healthcare, (2) difficulty affording healthcare, and (3) trouble finding a primary care provider. There were five service use measures: (1) 4 office visits, (2) 1 well-child visit, (3) flu vaccine, (4) prescription medication, and (5) 1 emergency department visit. Multivariable regression models estimated associations of 1 healthcare access problem with each service use variable and effect modification by socioeconomic status and race and ethnicity. Twenty-nine percent of children with autism spectrum disorder had 1 healthcare access problem. Having 1 healthcare access problem was associated with lower adjusted odds of 1 well-child visit or prescription medication use but higher adjusted odds of 4 office visits or 1 emergency department visit. No significant association was found for flu vaccine. Associations of healthcare access problems with emergency department use were most pronounced for higher socioeconomic status and White, non-Hispanic subgroups. Intervention, such as insurance expansion, is needed to improve healthcare access for children with autism spectrum disorder. |
| En ligne : |
http://dx.doi.org/10.1177/1362361318815237 |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=403 |
in Autism > 23-6 (August 2019) . - p.1419-1430
[article] Healthcare access and services use among US children with autism spectrum disorder [Texte imprimé et/ou numérique] / O. J. LINDLY, Auteur ; Katharine E. ZUCKERMAN, Auteur ; Karen A. KUHLTHAU, Auteur . - p.1419-1430. Langues : Anglais ( eng) in Autism > 23-6 (August 2019) . - p.1419-1430
| Mots-clés : |
autism spectrum disorder emergency medical services ethnicity health services accessibility healthcare disparities preventive health services race socioeconomic status |
| Index. décimale : |
PER Périodiques |
| Résumé : |
This study aimed to determine associations of healthcare access problems with services use among US children with autism spectrum disorder. We analyzed 2011-2014 National Health Interview Survey data on 651 children with autism spectrum disorder aged 2-17 years. There were three measures of healthcare access problems: (1) delays accessing healthcare, (2) difficulty affording healthcare, and (3) trouble finding a primary care provider. There were five service use measures: (1) 4 office visits, (2) 1 well-child visit, (3) flu vaccine, (4) prescription medication, and (5) 1 emergency department visit. Multivariable regression models estimated associations of 1 healthcare access problem with each service use variable and effect modification by socioeconomic status and race and ethnicity. Twenty-nine percent of children with autism spectrum disorder had 1 healthcare access problem. Having 1 healthcare access problem was associated with lower adjusted odds of 1 well-child visit or prescription medication use but higher adjusted odds of 4 office visits or 1 emergency department visit. No significant association was found for flu vaccine. Associations of healthcare access problems with emergency department use were most pronounced for higher socioeconomic status and White, non-Hispanic subgroups. Intervention, such as insurance expansion, is needed to improve healthcare access for children with autism spectrum disorder. |
| En ligne : |
http://dx.doi.org/10.1177/1362361318815237 |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=403 |
|
Healthcare access and services use among US children with autism spectrum disorder in Autism, 23-6 (August 2019)
