[article] 
inAutism > 25-8 (November 2021) . - p.2199-2208

Titre :	Unmet health care needs and health care quality in youth with autism spectrum disorder with and without intellectual disability
Type de document :	Texte imprimé et/ou numérique
Auteurs :	M. MENEZES, Auteur ; M. F. ROBINSON, Auteur ; C. HARKINS, Auteur ; E. SADIKOVA, Auteur ; M. O. MAZUREK, Auteur
Article en page(s) :	p.2199-2208
Langues :	Anglais (eng)
Mots-clés :	Adolescent  Autism Spectrum Disorder/complications/epidemiology/therapy  Autistic Disorder  Child  Comorbidity  Delivery of Health Care  Humans  Intellectual Disability/epidemiology/therapy  adolescents  autism spectrum disorders  health services  school-age children
Index. décimale :	PER Périodiques
Résumé :	The increase in the prevalence of autism spectrum disorder has placed greater demands on the health care system. Children and adolescents with autism spectrum disorder often experience challenges accessing high-quality physical and mental health care due to characteristic social-communication deficits and behavioral difficulties, as well as high rates of complex medical and psychiatric comorbidities. Intellectual disability commonly co-occurs with autism spectrum disorder and individuals affected by this co-occurrence may have additional impairments that compound challenges accessing health care. This study investigated the relations among co-occurring intellectual disability, unmet physical and mental health care needs, and health care quality in a large, nationally distributed sample of youth with autism spectrum disorder using structural equation modeling techniques. Co-occurring intellectual disability was significantly associated with unmet mental health care needs in children with autism. In addition, unmet mental health care needs mediated the relationship between co-occurring intellectual disability and health care quality; youth with autism spectrum disorder and co-occurring intellectual disability who had a past-year unmet mental health need had significantly poorer caregiver-reported health care quality. These findings suggest that youth with autism spectrum disorder and co-occurring intellectual disability may be more likely to experience unmet mental health care needs and receive poorer quality of care than the broader autism spectrum disorder population.
En ligne :	http://dx.doi.org/10.1177/13623613211014721
Permalink :	https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=451

[article] Unmet health care needs and health care quality in youth with autism spectrum disorder with and without intellectual disability [Texte imprimé et/ou numérique] / M. MENEZES, Auteur ; M. F. ROBINSON, Auteur ; C. HARKINS, Auteur ; E. SADIKOVA, Auteur ; M. O. MAZUREK, Auteur . - p.2199-2208.
Langues : Anglais (eng)
in Autism > 25-8 (November 2021) . - p.2199-2208

Mots-clés :	Adolescent  Autism Spectrum Disorder/complications/epidemiology/therapy  Autistic Disorder  Child  Comorbidity  Delivery of Health Care  Humans  Intellectual Disability/epidemiology/therapy  adolescents  autism spectrum disorders  health services  school-age children
Index. décimale :	PER Périodiques
Résumé :	The increase in the prevalence of autism spectrum disorder has placed greater demands on the health care system. Children and adolescents with autism spectrum disorder often experience challenges accessing high-quality physical and mental health care due to characteristic social-communication deficits and behavioral difficulties, as well as high rates of complex medical and psychiatric comorbidities. Intellectual disability commonly co-occurs with autism spectrum disorder and individuals affected by this co-occurrence may have additional impairments that compound challenges accessing health care. This study investigated the relations among co-occurring intellectual disability, unmet physical and mental health care needs, and health care quality in a large, nationally distributed sample of youth with autism spectrum disorder using structural equation modeling techniques. Co-occurring intellectual disability was significantly associated with unmet mental health care needs in children with autism. In addition, unmet mental health care needs mediated the relationship between co-occurring intellectual disability and health care quality; youth with autism spectrum disorder and co-occurring intellectual disability who had a past-year unmet mental health need had significantly poorer caregiver-reported health care quality. These findings suggest that youth with autism spectrum disorder and co-occurring intellectual disability may be more likely to experience unmet mental health care needs and receive poorer quality of care than the broader autism spectrum disorder population.
En ligne :	http://dx.doi.org/10.1177/13623613211014721
Permalink :	https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=451