Effects of sex, race, and ethnicity on primary and subspecialty healthcare use by autistic children in Florida: A longitudinal retrospective cohort study (2012?2018) / Amber M. ANGELL in Research in Autism Spectrum Disorders, 94 (June 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 94 (June 2022) . - 101951 Titre : Effects of sex, race, and ethnicity on primary and subspecialty healthcare use by autistic children in Florida: A longitudinal retrospective cohort study (2012?2018) Type de document : Texte imprimé et/ou numérique Auteurs : Amber M. ANGELL, Auteur ; Deepthi S. VARMA, Auteur ; Alexis DEAVENPORT-SAMAN, Auteur ; Larry YIN, Auteur ; Olga SOLOMON, Auteur ; Chen BAI, Auteur ; Baiming ZOU, Auteur Article en page(s) : 101951 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders  Sex/gender  Healthcare utilization Index. décimale : PER Périodiques Résumé : Background Autistic children and youth have high rates of co-occurring conditions,but little is known about how autism subgroups (girls, non-White children) access healthcare to treat them. The purpose of this longitudinal retrospective cohort study was to investigate differences by sex, race, and ethnicity in non-acute (primary and subspecialty) healthcare use by autistic children and youth. Method We used the OneFlorida Data Trust to measure healthcare use for 82,566 autistic children ages 1?21 (2012?2018). We investigated (1) the odds of using any healthcare and (2) annual healthcare usage rates. We adopted a logistic regression and multiple linear regression for each of the dependent variables (total non-acute, primary care, gastroenterology (GI), developmental-behavioral pediatrics (DBP), psychiatry/psychology, neurology, and total subspecialty visits), adjusting for potential confounders (sex, race, ethnicity, age at visit, insurance type, urbanicity, and co-occurring conditions). Results Autistic boys had significantly higher odds of any neurology and psychiatry/psychology visits, but lower annual rates of primary care, GI, and neurology visits. Black/African American autistic children had significantly higher odds of any primary care, DBP, and neurology visits, but lower odds of any GI visits, and lower annual rates of primary care, GI, DBP, and neurology visits. Hispanic/Latinx autistic children had significantly higher odds of any primary care, DBP, and neurology visits, but lower odds of psychiatry/psychology visits; and higher annual rates of neurology visits, but lower annual rates of GI, DBP, and psychiatry/psychology visits. Conclusions We found significant differences by sex, race, and ethnicity in non-acute healthcare use by autistic children. En ligne : https://doi.org/10.1016/j.rasd.2022.101951 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476 [article] Effects of sex, race, and ethnicity on primary and subspecialty healthcare use by autistic children in Florida: A longitudinal retrospective cohort study (2012?2018) [Texte imprimé et/ou numérique] / Amber M. ANGELL, Auteur ; Deepthi S. VARMA, Auteur ; Alexis DEAVENPORT-SAMAN, Auteur ; Larry YIN, Auteur ; Olga SOLOMON, Auteur ; Chen BAI, Auteur ; Baiming ZOU, Auteur . - 101951. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 94 (June 2022) . - 101951 Mots-clés : Autism spectrum disorders  Sex/gender  Healthcare utilization Index. décimale : PER Périodiques Résumé : Background Autistic children and youth have high rates of co-occurring conditions,but little is known about how autism subgroups (girls, non-White children) access healthcare to treat them. The purpose of this longitudinal retrospective cohort study was to investigate differences by sex, race, and ethnicity in non-acute (primary and subspecialty) healthcare use by autistic children and youth. Method We used the OneFlorida Data Trust to measure healthcare use for 82,566 autistic children ages 1?21 (2012?2018). We investigated (1) the odds of using any healthcare and (2) annual healthcare usage rates. We adopted a logistic regression and multiple linear regression for each of the dependent variables (total non-acute, primary care, gastroenterology (GI), developmental-behavioral pediatrics (DBP), psychiatry/psychology, neurology, and total subspecialty visits), adjusting for potential confounders (sex, race, ethnicity, age at visit, insurance type, urbanicity, and co-occurring conditions). Results Autistic boys had significantly higher odds of any neurology and psychiatry/psychology visits, but lower annual rates of primary care, GI, and neurology visits. Black/African American autistic children had significantly higher odds of any primary care, DBP, and neurology visits, but lower odds of any GI visits, and lower annual rates of primary care, GI, DBP, and neurology visits. Hispanic/Latinx autistic children had significantly higher odds of any primary care, DBP, and neurology visits, but lower odds of psychiatry/psychology visits; and higher annual rates of neurology visits, but lower annual rates of GI, DBP, and psychiatry/psychology visits. Conclusions We found significant differences by sex, race, and ethnicity in non-acute healthcare use by autistic children. En ligne : https://doi.org/10.1016/j.rasd.2022.101951 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476

Prevalence of physical and mental health conditions in Medicare-enrolled, autistic older adults / Brittany N. HAND in Autism, 24-3 (April 2020)  

Public ISBD [article]  inAutism > 24-3 (April 2020) . - p.755-764 Titre : Prevalence of physical and mental health conditions in Medicare-enrolled, autistic older adults Type de document : Texte imprimé et/ou numérique Auteurs : Brittany N. HAND, Auteur ; Amber M. ANGELL, Auteur ; Lauren HARRIS, Auteur ; Laura A. CARPENTER, Auteur Article en page(s) : p.755-764 Langues : Anglais (eng) Mots-clés : adults  autism spectrum disorders  health services  medical comorbidity  psychiatric comorbidity Index. décimale : PER Périodiques Résumé : While there is emerging evidence on the prevalence of physical and mental health conditions among autistic adults, less is known about this population's needs during older adulthood (aged 65+). We conducted a cross-sectional retrospective cohort study of 2016-2017 Medicare data to compare the prevalence of physical and mental health conditions in a national sample of autistic older adults (N = 4685) to a matched population comparison (N = 46,850) cohort. Autistic older adults had significantly greater odds of nearly all physical health conditions including epilepsy (odds ratio = 18.9; 95% confidence interval = 17.2-20.7), Parkinson's disease (odds ratio = 6.1; 95% confidence interval = 5.3-7.0), and gastrointestinal conditions (odds ratio = 5.2; 95% confidence interval = 4.9-5.5). Most mental health conditions were more common among autistic older adults, including schizophrenia and psychotic disorders (odds ratio = 25.3; 95% confidence interval = 22.4-28.7), attention deficit disorders (odds ratio = 24.4; 95% confidence interval = 16.2-31.0), personality disorders (odds ratio = 24.1; 95% confidence interval = 17.8-32.5), and suicidality or self-inflicted injury (odds ratio = 11.1; 95% confidence interval = 8.9-13.8). Health conditions commonly associated with advanced age in the general population (e.g. osteoporosis, cognitive disorders, heart disease, cancer, cerebrovascular disease, osteoarthritis) were also significantly more common among autistic older adults. By highlighting the significant physical and mental health needs for which autistic older adults require care, our findings can inform healthcare systems, healthcare providers, and public health initiatives seeking to promote well-being in this growing population. En ligne : http://dx.doi.org/10.1177/1362361319890793 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=422 [article] Prevalence of physical and mental health conditions in Medicare-enrolled, autistic older adults [Texte imprimé et/ou numérique] / Brittany N. HAND, Auteur ; Amber M. ANGELL, Auteur ; Lauren HARRIS, Auteur ; Laura A. CARPENTER, Auteur . - p.755-764. Langues : Anglais (eng) in Autism > 24-3 (April 2020) . - p.755-764 Mots-clés : adults  autism spectrum disorders  health services  medical comorbidity  psychiatric comorbidity Index. décimale : PER Périodiques Résumé : While there is emerging evidence on the prevalence of physical and mental health conditions among autistic adults, less is known about this population's needs during older adulthood (aged 65+). We conducted a cross-sectional retrospective cohort study of 2016-2017 Medicare data to compare the prevalence of physical and mental health conditions in a national sample of autistic older adults (N = 4685) to a matched population comparison (N = 46,850) cohort. Autistic older adults had significantly greater odds of nearly all physical health conditions including epilepsy (odds ratio = 18.9; 95% confidence interval = 17.2-20.7), Parkinson's disease (odds ratio = 6.1; 95% confidence interval = 5.3-7.0), and gastrointestinal conditions (odds ratio = 5.2; 95% confidence interval = 4.9-5.5). Most mental health conditions were more common among autistic older adults, including schizophrenia and psychotic disorders (odds ratio = 25.3; 95% confidence interval = 22.4-28.7), attention deficit disorders (odds ratio = 24.4; 95% confidence interval = 16.2-31.0), personality disorders (odds ratio = 24.1; 95% confidence interval = 17.8-32.5), and suicidality or self-inflicted injury (odds ratio = 11.1; 95% confidence interval = 8.9-13.8). Health conditions commonly associated with advanced age in the general population (e.g. osteoporosis, cognitive disorders, heart disease, cancer, cerebrovascular disease, osteoarthritis) were also significantly more common among autistic older adults. By highlighting the significant physical and mental health needs for which autistic older adults require care, our findings can inform healthcare systems, healthcare providers, and public health initiatives seeking to promote well-being in this growing population. En ligne : http://dx.doi.org/10.1177/1362361319890793 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=422

Sex Differences in Co-occurring Conditions Among Autistic Children and Youth in Florida: A Retrospective Cohort Study (2012-2019) / Amber M. ANGELL in Journal of Autism and Developmental Disorders, 51-10 (October 2021)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 51-10 (October 2021) . - p.3759-3765 Titre : Sex Differences in Co-occurring Conditions Among Autistic Children and Youth in Florida: A Retrospective Cohort Study (2012-2019) Type de document : Texte imprimé et/ou numérique Auteurs : Amber M. ANGELL, Auteur ; Alexis DEAVENPORT-SAMAN, Auteur ; L. YIN, Auteur ; B. ZOU, Auteur ; C. BAI, Auteur ; D. VARMA, Auteur ; O. SOLOMON, Auteur Article en page(s) : p.3759-3765 Langues : Anglais (eng) Mots-clés : Adolescent  Adult  Autism Spectrum Disorder/epidemiology  Autistic Disorder/epidemiology  Child  Child, Preschool  Female  Florida/epidemiology  Humans  Infant  Male  Retrospective Studies  Sex Characteristics  Sex Factors  Young Adult  Autism spectrum disorder  Co-occurring condition  Gender  Girls  Healthcare claims  Sex Index. décimale : PER Périodiques Résumé : Autistic children have a high prevalence of co-occurring mental health, developmental/behavioral, and medical conditions, but research on sex/gender differences has been mixed. We used Florida healthcare claims data to characterize sex differences (female/male) in co-occurring conditions among autistic children ages 1-21 (N?=?83,500). After adjusting for age, race, ethnicity, urbanicity, and insurance, autistic girls had significantly higher odds of anxiety disorders, mood disorders, intellectual disability, developmental disorders, epilepsy, metabolic disorders, gastrointestinal disorders, and sleep disorders compared to autistic boys. Autistic girls had significantly lower odds of ADHD. The findings contribute to the growing body of research on the unique healthcare needs of autistic girls. En ligne : http://dx.doi.org/10.1007/s10803-020-04841-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453 [article] Sex Differences in Co-occurring Conditions Among Autistic Children and Youth in Florida: A Retrospective Cohort Study (2012-2019) [Texte imprimé et/ou numérique] / Amber M. ANGELL, Auteur ; Alexis DEAVENPORT-SAMAN, Auteur ; L. YIN, Auteur ; B. ZOU, Auteur ; C. BAI, Auteur ; D. VARMA, Auteur ; O. SOLOMON, Auteur . - p.3759-3765. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 51-10 (October 2021) . - p.3759-3765 Mots-clés : Adolescent  Adult  Autism Spectrum Disorder/epidemiology  Autistic Disorder/epidemiology  Child  Child, Preschool  Female  Florida/epidemiology  Humans  Infant  Male  Retrospective Studies  Sex Characteristics  Sex Factors  Young Adult  Autism spectrum disorder  Co-occurring condition  Gender  Girls  Healthcare claims  Sex Index. décimale : PER Périodiques Résumé : Autistic children have a high prevalence of co-occurring mental health, developmental/behavioral, and medical conditions, but research on sex/gender differences has been mixed. We used Florida healthcare claims data to characterize sex differences (female/male) in co-occurring conditions among autistic children ages 1-21 (N?=?83,500). After adjusting for age, race, ethnicity, urbanicity, and insurance, autistic girls had significantly higher odds of anxiety disorders, mood disorders, intellectual disability, developmental disorders, epilepsy, metabolic disorders, gastrointestinal disorders, and sleep disorders compared to autistic boys. Autistic girls had significantly lower odds of ADHD. The findings contribute to the growing body of research on the unique healthcare needs of autistic girls. En ligne : http://dx.doi.org/10.1007/s10803-020-04841-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453

Understanding parents' concerns about their children with autism taking public school transportation in Los Angeles County / Amber M. ANGELL in Autism, 22-4 (May 2018)  

Public ISBD [article]  inAutism > 22-4 (May 2018) . - p.401-413 Titre : Understanding parents' concerns about their children with autism taking public school transportation in Los Angeles County Type de document : Texte imprimé et/ou numérique Auteurs : Amber M. ANGELL, Auteur ; O. SOLOMON, Auteur Article en page(s) : p.401-413 Langues : Anglais (eng) Mots-clés : autism spectrum disorders  bus  participation  school transportation Index. décimale : PER Périodiques Résumé : There are a number of recent US news media reports of children and youth with autism becoming lost, injured, or even dying while taking public school transportation, yet research on this problem is scarce. This ethnographic study examines the experiences of 14 parents whose children with autism take public school transportation in Los Angeles County. We present two case studies of children with autism being "lost" while in transit from school to home on the bus to (1) describe how the situation was experienced, responded to, and managed by the parents; (2) consider three interrelated themes that emerged from interviews with 14 parents, related to children's safety, independence, and participation, across multiple contexts and analytic levels; and (3) discuss the findings in relation to US news media reports of incidents involving children with autism on school buses to identify specific weaknesses in school transportation infrastructure, particularly in the context of privatization, that create conditions in which children with autism can "fall through the cracks" in potentially life-threatening ways. We argue that there is a critical need to address transportation accessibility for individuals on the autism spectrum to ensure their safety and support their independence and community participation. En ligne : http://dx.doi.org/10.1177/1362361316680182 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=361 [article] Understanding parents' concerns about their children with autism taking public school transportation in Los Angeles County [Texte imprimé et/ou numérique] / Amber M. ANGELL, Auteur ; O. SOLOMON, Auteur . - p.401-413. Langues : Anglais (eng) in Autism > 22-4 (May 2018) . - p.401-413 Mots-clés : autism spectrum disorders  bus  participation  school transportation Index. décimale : PER Périodiques Résumé : There are a number of recent US news media reports of children and youth with autism becoming lost, injured, or even dying while taking public school transportation, yet research on this problem is scarce. This ethnographic study examines the experiences of 14 parents whose children with autism take public school transportation in Los Angeles County. We present two case studies of children with autism being "lost" while in transit from school to home on the bus to (1) describe how the situation was experienced, responded to, and managed by the parents; (2) consider three interrelated themes that emerged from interviews with 14 parents, related to children's safety, independence, and participation, across multiple contexts and analytic levels; and (3) discuss the findings in relation to US news media reports of incidents involving children with autism on school buses to identify specific weaknesses in school transportation infrastructure, particularly in the context of privatization, that create conditions in which children with autism can "fall through the cracks" in potentially life-threatening ways. We argue that there is a critical need to address transportation accessibility for individuals on the autism spectrum to ensure their safety and support their independence and community participation. En ligne : http://dx.doi.org/10.1177/1362361316680182 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=361

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