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

Not just at school: Inclusion of children with autism spectrum disorder in a weight management program in a community pediatric setting / Juan C. ESPINOZA in Autism, 25-3 (April 2021)  

Public ISBD [article]  inAutism > 25-3 (April 2021) . - p.642-655 Titre : Not just at school: Inclusion of children with autism spectrum disorder in a weight management program in a community pediatric setting Type de document : Texte imprimé et/ou numérique Auteurs : Juan C. ESPINOZA, Auteur ; Alexis DEAVENPORT-SAMAN, Auteur ; Olga SOLOMON, Auteur ; Sampreeti CHOWDHURI, Auteur ; Choo Phei WEE, Auteur ; Collen AZEN, Auteur ; Jazminne OROZCO, Auteur ; Cary KREUTZER, Auteur ; Larry YIN, Auteur Article en page(s) : p.642-655 Langues : Anglais (eng) Mots-clés : autism  intellectual disability  obesity interventions  pediatric obesity  underserved populations Index. décimale : PER Périodiques Résumé : LAY ABSTRACT: Children diagnosed with autism are likely to be more overweight than children who do not have autism. There are many group programs that help children to be more physically active and improve their eating habits to achieve healthy weight, but most of these programs do not allow children with autism to participate. We studied a program that was specially adapted so children with autism could participate together with peers who do not have autism. The program lasted 8 weeks and was offered in the evening at a large healthcare center in a big city. The children participated with a parent or another adult who takes care of them. We analyzed data that were part of a previous project where we studied how physical activity trackers called Fitbit help overweight children to change their eating and exercise habits so they can achieve healthier weight. Out of 158 families in the study, 15 families had a child or children with autism. We measured changes in the weight of children with and without autism and compared how many of the children completed the program. Children who had autism had similar results in achieving healthy weight and finishing the program compared to their peers without autism. Our study found that when a group weight management program is slightly changed to meet the needs of children with autism, they can successfully participate and benefit similarly to their peers who do not have autism. REGISTRATION: This trial was registered with ClinicalTrials.gov (NCT03215641). En ligne : http://dx.doi.org/10.1177/1362361321993710 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444 [article] Not just at school: Inclusion of children with autism spectrum disorder in a weight management program in a community pediatric setting [Texte imprimé et/ou numérique] / Juan C. ESPINOZA, Auteur ; Alexis DEAVENPORT-SAMAN, Auteur ; Olga SOLOMON, Auteur ; Sampreeti CHOWDHURI, Auteur ; Choo Phei WEE, Auteur ; Collen AZEN, Auteur ; Jazminne OROZCO, Auteur ; Cary KREUTZER, Auteur ; Larry YIN, Auteur . - p.642-655. Langues : Anglais (eng) in Autism > 25-3 (April 2021) . - p.642-655 Mots-clés : autism  intellectual disability  obesity interventions  pediatric obesity  underserved populations Index. décimale : PER Périodiques Résumé : LAY ABSTRACT: Children diagnosed with autism are likely to be more overweight than children who do not have autism. There are many group programs that help children to be more physically active and improve their eating habits to achieve healthy weight, but most of these programs do not allow children with autism to participate. We studied a program that was specially adapted so children with autism could participate together with peers who do not have autism. The program lasted 8 weeks and was offered in the evening at a large healthcare center in a big city. The children participated with a parent or another adult who takes care of them. We analyzed data that were part of a previous project where we studied how physical activity trackers called Fitbit help overweight children to change their eating and exercise habits so they can achieve healthier weight. Out of 158 families in the study, 15 families had a child or children with autism. We measured changes in the weight of children with and without autism and compared how many of the children completed the program. Children who had autism had similar results in achieving healthy weight and finishing the program compared to their peers without autism. Our study found that when a group weight management program is slightly changed to meet the needs of children with autism, they can successfully participate and benefit similarly to their peers who do not have autism. REGISTRATION: This trial was registered with ClinicalTrials.gov (NCT03215641). En ligne : http://dx.doi.org/10.1177/1362361321993710 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444

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

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