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Use of allied-health services and medication among adults with ASD in Latin America / A. TORRES in Autism Research, 14-10 (October 2021)
[article]
Titre : Use of allied-health services and medication among adults with ASD in Latin America Type de document : Texte imprimé et/ou numérique Auteurs : A. TORRES, Auteur ; D. LECUSAY, Auteur ; D. VALDEZ, Auteur ; A. ROSOLI, Auteur ; G. GARRIDO, Auteur ; S. CUKIER, Auteur ; C. S. PAULA, Auteur ; R. GARCIA, Auteur ; A. RATTAZZI, Auteur ; C. MONTIEL-NAVA, Auteur Article en page(s) : p.2200-2211 Langues : Anglais (eng) Mots-clés : Adult Autism Spectrum Disorder/drug therapy Autistic Disorder Caregivers Health Services Humans Latin America Hispanics allied health autism autism medication health disparities Index. décimale : PER Périodiques Résumé : ASD is a neurodevelopmental disorder that affects people across the entire lifespan, yet most of the research identifying the health and medical needs for autistic individuals have been among minors. As individuals with ASD transition to emerging adulthood, the services, already limited, become less available. This study aimed to identify the use of services for Latin American adults on the spectrum. We surveyed 295 caregivers of adults with ASD from six Latin American countries. Comparing the results for all the possible services observed in this study, the adults in our sample were primarily underserved: 84.4%-95.9% were receiving zero hours per week, 3.7%-12.9% 1%-10 h, 0%-1.7% 11-20, and only 0%-1% above 20?h of services. Almost half of the sample used medication, and neurologists were the most consulted health providers. Next to inexistent health care usage in Latin American adults with ASD highlights socioeconomic and health disparities in service provision for ASD in the region. The lack of services places adults with ASD in Latin America at a higher risk of worse symptom severity than autistic adults from regions with broader access to services. LAY SUMMARY: This study aimed to identify the quantity of services received by adults with autism in Latin America. Most of our sample was not receiving health services yet almost half had access to medication. This could mean that adults with autism in Latin America are at higher risk for poorer health. En ligne : http://dx.doi.org/10.1002/aur.2583 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450
in Autism Research > 14-10 (October 2021) . - p.2200-2211[article] Use of allied-health services and medication among adults with ASD in Latin America [Texte imprimé et/ou numérique] / A. TORRES, Auteur ; D. LECUSAY, Auteur ; D. VALDEZ, Auteur ; A. ROSOLI, Auteur ; G. GARRIDO, Auteur ; S. CUKIER, Auteur ; C. S. PAULA, Auteur ; R. GARCIA, Auteur ; A. RATTAZZI, Auteur ; C. MONTIEL-NAVA, Auteur . - p.2200-2211.
Langues : Anglais (eng)
in Autism Research > 14-10 (October 2021) . - p.2200-2211
Mots-clés : Adult Autism Spectrum Disorder/drug therapy Autistic Disorder Caregivers Health Services Humans Latin America Hispanics allied health autism autism medication health disparities Index. décimale : PER Périodiques Résumé : ASD is a neurodevelopmental disorder that affects people across the entire lifespan, yet most of the research identifying the health and medical needs for autistic individuals have been among minors. As individuals with ASD transition to emerging adulthood, the services, already limited, become less available. This study aimed to identify the use of services for Latin American adults on the spectrum. We surveyed 295 caregivers of adults with ASD from six Latin American countries. Comparing the results for all the possible services observed in this study, the adults in our sample were primarily underserved: 84.4%-95.9% were receiving zero hours per week, 3.7%-12.9% 1%-10 h, 0%-1.7% 11-20, and only 0%-1% above 20?h of services. Almost half of the sample used medication, and neurologists were the most consulted health providers. Next to inexistent health care usage in Latin American adults with ASD highlights socioeconomic and health disparities in service provision for ASD in the region. The lack of services places adults with ASD in Latin America at a higher risk of worse symptom severity than autistic adults from regions with broader access to services. LAY SUMMARY: This study aimed to identify the quantity of services received by adults with autism in Latin America. Most of our sample was not receiving health services yet almost half had access to medication. This could mean that adults with autism in Latin America are at higher risk for poorer health. En ligne : http://dx.doi.org/10.1002/aur.2583 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450 Age of autism diagnosis in Latin American and Caribbean countries / Maria C. MONTENEGRO ; Ana C. RAMIREZ ; Daniel VALDEZ ; Analia ROSOLI ; Ricardo GARCIA ; Gabriela GARRIDO ; Sebastián CUKIER ; Alexia RATTAZZI ; Cristiane Silvestre PAULA in Autism, 28-1 (January 2024)
[article]
Titre : Age of autism diagnosis in Latin American and Caribbean countries Type de document : Texte imprimé et/ou numérique Auteurs : Maria C. MONTENEGRO, Auteur ; Ana C. RAMIREZ, Auteur ; Daniel VALDEZ, Auteur ; Analia ROSOLI, Auteur ; Ricardo GARCIA, Auteur ; Gabriela GARRIDO, Auteur ; Sebastián CUKIER, Auteur ; Alexia RATTAZZI, Auteur ; Cristiane Silvestre PAULA, Auteur Article en page(s) : p.58?72 Mots-clés : age of diagnosis autism spectrum disorders caregivers first observed concerns Latin America risk factors Index. décimale : PER Périodiques Résumé : An earlier diagnosis of autism spectrum disorder might lead to an earlier intervention, yet knowledge and awareness of autism spectrum disorder in Latin America and Caribbean Countries are limited. A later autism spectrum disorder diagnosis has been associated with negative consequences, as it might imply later access to services. This study aims to identify factors associated with the age of autism spectrum disorder diagnosis as reported by 2520 caregivers of autistic children from six Latin America and Caribbean Countries. Results indicate that on average, caregivers were concerned about their child?s development by 22?months of age; however, the diagnosis was 24?months later. Current age of autistic individuals, better language abilities, and having public health coverage increased the age of diagnosis. On the contrary, the presence of medical comorbidities, severity level, and type of diagnosis decreased the age of diagnosis. The age of diagnosis of autistic individuals in Latin America and Caribbean Countries corresponded to the start of formal schooling despite a much earlier age of first noticed developmental concern, highlighting the need to reduce this age gap and increase children?s probability of benefiting from early intervention. Taken together, autism spectrum disorder personal/clinical characteristics and access to health service are the main determinants for the age of diagnosis. Lay abstract An earlier diagnosis of autism spectrum disorder might lead to earlier intervention. However, people living in Latin American and Caribbean countries do not have much knowledge about autism spectrum disorder symptoms. It has been suggested that the older a child is when diagnosed, the fewer opportunities he or she will have to receive services. We asked 2520 caregivers of autistic children in six different Latin America and Caribbean Countries, the child?s age when they noticed some developmental delays and their child?s age when they received their first autism spectrum disorder diagnosis. Results indicate that, on average, caregivers were concerned about their child?s development by 22?months of age; however, the diagnosis was received when the child was 46?months of age. In addition, older children with better language abilities and public health coverage (opposed to private health coverage) were diagnosed later. On the contrary, children with other medical problems and more severe behaviors received an earlier diagnosis. In our study, children were diagnosed around the time they entered formal schooling, delaying the access to early intervention programs. In summary, the characteristics of the autistic person and the type of health coverage influence the age of diagnosis in children living in Latin America and Caribbean Countries. En ligne : https://dx.doi.org/10.1177/13623613221147345 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=519
in Autism > 28-1 (January 2024) . - p.58?72[article] Age of autism diagnosis in Latin American and Caribbean countries [Texte imprimé et/ou numérique] / Maria C. MONTENEGRO, Auteur ; Ana C. RAMIREZ, Auteur ; Daniel VALDEZ, Auteur ; Analia ROSOLI, Auteur ; Ricardo GARCIA, Auteur ; Gabriela GARRIDO, Auteur ; Sebastián CUKIER, Auteur ; Alexia RATTAZZI, Auteur ; Cristiane Silvestre PAULA, Auteur . - p.58?72.
in Autism > 28-1 (January 2024) . - p.58?72
Mots-clés : age of diagnosis autism spectrum disorders caregivers first observed concerns Latin America risk factors Index. décimale : PER Périodiques Résumé : An earlier diagnosis of autism spectrum disorder might lead to an earlier intervention, yet knowledge and awareness of autism spectrum disorder in Latin America and Caribbean Countries are limited. A later autism spectrum disorder diagnosis has been associated with negative consequences, as it might imply later access to services. This study aims to identify factors associated with the age of autism spectrum disorder diagnosis as reported by 2520 caregivers of autistic children from six Latin America and Caribbean Countries. Results indicate that on average, caregivers were concerned about their child?s development by 22?months of age; however, the diagnosis was 24?months later. Current age of autistic individuals, better language abilities, and having public health coverage increased the age of diagnosis. On the contrary, the presence of medical comorbidities, severity level, and type of diagnosis decreased the age of diagnosis. The age of diagnosis of autistic individuals in Latin America and Caribbean Countries corresponded to the start of formal schooling despite a much earlier age of first noticed developmental concern, highlighting the need to reduce this age gap and increase children?s probability of benefiting from early intervention. Taken together, autism spectrum disorder personal/clinical characteristics and access to health service are the main determinants for the age of diagnosis. Lay abstract An earlier diagnosis of autism spectrum disorder might lead to earlier intervention. However, people living in Latin American and Caribbean countries do not have much knowledge about autism spectrum disorder symptoms. It has been suggested that the older a child is when diagnosed, the fewer opportunities he or she will have to receive services. We asked 2520 caregivers of autistic children in six different Latin America and Caribbean Countries, the child?s age when they noticed some developmental delays and their child?s age when they received their first autism spectrum disorder diagnosis. Results indicate that, on average, caregivers were concerned about their child?s development by 22?months of age; however, the diagnosis was received when the child was 46?months of age. In addition, older children with better language abilities and public health coverage (opposed to private health coverage) were diagnosed later. On the contrary, children with other medical problems and more severe behaviors received an earlier diagnosis. In our study, children were diagnosed around the time they entered formal schooling, delaying the access to early intervention programs. In summary, the characteristics of the autistic person and the type of health coverage influence the age of diagnosis in children living in Latin America and Caribbean Countries. En ligne : https://dx.doi.org/10.1177/13623613221147345 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=519 Prevalence of child and adolescent mental disorders in Chile: a community epidemiological study / Benjamín VICENTE in Journal of Child Psychology and Psychiatry, 53-10 (October 2012)
[article]
Titre : Prevalence of child and adolescent mental disorders in Chile: a community epidemiological study Type de document : Texte imprimé et/ou numérique Auteurs : Benjamín VICENTE, Auteur ; Sandra SALDIVIA, Auteur ; Flora DE LA BARRA, Auteur ; Robert KOHN, Auteur ; Ronaldo PIHAN, Auteur ; Mario VALDIVIA, Auteur ; Pedro RIOSECO, Auteur ; Roberto MELIPILLAN, Auteur Année de publication : 2012 Article en page(s) : p.1026-35 Langues : Anglais (eng) Mots-clés : Children adolescent epidemiology mental disorders prevalence Latin America Index. décimale : PER Périodiques Résumé : Background: In Latin America, there is limited research on the prevalence of mental disorders in children and adolescents. This Chilean survey is the first national representative survey in the Latin American region to examine the prevalence of Diagnostic and Statistical Manual-IV (DSM-IV) psychiatric disorders in the region in children and adolescents. Methods: Subjects aged 4–18 were selected using a stratified multistage design. The Diagnostic Interview Schedule for Children version IV (DISC-IV) was used to obtain 12-month DSM-IV diagnoses of affective, anxiety, conduct and substance use disorders, and supplemented with questionnaires examining family risk factors, family income, and service utilization. The parent or the primary caretaker was interviewed for children, aged 4–11, using the DISC-IV; however, adolescents, aged 12–18, were directly interviewed. Results: A sample of 1558 children and adolescents was evaluated. Using the most stringent DISC-IV impairment algorithm, the prevalence rate for any psychiatric disorders was 22.5% (19.3% for boys and 25.8% for girls). The prevalence rate was higher among the children, aged 4–11, in comparison with adolescents, aged 12–18 (27.8% and 16.5%, respectively). Less than half of the subjects in need of services sought some form of assistance. Nearly a quarter of those using services did not present with a psychiatric diagnosis in the past year. Comorbidity was found in 24.8% of those with a disorder, but only 6.3% had three or more diagnoses. Conclusions: The prevalence of psychiatric disorders in Chile is high among children and adolescents. This study highlights the increasing need to reevaluate mental health services provided to children and adolescents in Latin America. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02566.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=181
in Journal of Child Psychology and Psychiatry > 53-10 (October 2012) . - p.1026-35[article] Prevalence of child and adolescent mental disorders in Chile: a community epidemiological study [Texte imprimé et/ou numérique] / Benjamín VICENTE, Auteur ; Sandra SALDIVIA, Auteur ; Flora DE LA BARRA, Auteur ; Robert KOHN, Auteur ; Ronaldo PIHAN, Auteur ; Mario VALDIVIA, Auteur ; Pedro RIOSECO, Auteur ; Roberto MELIPILLAN, Auteur . - 2012 . - p.1026-35.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 53-10 (October 2012) . - p.1026-35
Mots-clés : Children adolescent epidemiology mental disorders prevalence Latin America Index. décimale : PER Périodiques Résumé : Background: In Latin America, there is limited research on the prevalence of mental disorders in children and adolescents. This Chilean survey is the first national representative survey in the Latin American region to examine the prevalence of Diagnostic and Statistical Manual-IV (DSM-IV) psychiatric disorders in the region in children and adolescents. Methods: Subjects aged 4–18 were selected using a stratified multistage design. The Diagnostic Interview Schedule for Children version IV (DISC-IV) was used to obtain 12-month DSM-IV diagnoses of affective, anxiety, conduct and substance use disorders, and supplemented with questionnaires examining family risk factors, family income, and service utilization. The parent or the primary caretaker was interviewed for children, aged 4–11, using the DISC-IV; however, adolescents, aged 12–18, were directly interviewed. Results: A sample of 1558 children and adolescents was evaluated. Using the most stringent DISC-IV impairment algorithm, the prevalence rate for any psychiatric disorders was 22.5% (19.3% for boys and 25.8% for girls). The prevalence rate was higher among the children, aged 4–11, in comparison with adolescents, aged 12–18 (27.8% and 16.5%, respectively). Less than half of the subjects in need of services sought some form of assistance. Nearly a quarter of those using services did not present with a psychiatric diagnosis in the past year. Comorbidity was found in 24.8% of those with a disorder, but only 6.3% had three or more diagnoses. Conclusions: The prevalence of psychiatric disorders in Chile is high among children and adolescents. This study highlights the increasing need to reevaluate mental health services provided to children and adolescents in Latin America. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02566.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=181