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ERIC Number: EJ1221753
Record Type: Journal
Publication Date: 2019-Aug
Pages: 12
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1362-3613
EISSN: N/A
Healthcare Access and Services Use among US Children with Autism Spectrum Disorder
Lindly, Olivia J.; Zuckerman, Katharine E.; Kuhlthau, Karen A.
Autism: The International Journal of Research and Practice, v23 n6 p1419-1430 Aug 2019
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) [greater than or equal to]4 office visits, (2) [greater than or equal to]1 well-child visit, (3) flu vaccine, (4) prescription medication, and (5) [greater than or equal to]1 emergency department visit. Multivariable regression models estimated associations of [greater than or equal to]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 [greater than or equal to]1 healthcare access problem. Having [greater than or equal to]1 healthcare access problem was associated with lower adjusted odds of [greater than or equal to]1 well-child visit or prescription medication use but higher adjusted odds of [greater than or equal to]4 office visits or [greater than or equal to]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.
SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: Agency for Healthcare Research and Quality (AHRQ) (DHHS/PHS); National Center for Advancing Translational Sciences (NCATS) (DHHS/NIH)
Authoring Institution: N/A
Identifiers - Assessments and Surveys: National Health Interview Survey
Grant or Contract Numbers: T32HS000063; UL1TR001102