Disparity of Care for Children With Parent-Reported Autism Spectrum Disorders.
OBJECTIVE: Although children with autism spectrum disorders (ASDs) are eligible to receive special education services via an individualized education program (IEP), approximately 12% to 20% do not. Our objective was to determine which clinical and demographic characteristics are associated with IEP...
| Publicado en: | Academic Pediatrics Vol. 13; no. 4; pp. 334 - 340 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Jul/Aug2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107959743&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107959743 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: Jul/Aug2013 vid: 13 iid: 4 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 107959743 89359329 89359329 10.1016/j.acap.2013.03.010 107959743 ppf: 334 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Disparity of Care for Children With Parent-Reported Autism Spectrum Disorders. aug: au: Harstad, Elizabeth Huntington, Noelle Bacic, Janine Barbaresi, William affil: Division of Developmental Medicine, Boston Children's Hospital; Department of Pediatrics, Harvard Medical School sug: subj: Autism Spectrum Disorder Therapy Human Child Surveys Adolescence Logistic Regression Odds Ratio Multivariate Analysis Data Analysis Software Male Female Descriptive Statistics United States Academic Medical Centers Child: 6-12 years Adolescent: 13-18 years Male Female ab: OBJECTIVE: Although children with autism spectrum disorders (ASDs) are eligible to receive special education services via an individualized education program (IEP), approximately 12% to 20% do not. Our objective was to determine which clinical and demographic characteristics are associated with IEP receipt among a nationally representative sample of children with ASD. METHODS: Using data from the 2007 National Survey of Children's Health, we determined which clinical and demographic covariates are associated with IEP receipt for children ages 6 to 17 years with a current, parent-reported ASD diagnosis (n = 759). Logistic regression models were used to assess the association of covariates with IEP receipt. Application of weighting techniques made the findings representative of the noninstitutionalized population of US children 6 to 17 years old. RESULTS: In the weighted model, 90% of children with ASD receive an IEP. Maternal education level above high school (adjusted odds ratio [aOR] 4.08, P = .01) and presence of perceived need for coordination of care (aOR 3.62, P = .02) were associated with IEP receipt, while Hispanic children were less likely to receive an IEP compared with white children (aOR 0.12, P = .001). The following factors were not associated with IEP receipt: severity of ASD, speech, and behavior problems. CONCLUSIONS: For children with ASD in the United States, socioeconomic factors, not disability severity, are associated with IEP receipt. Future research should address methods to overcome this disparity in care. Health care providers may help to advocate for appropriate educational services for patients with ASD. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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