Racial Disparities in Developmental Delay Diagnosis and Services Received in Early Childhood.
Racial disparities in diagnosis and receipt of services for early childhood developmental delay (DD) are well known but studies have had difficulties distinguishing contributing patient, healthcare system, and physician factors from underlying prevalence. We examine rates of physician diagnoses of D...
| Publicado en: | Academic Pediatrics Vol. 21; no. 7; pp. 1230 - 1239 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Sep2021
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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=152161724&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152161724 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: Sep2021 vid: 21 iid: 7 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 152161724 152161724 152161724 10.1016/j.acap.2021.05.008 152161724 ppf: 1230 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Racial Disparities in Developmental Delay Diagnosis and Services Received in Early Childhood. aug: au: Gallegos, Abraham Dudovitz, Rebecca Biely, Christopher Chung, Paul J. Coker, Tumaini R. Barnert, Elizabeth Guerrero, Alma D. Szilagyi, Peter G. Nelson, Bergen B. affil: Department of Pediatrics, UCLA Mattel Children's Hospital and Children's Discovery & Innovation Institute, David Geffen School of Medicine at University of California (A Gallegos, R Dudovitz, C Biely, PJ Chung, E Barnert, AD Guerrero, PG Szilagyi,), Los Angeles, Calif sug: subj: Child Development Disorders Diagnosis Healthcare Disparities In Infancy and Childhood Health Services Accessibility In Infancy and Childhood Discrimination Prevention and Control Human Child, Preschool Prospective Studies Logistic Regression Race Factors Descriptive Statistics Comparative Studies Child Health Services Ethnic Groups Pediatric Care Physicians, Family Minority Groups Funding Source Child, Preschool: 2-5 years ab: Racial disparities in diagnosis and receipt of services for early childhood developmental delay (DD) are well known but studies have had difficulties distinguishing contributing patient, healthcare system, and physician factors from underlying prevalence. We examine rates of physician diagnoses of DD by preschool and kindergarten entry controlling for a child's objective development via scoring on validated developmental assessment along with other child characteristics. We used data from the preschool and kindergarten entry waves of the Early Childhood Longitudinal Study, Birth Cohort. Dependent variables included being diagnosed with DD by a medical provider and receipt of developmental services. Logistic regression models tested whether a child's race was associated with both outcomes during preschool and kindergarten while controlling for the developmental assessments, as well as other contextual factors. Among 7950 children, 6.6% of preschoolers and 7.5% of kindergarteners were diagnosed with DD. Of preschool children with DD, 66.5% were receiving developmental services, while 69.1% of kindergarten children with DD were receiving services. Children who were Black, Asian, spoke a primary language other than English and had no health insurance were less likely to be diagnosed with DD despite accounting for cognitive ability. Black and Latinx children were less likely to receive services. Racial minority children are less likely to be diagnosed by their pediatric provider with DD and less likely to receive services despite accounting for a child's objective developmental assessment. The pediatric primary care system is an important target for interventions to reduce these disparities. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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