Urban–Rural Disparity in the Incidence of Diagnosed Autism Spectrum Disorder in Taiwan: A 10-Year National Birth Cohort Follow-up Study.

Autism spectrum disorder (ASD) is reportedly more prevalent in urban areas partly because of better accessibility and affordability to healthcare. With universal health insurance coverage in Taiwan, a previous study has shown no urban–rural disparity in the utilization rate of a child's preventive h...

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Publicado en:Journal of Autism & Developmental Disorders Vol. 53; no. 5; pp. 2127 - 2138
Autores principales: Hsu, Yuu-Hueih, Chen, Chi-Wen, Lin, Yuh-Jyh, Li, Chung-Yi
Formato: research tables/charts Journal Article
Publicado: Springer Nature May2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2023
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      pub: Springer Nature
      place: New York, New York
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        atl: Urban–Rural Disparity in the Incidence of Diagnosed Autism Spectrum Disorder in Taiwan: A 10-Year National Birth Cohort Follow-up Study.
      aug:
        au:
          Hsu, Yuu-Hueih
          Chen, Chi-Wen
          Lin, Yuh-Jyh
          Li, Chung-Yi
        affil: Department of Public Health, National Cheng Kung University, No. 138, Shengli Rd., North Dist., 704302, Tainan, Taiwan
      sug:
        subj:
          Autism Spectrum Disorder Epidemiology
          Autism Spectrum Disorder Diagnosis
          Urban Areas
          Rural Areas
          Insurance, Health, Reimbursement
          Human
          Male
          Female
          Adult
          Taiwan
          Prospective Studies
          Socioeconomic Factors
          Confidence Intervals
          Urbanization
          Odds Ratio
          Adult: 19-44 years
          Male
          Female
      ab: Autism spectrum disorder (ASD) is reportedly more prevalent in urban areas partly because of better accessibility and affordability to healthcare. With universal health insurance coverage in Taiwan, a previous study has shown no urban–rural disparity in the utilization rate of a child's preventive healthcare. Under this circumstance, we followed a birth cohort of 176,273 live births from 2006 to 2015 to detect the differences in ASD incidence between urbanicities. After adjusting for socioeconomic factors, children were 1.28 (95% confidence interval (CI): 1.13–1.44) and 1.54 (95% CI: 1.36–1.75) more likely to acquire ASD in satellite and urban areas compared with those in rural areas, respectively. A gradient association between parental educational attainment and ASD incidence was also noted. Greater ASD incidences in more urbanized areas and more advanced educated parents' children were detected under a circumstance with low barriers to healthcare.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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