ArticleAutism : the international journal of research and practice2019
Healthcare access and services use among US children with autism spectrum disorder.
Article in Autism : the international journal of research and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The trial behind it
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Who cites it
22 citing papers in PubMed.
- County Variation in the Supervision of Registered Behavior Technicians for the Provision of ABA Services in the United States.Behavior analysis in practice · 2025Article
- A Cross-Sectional Analysis of the Social Determinants of Health (SDOH) Needs in Early Childhood Among Children at Risk and Diagnosed With Autism Spectrum Disorder.Journal of autism and developmental disorders · 2025Article
- The Caregiver Concerns Questionnaire: A Tool to Target Care for Children on the Autism Spectrum.Journal of autism and developmental disorders · 2025Article
- Transportation Access in the Transition to Adulthood: Navigating a Neurotypical World on the Autism Spectrum.Journal of autism and developmental disorders · 2025Article
- Disparities in the Use of Autism Support Services and Adverse Child Experiences: A State-Level Purview of the National Survey of Children's Health.Journal of autism and developmental disorders · 2025Article
- Advancing Dermatologic Equity for Individuals With Autism Through Awareness and Structural Reform.Cureus · 2025Review
- Oral Health Indicators among a sample of Hispanic Patients diagnosed with Autism Spectrum Disorder.Revista de odontopediatria latinoamericana · 2025Article
- Predictive Analysis of Parent Activation and Autism.Journal of autism and developmental disorders · 2024Article
- Optimizing Care for Autistic Patients in Health Care Settings: A Scoping Review and Call to Action.Academic pediatrics · 2024Article
- How do primary care providers and autistic adults want to improve their primary care? A Delphi-study.Autism : the international journal of research and practice · 2024Article
- Brief Report: Telehealth Satisfaction Among Caregivers of Pediatric and Adult Psychology and Psychiatry Patients with Intellectual and Developmental Disability in the Wake of Covid-19.Journal of autism and developmental disorders · 2022Article
- Access to Care for US Children with Co-Occurrence of Autism Spectrum Disorder and Epilepsy.Children (Basel, Switzerland) · 2022Article
- Lifespan service receipt and unmet needs among individuals on the autism spectrum.Administration and policy in mental health · 2022Article
- A Collaborative Psychiatric-Genetics Inpatient Care Delivery Model Improves Access to Clinical Genetic Evaluation, Testing, and Diagnosis for Patients With Neurodevelopmental Disorders.Frontiers in genetics · 2022Article
- Therapy use for U.S. school-aged children with developmental disabilities: State variation and determinants.Disability and health journal · 2022Article
- Where are US outpatient mental health facilities that serve children with autism spectrum disorder? A national snapshot of geographic disparities.Autism : the international journal of research and practice · 2022Article
- Sex Differences in Co-occurring Conditions Among Autistic Children and Youth in Florida: A Retrospective Cohort Study (2012-2019).Journal of autism and developmental disorders · 2021Article
- Disparities in the quality of and access to services in children with autism spectrum disorders: a structural equation modeling.Archives of public health = Archives belges de sante publique · 2021Article
- Development and evaluation of a novel caregiver-report tool to assess barriers to physical healthcare for people on the autism spectrum.Research in autism spectrum disorders · 2020Article
- Fewer Than Half Of US Mental Health Treatment Facilities Provide Services For Children With Autism Spectrum Disorder.Health affairs (Project Hope) · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
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) ⩾4 office visits, (2) ⩾1 well-child visit, (3) flu vaccine, (4) prescription medication, and (5) ⩾1 emergency department visit. Multivariable regression models estimated associations of ⩾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 ⩾1 healthcare access problem. Having ⩾1 healthcare access problem was associated with lower adjusted odds of ⩾1 well-child visit or prescription medication use but higher adjusted odds of ⩾4 office visits or ⩾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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.