Evidence map›Paper›PMID 39576377›Full record

ArticleMaternal and child health journal2025

Changes in Child Health Care, Health, and Caregiver Mental Health During the COVID-19 Pandemic in Children with Autism and Special Health Care Needs.

Jessica E Rast, Kaitlin H Koffer Miller, Jennifer Bromberg, Jonas Ventimiglia, Kristy A Anderson, Lindsay L Shea

Abstract read
In one paragraph

Article in Maternal and child health journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jessica E RastA.J. Drexel Autism Institute, Drexel University, Jessica Rast, 3020 Market St. Suite 560, Philadelphia, PA, 19104, USA. jer336@drexel.edu.ORCID http://orcid.org/0000-0002-1381-130X
Kaitlin H Koffer MillerA.J. Drexel Autism Institute, Drexel University, Jessica Rast, 3020 Market St. Suite 560, Philadelphia, PA, 19104, USA.
Jennifer BrombergA.J. Drexel Autism Institute, Drexel University, Jessica Rast, 3020 Market St. Suite 560, Philadelphia, PA, 19104, USA.
Jonas VentimigliaA.J. Drexel Autism Institute, Drexel University, Jessica Rast, 3020 Market St. Suite 560, Philadelphia, PA, 19104, USA.
Kristy A AndersonFlorida State University College of Social Work, Tallahassee, FL, USA.
Lindsay L SheaA.J. Drexel Autism Institute, Drexel University, Jessica Rast, 3020 Market St. Suite 560, Philadelphia, PA, 19104, USA.

Funding

HRSA HHS UT2MC39440HRSA HHS UT6MC45902
6 · The paper itself

Abstract

purposeThe COVID-19 pandemic and subsequent mitigation efforts impacted communities in many ways and placed immense strain on the health care system, impacting access to services. The purpose of this study was to examine changes in prevalence of child health care, child health, and caregiver and household health within children with autism and children with special health care needs (CSHCN) pre-pandemic to early pandemic years.

methodsWe examined data from the National Survey of Children's Health to examine changes in child health care, child health, and caregiver and household health for autistic children and CSHCN from 2018 to 2021.

resultsAbout one-third of children with autism and CSHCN missed preventive checkups due to the COVID-19 pandemic and half had virtual care in 2021. Parents of children with autism had less help with care coordination in 2020 compared to previous years. In CSHCN prevalence of anxiety increased from 2018/2019 to 2021, with a concurrent increase in need for mental health care, this was not seen in children with autism. Finally, difficulty paying medical bills and for food was less common in 2020 and 2021 (compared to 2018/2019).

conclusionsThe COVID-19 pandemic changed the healthcare landscape for everyone, including children with autism and CSHCN as highlighted in this study. Understanding the disruptions and how they impacted populations differently can be helpful in informing plans long-term emergency preparedness. This planning should involve disability inclusive policies, to ensure the most vulnerable groups retain health care access as needed.

Indexed as

Autistic DisorderCaregiversChild HealthChild Health ServicesChildren with DisabilitiesCOVID-19Mental HealthAdolescentChildChild, PreschoolFemaleHealth Services AccessibilityHumansMalePandemicsPrevalenceAutismChild healthCOVID-19Family healthHealth careHealth servicesSpecial health care needs

Identifiers

PMID39576377
PMCPMC11805851

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.