Treatment Utilization Trajectories among Children with Autism Spectrum Disorder: Differences by Race-Ethnicity and Neighborhood

Autor/inn/en	Yingling, Marissa E.; Bell, Bethany A.; Hock, Robert M.
Titel	Treatment Utilization Trajectories among Children with Autism Spectrum Disorder: Differences by Race-Ethnicity and Neighborhood
Quelle	In: Journal of Autism and Developmental Disorders, 49 (2019) 5, S.2173-2183 (11 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Yingling, Marissa E.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0162-3257
DOI	10.1007/s10803-019-03896-3
Schlagwörter	Intervention; Autism; Pervasive Developmental Disorders; Longitudinal Studies; Health Insurance; Public Policy; Records (Forms); Incidence; Therapy; Correlation; Children; Race; Ethnicity; Neighborhoods; Racial Composition; Poverty; Urban Areas; Advantaged; Health Services; Access to Health Care; Behavior Modification + Suchen Sie Ihr Suchwort? Autismus; Longitudinal study; Longitudinal method; Longitudinal methods; Längsschnittuntersuchung; Krankenversicherung; Öffentliche Ordnung; Formularsammlung; Vorkommen; Therapie; Korrelation; Child; Kind; Kinder; Rasse; Abstammung; Ethnizität; Neighbourhoods; Nachbarschaft; Armut; Urban area; Stadtregion; Health service; Gesundheitsdienst; Gesundheitswesen; Behaviour modification; Verhaltensänderung
Abstract	Health coverage of early intensive behavioral intervention (EIBI) for children with autism spectrum disorder is expanding. Yet there is no longitudinal research on patterns of or inequities in utilization of EIBI. We integrated state administrative records with Medicaid and Census data for children enrolled in an EIBI Medicaid waiver (N = 730) to identify and describe the type and prevalence of treatment utilization trajectories, and to examine the association between trajectory types and (a) child race-ethnicity and (b) neighborhood racial composition, poverty, affluence, and urbanicity. We identified four utilization trajectories (Low, Low-Moderate, Moderate, and High users). Race-ethnicity and neighborhood affluence were associated with trajectory membership. As coverage expands, policy makers should consider strategies to improve overall treatment utilization and enhance equity. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01