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J Autism Dev Disord. 2019 Apr;49(4):1652-1664. doi: 10.1007/s10803-018-3862-9.

Health Disparities among Children with Autism Spectrum Disorders: Analysis of the National Survey of Children's Health 2016.

Author information

1
Autism Speaks, 1060 State Rd, Princeton, NJ, USA. arun.karpur@autismspeaks.org.
2
Data Science and Evaluation Research, Autism Speaks, 1060 State Rd, Princeton, NJ, USA. arun.karpur@autismspeaks.org.
3
Autism Speaks, 1060 State Rd, Princeton, NJ, USA.

Abstract

Utilizing the 2016 National Survey of Children's Health, this study illustrates that children with ASD have nearly 4 times higher odds of unmet health care needs compared to children without disabilities, whereas children with other disabilities had nearly 2 times higher odds of unmet health care needs compared to children without disabilities. Applying Andersen's Behavioral Model of health care utilization, this study estimates that enabling factors (e.g., access to health insurance, quality of health insurance, access to family-centered care, family-level stress, exposure to adverse childhood experiences, and parental employment) improved prediction of regression model for unmet health care needs by 150%. Policy and program implications are discussed and a new framework for responding to observed disparities is discussed.

KEYWORDS:

Andersen’s Behavioral Model; Autism Spectrum Disorders (ASD); Health disparities; Unmet health care needs

PMID:
30552540
DOI:
10.1007/s10803-018-3862-9
[Indexed for MEDLINE]

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