Academic Journal

Racial and Ethnic Disparities in Geographic Access to Autism Resources Across the US

التفاصيل البيبلوغرافية
العنوان: Racial and Ethnic Disparities in Geographic Access to Autism Resources Across the US
المؤلفون: Liu, Bennett M., Paskov, Kelley, Kent, Jack, McNealis, Maya, Sutaria, Soren, Dods, Olivia, Harjadi, Christopher, Stockham, Nate, Ostrovsky, Andrey, Wall, Dennis P.
المصدر: JAMA Network Open ; volume 6, issue 1, page e2251182 ; ISSN 2574-3805
بيانات النشر: American Medical Association (AMA)
سنة النشر: 2023
الوصف: Importance While research has identified racial and ethnic disparities in access to autism services, the size, extent, and specific locations of these access gaps have not yet been characterized on a national scale. Mapping comprehensive national listings of autism health care services together with the prevalence of autistic children of various races and ethnicities and evaluating geographic regions defined by localized commuting patterns may help to identify areas within the US where families who belong to minoritized racial and ethnic groups have disproportionally lower access to services. Objective To evaluate differences in access to autism health care services among autistic children of various races and ethnicities within precisely defined geographic regions encompassing all serviceable areas within the US. Design, Setting, and Participants This population-based cross-sectional study was conducted from October 5, 2021, to June 3, 2022, and involved 530 965 autistic children in kindergarten through grade 12. Core-based statistical areas (CBSAs; defined as areas containing a city and its surrounding commuter region), the Civil Rights Data Collection (CRDC) data set, and 51 071 autism resources (collected from October 1, 2015, to December 18, 2022) geographically distributed into 912 CBSAs were combined and analyzed to understand variation in access to autism health care services among autistic children of different races and ethnicities. Six racial and ethnic categories (American Indian or Alaska Native, Asian, Black or African American, Hispanic or Latino, Native Hawaiian or other Pacific Islander, and White) assigned by the US Department of Education were included in the analysis. Main Outcomes and Measures A regularized least-squares regression analysis was used to measure differences in nationwide resource allocation between racial and ethnic groups. The number of autism resources allocated per autistic child was estimated based on the child’s racial and ethnic group. To evaluate how the CBSA population ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1001/jamanetworkopen.2022.51182
الاتاحة: http://dx.doi.org/10.1001/jamanetworkopen.2022.51182
https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2800709/liu_2023_oi_221457_1673621647.92985.pdf
رقم الانضمام: edsbas.8CFFA017
قاعدة البيانات: BASE
الوصف
DOI:10.1001/jamanetworkopen.2022.51182