Nora L Portillo, Looknoo Patcharapon Thammathorn, Luisa María Buitrago, Alice S Carter, Radley Christopher Sheldrick, Abbey Eisenhower
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引用次数: 0
摘要
我们研究了接受 C 部分早期干预(EI)的患有自闭症的幼儿在不同人口统计群体中接受一般早期干预服务和自闭症特定专业服务的情况。潜类分析(n = 508)确定了与边缘化和特权交叉相关的五个不同人口亚群。对家长纵向访谈(n = 225)的分析表明,在这些不同的潜在人群中,接受服务的情况存在差异;来自美国出生、精通英语且收入高于贫困线的白人家长的儿童接受的早期干预服务(M = 12.0 小时/周)多于其他亚群,而来自拉美移民家庭的儿童接受的服务时数最少(M = 6.9 小时/周)。在所有群体中,平均干预时间为 8.8 小时/周。尽管进行了早期识别,但在接受 C 部分早期干预服务方面,种族、民族和其他社会人口方面的差距显而易见,这表明有必要解决公平护理的障碍。
Disparities in Receipt of Early Intervention Services by Toddlers with Autism Diagnoses: an Intersectional Latent Class Analysis of Demographic Factors.
We examined receipt of general early intervention services and autism-specific specialized services across demographic groups among toddlers with autism diagnoses who were receiving Part C Early Intervention (EI). Latent class analysis (n = 508) identified five demographically distinct subgroups associated with intersecting marginalization and privilege. Analyses of longitudinal parent interviews (n = 225) revealed service receipt disparities across these demographically distinct latent classes; children from White, U.S. born, English-proficient parents with incomes above poverty level received more EI services (M = 12.0 h/week) than other subgroups, with children from Latiné immigrant families receiving the fewest hours (M = 6.9 h/week). Across all groups, average intervention hours were 8.8 h/week. Despite early identification, racial, ethnic, and other sociodemographic disparities were evident in receipt of Part C Early Intervention services, indicating the need to address barriers to equitable care.
期刊介绍:
The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.