Health Services Utilization Among Children With and Without Autism Spectrum Disorders
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Using data from multiple health systems (2009–2010) and the largest sample to date, this study compares health services use among youth with and without an autism spectrum disorder (ASD)—including preventive services not previously studied. To examine these differences, we estimated logistic and count data models, controlling for demographic characteristics, comorbid physical health, and mental health conditions. Results indicated that youth with an ASD had greater health care use in many categories, but were less likely to receive important preventive services including flu shots and other vaccinations. An improved understanding of the overall patterns of health care use among this population could enable health systems to facilitate the receipt of appropriate and effective health care.
KeywordsAutism spectrum disorders Health care utilization Preventive services Children Adolescents
We are grateful for the analytic support provided by Matthew Lakoma (HPHCI), Jialuo Liu (KPSC), and Heather Freiman (KPGA) and for the project management support provided by Donna Rusinak (HPHCI), Magdalena E. Pomichowski (KPSC), Marta Lutsky (KPNC), and Heather Freiman (KPGA). This work was supported by the National Institute of Mental Health (Grants U19MH092201, K01MH095823). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Janet R. Cummings led the conceptualization and design of the study, drafted the initial manuscript, revised the manuscript, and approved the final manuscript as submitted. Frances L. Lynch and Lisa A. Croen contributed to the conceptualization and design of the study, supervised data management efforts at a participating site, reviewed and revised the manuscript, and approved the final manuscript as submitted. Kristal C. Rust and Phillip Crawford carried out the statistical analyses and assisted with interpretation of the results, reviewed and revised the manuscript, and approved the final manuscript as submitted. Yinge Qian contributed to the statistical analyses and assisted with interpretation of the results, critically reviewed the manuscript, and approved the final manuscript as submitted. Karen J. Coleman, Jeanne Madden, Ashli A. Owen-Smith, Vincent M. Yau, Kathryn A. Pearson, Maria L. Massolo, and Virginia P. Quinn contributed to the conceptualization of the study design, coordinated and supervised data management efforts at a participating site, critically reviewed the manuscript, and approved the final manuscript as submitted.
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