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

Overview

Journal J Autism Dev Disord

Publisher Springer

Date 2019 Feb 1

PMID 30701434

Citations 10

Authors

Marissa E Yingling

Bethany A Bell

Robert M Hock

Affiliations

Soon will be listed here.

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.

Citing Articles

Examining the association of neighborhood conditions on attention-deficit/hyperactivity disorder symptoms in autistic youth using the child opportunity index 2.0.

Calub C, Hertz-Picciotto I, Bennett D, Schweitzer J JCPP Adv. 2025; 5(1):e12267.

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Parent Reports of Developmental Service Utilization After Newborn Screening.

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Structural, Institutional, and Interpersonal Racism: Calling for Equity in Autism Research and Practice.

Singh J, Brasher S, Sarrett J, Barger B, Guerra K, Dilly L J Racial Ethn Health Disparities. 2025; .

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"I'm His Voice": Parent Perspectives on Obtaining an Autism Diagnosis and Services and the Influence of Personal and Cultural Factors.

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