Cited by 121Autism Spectrum Disorder ResearchFamily and Disability Support ResearchChild Nutrition and Feeding Issues

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

Karpur, Arun, Lello, Angela, Frazier, Thomas, Dixon, Pamela J., Shih, Andy J.·2019·Journal of Autism and Developmental Disorders

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.

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Crossref · 10.1007/s10803-018-3862-9

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61 of 61 references verified0 citation errors · 0 not checkable

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Authors
Karpur, A., Lello, A., Frazier, T., Dixon, P. J., & Shih, A. J.
Affiliations
Autism Speaks (US)
Corresponding author
Karpur, Arun
Venue
Journal of Autism and Developmental Disorders
Published
2018-12-14
Volume
49
Issue
4
Pages
1652-1664
ISSN
  • 0162-3257 (ISSN-L)
  • 1573-3432
OpenAlex
W2904829968
Cited by
121
References
62
Citations by year
2026: 8 · 2025: 15 · 2024: 20 · 2023: 19 · 2022: 18 · 2021: 25 · 2020: 14 · 2019: 2
FWCI
6.11
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Autism and Developmental Disorders (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords
autism spectrum disorder, health disparities, unmet health needs, children with disabilities, Andersen Behavioral Model, health insurance access, family-centered care, adverse childhood experiences, parental employment, family stress, health care utilization
MeSH terms
Child Health, Autism Spectrum Disorder, Adverse Childhood Experiences, Adolescent, Child, Child Health Services, Child, Preschool, Female, Health Services Accessibility, Health Services Needs and Demand, Humans, Insurance, Health, Male, Parents, Surveys and Questionnaires, Socioeconomic Factors, United States, Healthcare Disparities

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