Racial and ethnic disparities in quality of health care among children with autism and other developmental disabilities.
Abstract
We examined racial and ethnic disparities in quality of care for children with autism and other developmental disabilities and whether disparities varied for children with autism compared to children with other developmental disabilities. Analyzing data from the National Survey of Children with Special Health Care Needs (N = 4,414), we compared Black and Latino children to White children. We found racial and ethnic disparities on 5 of 6 quality outcomes. The interaction between race and disability status indicated that disparities in quality indicators were exacerbated among families of children with autism. These analyses suggest that children with autism, particularly those who are Latino and Black, face greater challenges in receiving high-quality health care.
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ASD is beginning to be identified more in lower-SES groups than previously; however, barriers to services still exist for lower-SES families of children with ASD (e.g., transportation, childcare, and job accommodations).
“ASD is beginning to be identified more in lower-SES groups than previously (7,11); however, barriers to services still exist for lower-SES families of children with ASD (e.g., transportation, childcare, and job accommodations) (18–26).”
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- Authors
- Magaña, S., Parish, S. L., Rose, R. A., Timberlake, M., & Swaine, J. G.
- Affiliations
- University of Wisconsin-Madison, Waisman Center and School of Social Work
- Brandeis University (US)
- University of North Carolina
- Venue
- Intellectual and Developmental Disabilities
- Publisher
- Informa UK Limited
- Published
- 2012-08-01
- Volume
- 50
- Issue
- 4
- Pages
- 287-299
- ISSN
- 1934-9491 (ISSN-L)
- 1934-9556
- OpenAlex
- W2168799966
- Semantic Scholar
- 64ab90b52b8410ec17d9e923cf9924f891e12487
- Cited by
- 255
- References
- 44
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 21 · 2023: 30 · 2022: 34 · 2021: 28 · 2020: 20 · 2019: 26 · 2018: 21 · 2017: 13 · 2016: 13 · 2015: 9 · 2014: 14 · 2013: 7
- FWCI
- 4.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Intellectual and developmental disabilities (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
- Keywords
- racial and ethnic disparities, quality of care, autism spectrum disorder, developmental disabilities, children with special health care needs, Latino children, Black children, health care access
- MeSH terms
- Autistic Disorder, Black or African American, Child, Developmental Disabilities, Ethnicity, Hispanic or Latino, Humans, Quality of Health Care, United States, Health Care Surveys, Black People, White People, Racial Groups, Healthcare Disparities
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