Cited by 218Autism Spectrum Disorder ResearchFamily and Disability Support ResearchChild Nutrition and Feeding Issues

Rural Trends in Diagnosis and Services for Autism Spectrum Disorder

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Antezana, Ligia, Scarpa, Angela, Valdespino, Andrew, Albright, Jordan, Richey, John A.·2017·Frontiers in Psychology

Abstract

Rural communities face significant challenges regarding the adequate availability of diagnostic-, treatment-, and support-services for individuals with autism spectrum disorder (ASD). Specifically, a variety of factors, including geographic distance between families and service providers, low reliance on health care professionals, and cultural characteristics, contribute to the diminished availability and utilization of services. Together, these factors lead to risks for delayed ASD screening and diagnosis, yielding lower educational and functional outcomes. The purpose of this review is to outline the specific diagnosis and treatment barriers that affect individuals with ASD and their families in rural settings. Telehealth feasibility and efficacy research is also reviewed, suggesting that telecommunication services may offer an inroad for addressing the specific service barriers faced by rural communities. Together, the current review identifies specific needs for both research and support services that address the specific access barriers characteristic of rural settings.

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  • Families living outside metropolitan areas have less access to care for ASD than those in urban areas, often due to a shortage of specialists.

    “Families living outside metropolitan areas have less access to care for ASD than those in urban areas, often due to a shortage of specialists.”
  • Reduced awareness of ASD and related services is more common in groups with lower socioeconomic status, less education, and limited access to health professionals.

    “Reduced awareness of ASD and related services is more common in groups with lower SES, less education, and limited access to health professionals (e.g., those living in rural areas).”

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Research works printed but not linked: 1

  1. National Research Council [NRC] (2001). “Committee on educational interventions for children with autism. Educating children with autism,” in Division of Behavioral and Social Sciences and Education eds Lord C. McGee J. P. (Washington, DC: National Academy Press).

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Authors
Antezana, L., Scarpa, A., Valdespino, A., Albright, J., & Richey, J. A.
Affiliations
Virginia Tech (US)
Corresponding author
Antezana, Ligia
Venue
Frontiers in Psychology
Published
2017-04-20
Volume
8
Pages
590-590
ISSN
1664-1078 (ISSN-L)
OpenAlex
W2609879974
Cited by
218
References
44
Citations by year
2026: 19 · 2025: 28 · 2024: 36 · 2023: 23 · 2022: 35 · 2021: 30 · 2020: 24 · 2019: 14 · 2018: 5 · 2017: 4
FWCI
1.44
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Frontiers in Psychology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • VTechWorks (Virginia Tech) (submittedVersion, cc-by)
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, rural health, ASD diagnosis, delayed diagnosis, health care access, telemedicine, geographic barriers, cultural barriers, health care utilization, barriers to services, rural households

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