title: Health Services Utilization Among Children With and Without Autism Spectrum Disorders.
abstract: 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.
authors.affiliation: Department of Health Policy and Management, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Suite 650, Atlanta, GA, 30322, USA. jrcummi@emory.edu.
authors.forename: Janet R
authors.initials: JR
authors.lastname: Cummings
authors.affiliation: The Center for Health Research/Northwest, Kaiser Permanente Northwest (KPNW), Portland, OR, USA.
authors.forename: Frances L
authors.initials: FL
authors.lastname: Lynch
authors.affiliation: The Center for Health Research/Northwest, Kaiser Permanente Northwest (KPNW), Portland, OR, USA.
authors.forename: Kristal C
authors.initials: KC
authors.lastname: Rust
authors.affiliation: Department of Research & Evaluation, Kaiser Permanente Southern California (KPSC), Pasadena, CA, USA.
authors.forename: Karen J
authors.initials: KJ
authors.lastname: Coleman
authors.affiliation: School of Pharmacy, Northeastern University, Boston, MA, USA.|Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute (HPHCI), Boston, MA, USA.
authors.forename: Jeanne M
authors.initials: JM
authors.lastname: Madden
authors.affiliation: Division of Health Management and Policy, School of Public Health, Georgia State University, Atlanta, GA, USA.|Center for Clinical and Outcomes Research, Kaiser Permanente Georgia (KPGA), Atlanta, GA, USA.
authors.forename: Ashli A
authors.initials: AA
authors.lastname: Owen-Smith
authors.affiliation: Division of Research, Kaiser Permanente Northern California (KPNC), Oakland, CA, USA.|McKesson Corporation, San Francisco, CA, USA.
authors.forename: Vincent M
authors.initials: VM
authors.lastname: Yau
authors.affiliation: Division of Research, Kaiser Permanente Northern California (KPNC), Oakland, CA, USA.
authors.forename: Yinge
authors.initials: Y
authors.lastname: Qian
authors.affiliation: The Center for Health Research/Northwest, Kaiser Permanente Northwest (KPNW), Portland, OR, USA.
authors.forename: Kathryn A
authors.initials: KA
authors.lastname: Pearson
authors.affiliation: The Center for Health Research/Northwest, Kaiser Permanente Northwest (KPNW), Portland, OR, USA.
authors.forename: Phillip M
authors.initials: PM
authors.lastname: Crawford
authors.affiliation: Division of Research, Kaiser Permanente Northern California (KPNC), Oakland, CA, USA.
authors.forename: Maria L
authors.initials: ML
authors.lastname: Massolo
authors.affiliation: Department of Research & Evaluation, Kaiser Permanente Southern California (KPSC), Pasadena, CA, USA.
authors.forename: Virginia P
authors.initials: VP
authors.lastname: Quinn
authors.affiliation: Division of Research, Kaiser Permanente Northern California (KPNC), Oakland, CA, USA.
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Croen
mesh_terms: D000293:Adolescent; D000367:Age Factors; D000067877:Autism Spectrum Disorder / Q000523:psychology*; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D004632:Emergency Medical Services / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data*; D011314:Preventive Health Services / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000706:statistics & numerical data*; D014481:United States
keywords: Adolescents; Autism spectrum disorders; Children; Health care utilization; Preventive services