title: Sociodemographic Disparities in Intervention Service Utilization in Families of Children with Autism Spectrum Disorder.
abstract: This study investigates whether sociodemographic factors are associated with utilization of intervention services for children with autism spectrum disorder (ASD) enrolled in the Childhood Autism Risks from Genetics and the Environment Study. Maternal ethnicity, insurance status, and education for 696 families of children with ASD were available. Children of Black mothers entered intervention earlier compared to White mothers (2 vs. 2.6 years; p = 0.001). Having public insurance was associated with receiving <15 h/week of individual services, while having a Bachelor degree was associated with receiving <15 h/week of classroom-based services. These differences suggest that SES may be a factor in utilization of services. Efforts should be made to ensure that interventions offered are culturally and linguistically accessible.
authors.affiliation: Department of Public Health Sciences, School of Medicine, University of California Davis, Davis, CA, 95817, USA.|School of Nursing, University of California San Francisco, San Francisco, CA, USA.
authors.forename: Cathina T
authors.initials: CT
authors.lastname: Nguyen
authors.affiliation: Department of Public Health Sciences, School of Medicine, University of California Davis, Davis, CA, 95817, USA.|MIND Institute, University of California Davis, 2825 50th Street, Sacramento, CA, 95817, USA.
authors.forename: Paula
authors.initials: P
authors.lastname: Krakowiak
authors.affiliation: Department of Pediatrics, School of Medicine, University of California Davis, Davis, CA, USA.|MIND Institute, University of California Davis, 2825 50th Street, Sacramento, CA, 95817, USA.
authors.forename: Robin
authors.initials: R
authors.lastname: Hansen
authors.affiliation: Department of Public Health Sciences, School of Medicine, University of California Davis, Davis, CA, 95817, USA.|MIND Institute, University of California Davis, 2825 50th Street, Sacramento, CA, 95817, USA.
authors.forename: Irva
authors.initials: I
authors.lastname: Hertz-Picciotto
authors.affiliation: Department of Pediatrics, School of Medicine, University of California Davis, Davis, CA, USA. kangkustsiri@ucdavis.edu.|MIND Institute, University of California Davis, 2825 50th Street, Sacramento, CA, 95817, USA. kangkustsiri@ucdavis.edu.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Angkustsiri
mesh_terms: D000328:Adult; D001741:Black or African American; D000067877:Autism Spectrum Disorder / Q000628:therapy*; D002648:Child; D004522:Educational Status; D005006:Ethnicity; D005260:Female; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D019458:Insurance Coverage; D008297:Male; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D044465:White People
keywords: Autism spectrum disorder; Family characteristics; Intervention services; Utilization