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Health Services Utilization Among Children With and Without Autism Spectrum Disorders

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 cou... Full description

Journal Title: Journal of autism and developmental disorders 2015-11-07, Vol.46 (3), p.910-920
Main Author: Cummings, Janet R
Other Authors: Lynch, Frances L , Rust, Kristal C , Coleman, Karen J , Madden, Jeanne M , Owen-Smith, Ashli A , Yau, Vincent M , Qian, Yinge , Pearson, Kathryn A , Crawford, Phillip M , Massolo, Maria L , Quinn, Virginia P , Croen, Lisa A
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: New York: Springer US
ID: ISSN: 0162-3257
Link: https://www.ncbi.nlm.nih.gov/pubmed/26547921
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title: Health Services Utilization Among Children With and Without Autism Spectrum Disorders
format: Article
creator:
  • Cummings, Janet R
  • Lynch, Frances L
  • Rust, Kristal C
  • Coleman, Karen J
  • Madden, Jeanne M
  • Owen-Smith, Ashli A
  • Yau, Vincent M
  • Qian, Yinge
  • Pearson, Kathryn A
  • Crawford, Phillip M
  • Massolo, Maria L
  • Quinn, Virginia P
  • Croen, Lisa A
subjects:
  • Adolescent
  • adolescents
  • Age Factors
  • Article
  • Autism
  • Autism Spectrum Disorder - psychology
  • Autism spectrum disorders
  • Autistic children
  • Autistic spectrum disorders
  • Behavioral Science and Psychology
  • Care and treatment
  • Case-Control Studies
  • Child
  • Child and School Psychology
  • Child, Preschool
  • Children
  • Comorbidity
  • Demographic aspects
  • Development and progression
  • Emergency Medical Services - utilization
  • Female
  • health care utilization
  • Health services
  • Health services utilization
  • Health status
  • Humans
  • Immunization
  • Influenza
  • Male
  • Mental disorders
  • Mental health
  • Mental Health Services - utilization
  • Neurosciences
  • Original Paper
  • Patient Acceptance of Health Care - psychology
  • Patient Acceptance of Health Care - statistics & numerical data
  • Pediatrics
  • Pervasive developmental disorders
  • Preventive health care
  • Preventive Health Services - utilization
  • preventive services
  • Primary Health Care - utilization
  • Psychology
  • Public Health
  • Risk factors
  • Service provision
  • United States
  • Vaccines
  • Young people
ispartof: Journal of autism and developmental disorders, 2015-11-07, Vol.46 (3), p.910-920
description: 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.
language: eng
source:
identifier: ISSN: 0162-3257
fulltext: no_fulltext
issn:
  • 0162-3257
  • 1573-3432
url: Link


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titleHealth Services Utilization Among Children With and Without Autism Spectrum Disorders
creatorCummings, Janet R ; Lynch, Frances L ; Rust, Kristal C ; Coleman, Karen J ; Madden, Jeanne M ; Owen-Smith, Ashli A ; Yau, Vincent M ; Qian, Yinge ; Pearson, Kathryn A ; Crawford, Phillip M ; Massolo, Maria L ; Quinn, Virginia P ; Croen, Lisa A
creatorcontribCummings, Janet R ; Lynch, Frances L ; Rust, Kristal C ; Coleman, Karen J ; Madden, Jeanne M ; Owen-Smith, Ashli A ; Yau, Vincent M ; Qian, Yinge ; Pearson, Kathryn A ; Crawford, Phillip M ; Massolo, Maria L ; Quinn, Virginia P ; Croen, Lisa A
descriptionUsing 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.
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subjectAdolescent ; adolescents ; Age Factors ; Article ; Autism ; Autism Spectrum Disorder - psychology ; Autism spectrum disorders ; Autistic children ; Autistic spectrum disorders ; Behavioral Science and Psychology ; Care and treatment ; Case-Control Studies ; Child ; Child and School Psychology ; Child, Preschool ; Children ; Comorbidity ; Demographic aspects ; Development and progression ; Emergency Medical Services - utilization ; Female ; health care utilization ; Health services ; Health services utilization ; Health status ; Humans ; Immunization ; Influenza ; Male ; Mental disorders ; Mental health ; Mental Health Services - utilization ; Neurosciences ; Original Paper ; Patient Acceptance of Health Care - psychology ; Patient Acceptance of Health Care - statistics & numerical data ; Pediatrics ; Pervasive developmental disorders ; Preventive health care ; Preventive Health Services - utilization ; preventive services ; Primary Health Care - utilization ; Psychology ; Public Health ; Risk factors ; Service provision ; United States ; Vaccines ; Young people
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descriptionUsing 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.
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titleHealth Services Utilization Among Children With and Without Autism Spectrum Disorders
authorCummings, Janet R ; Lynch, Frances L ; Rust, Kristal C ; Coleman, Karen J ; Madden, Jeanne M ; Owen-Smith, Ashli A ; Yau, Vincent M ; Qian, Yinge ; Pearson, Kathryn A ; Crawford, Phillip M ; Massolo, Maria L ; Quinn, Virginia P ; Croen, Lisa A
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1adolescents
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5Autism Spectrum Disorder - psychology
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7Autistic children
8Autistic spectrum disorders
9Behavioral Science and Psychology
10Care and treatment
11Case-Control Studies
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13Child and School Psychology
14Child, Preschool
15Children
16Comorbidity
17Demographic aspects
18Development and progression
19Emergency Medical Services - utilization
20Female
21health care utilization
22Health services
23Health services utilization
24Health status
25Humans
26Immunization
27Influenza
28Male
29Mental disorders
30Mental health
31Mental Health Services - utilization
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33Original Paper
34Patient Acceptance of Health Care - psychology
35Patient Acceptance of Health Care - statistics & numerical data
36Pediatrics
37Pervasive developmental disorders
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39Preventive Health Services - utilization
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41Primary Health Care - utilization
42Psychology
43Public Health
44Risk factors
45Service provision
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47Vaccines
48Young people
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1Lynch, Frances L
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3Coleman, Karen J
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7Qian, Yinge
8Pearson, Kathryn A
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atitleHealth Services Utilization Among Children With and Without Autism Spectrum Disorders
jtitleJournal of autism and developmental disorders
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date2015-11-07
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volume46
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notes
0Ashli A. Owen-Smith is currently in the Department of Health Management and Policy at the Georgia State University School of Public Health, Atlanta, Georgia. Vincent M. Yau is currently with McKesson Corporation, San Francisco, California.
1Janet R. Cummings is in the Department of Health Policy and Management at the Emory University Rollins School of Public Health, Atlanta, Georgia. Frances L. Lynch, Kristal C. Rust, Kathryn A. Pearson, and Phillip M. Crawford are at the Center for Health Research/Northwest, Kaiser Permanente Northwest (KPNW), Portland, Oregon. Karen J. Coleman and Virginia P. Quinn are in the Department of Research & Evaluation, Kaiser Permanente Southern California (KPSC), Pasadena, CA. Jeanne M. Madden is in the School of Pharmacy at Northeastern University, Boston, Massachusetts and in the Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute (HPHCI), Boston, Massachusetts. Yinge Qian, Maria L. Massolo, and Lisa A. Croen are in the Division of Research, Kaiser Permanente Northern California (KPNC), Oakland, California. At the time of the study, Ashli A. Owen-Smith was with the Center for Health Research/Southeast, Kaiser Permanente Georgia (KPGA), Atlanta, Georgia, and Vincent M. Yau was in the Division of Research, Kaiser Permanente Northern California (KPNC), Oakland, California.
abstractUsing 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.
copNew York
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