Urbanicity-related variation in help-seeking and services utilization among preschool-age children with autism in Taiwan.
J Autism Dev Disord
; 38(3): 489-97, 2008 Mar.
Article
em En
| MEDLINE
| ID: mdl-17665297
ABSTRACT
The present study examines urbanicity-related differences in help-seeking process among preschool children with autism and investigates the factors associated with utilization of autism-related services within the year of diagnosis. Using the 1997-2004 National Health Insurance Research Database (NHIRD) in Taiwan, we identified a total of 3495 autistic children born in 1997-1999 and 13964 matched controls. Results indicate that suburban and rural autism tended to receive the diagnosis at an older age and to have a longer diagnosis process as compared with urban counterparts. Male gender, a younger age of diagnosis, and being diagnosed by psychiatric specialty strongly predict subsequent greater utilization of autism-specific services (all p < 0.05). Health policy makers and other service providers should address the needs of children with early-onset neurodevelopmental disorders in rural areas, particularly those from disadvantaged families.
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Base de dados:
MEDLINE
Assunto principal:
Transtorno Autístico
/
População Urbana
/
Urbanização
/
Aceitação pelo Paciente de Cuidados de Saúde
/
Serviços de Saúde da Criança
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article