Center for Mental Health Policy and Services Research, Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, 3rd Floor, Philadelphia, PA, 19104, USA.
Leonard Davis Institute of Economics, University of Pennsylvania, Philadelphia, PA, USA.
J Autism Dev Disord. 2018 Jan;48(1):176-183. doi: 10.1007/s10803-017-3311-1.
The prevalence and risk of foster care involvement among children with autism spectrum disorder (ASD) relative to children with intellectual disability (ID), children with ASD and ID, and typically developing children were examined using 2001-2007 Medicaid data. Children were followed up to the first foster care placement or until the end of 2007; a discrete time logistic regression analysis was conducted. Both the prevalence and risk of foster care involvement were greatest for children with ASD, and the prevalence increased substantially over the study period among children with ASD. Continued examination of the factors contributing to the higher risk of foster placement is warranted to unravel the complex circumstances facing these vulnerable children and their families.
本研究使用 2001-2007 年的医疗补助数据,调查了自闭症谱系障碍(ASD)儿童、ASD 合并智力障碍(ID)儿童、单纯 ID 儿童以及一般发育儿童的寄养参与率及其风险。儿童在首次被安置进寄养家庭或 2007 年末之前接受随访;采用离散时间逻辑回归分析。ASD 儿童的寄养参与率和风险均最高,且 ASD 儿童的寄养参与率在研究期间大幅上升。为了理清这些弱势儿童及其家庭面临的复杂情况,有必要持续探究导致他们被安置进寄养家庭风险更高的因素。