Kent School of Social Work, University of Louisville, 2217 S 3rd St., Julius John Oppenheimer Hall, Louisville, USA.
College of Social Work, Hamilton College, University of South Carolina, 1512 Pendleton Street, Columbia, USA.
J Autism Dev Disord. 2018 Feb;48(2):561-571. doi: 10.1007/s10803-017-3354-3.
Health coverage of early intensive behavioral intervention (EIBI) for children with autism spectrum disorder (ASD) is rapidly expanding across the United States. Yet we know little about the time-lag between diagnosis and treatment onset. We integrated administrative, Medicaid claims, and Census data for children in an EIBI Medicaid waiver (n = 473) to examine the relationship between time-lag and (a) child race-ethnicity and (b) neighborhood racial composition, poverty, affluence, and urbanicity. We explored whether the relationship between child race-ethnicity and time-lag varies by neighborhood characteristics. Average time-lag between diagnosis and treatment onset was nearly 3 years. Child race-ethnicity and neighborhood characteristics did not predict time-lag. Reducing time-lag is critical to ensuring that children with ASD receive treatment as early as possible.
美国正在迅速扩大对自闭症谱系障碍（ASD）儿童的早期强化行为干预（EIBI）的医疗保险覆盖范围。然而，我们对诊断和治疗开始之间的时间延迟知之甚少。我们整合了 EIBI 医疗补助豁免计划中儿童的行政、医疗补助索赔和人口普查数据（n=473），以研究时间延迟与（a）儿童种族-族裔和（b）邻里种族构成、贫困、富裕和城市化之间的关系。我们探讨了儿童种族-族裔与时间延迟之间的关系是否因邻里特征而异。诊断和治疗开始之间的平均时间延迟接近 3 年。儿童种族-族裔和邻里特征并不能预测时间延迟。减少时间延迟对于确保 ASD 儿童尽早接受治疗至关重要。
