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自闭症谱系障碍儿童获得和使用辅助健康服务的差异和差距的系统评价。

Systematic Review of Disparities and Differences in the Access and Use of Allied Health Services Amongst Children with Autism Spectrum Disorders.

机构信息

Department of Allied Health Sciences, University of North Carolina at Chapel Hill, 200 N. Greensboro St., D-12, Carrboro, NC, 27510, USA.

Department of Allied Health Sciences, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

出版信息

J Autism Dev Disord. 2021 Apr;51(4):1316-1330. doi: 10.1007/s10803-020-04608-y.

Abstract

Individuals with autism spectrum disorder (ASD) often benefit from allied health services such as occupational therapy, speech and language pathology, and applied behavioral analysis. While there is consistent evidence of disparities in access and use of medical services (e.g. dentistry), no such systematic review has examined disparities and differences in allied health use amongst children with ASD. In this systematic review, we examine disparities and differences in service access and use for children with ASD. Our findings suggest that children who are older, have less severe ASD symptoms, are from minority groups, and those from particular geographic regions are less likely to receive allied health services. Limitations and future directions are discussed.

摘要

自闭症谱系障碍(ASD)患者通常受益于职业治疗、言语和语言病理学以及应用行为分析等辅助健康服务。尽管在获得和使用医疗服务(例如牙科)方面存在一致的证据表明存在差异,但没有系统审查检查 ASD 儿童在辅助健康使用方面的差异和差异。在本系统审查中,我们检查了 ASD 儿童在服务获取和使用方面的差异和差异。我们的研究结果表明,年龄较大、ASD 症状较轻、来自少数族裔群体以及来自特定地理区域的儿童不太可能接受辅助健康服务。讨论了限制因素和未来方向。

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