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美国自闭症谱系障碍儿童获得认证行为分析师的地理可达性的县级差异。

County-level variation in geographic access to Board Certified Behavior Analysts among children with Autism Spectrum Disorder in the United States.

机构信息

University of Louisville, USA.

University of Pennsylvania, USA.

出版信息

Autism. 2021 Aug;25(6):1734-1745. doi: 10.1177/13623613211002051. Epub 2021 Mar 19.

DOI:10.1177/13623613211002051
PMID:33740869
Abstract

This study looked at whether access to Board Certified Behavior Analysts for children with autism spectrum disorder is different between U.S. counties. The study included all U.S. counties and county equivalents in 48 states and D.C. ( = 3108). Between March and May 2019, we combined data from the U.S. Department of Education's Civil Rights Data Collection, Behavior Analyst Certification Board's certificant registry, and U.S. Census. We assigned Board Certified Behavior Analysts to counties based on their address, matched children in school districts to counties, and determined how many children with autism spectrum disorder there were in a county compared with how many Board Certified Behavior Analysts there were in a county. The results show uneven numbers of Board Certified Behavior Analysts between U.S. counties. More than half of all counties had no Board Certified Behavior Analysts. National maps illustrate clusters of high and low accessibility to Board Certified Behavior Analysts. To improve access to Board Certified Behavior Analysts in underserved areas, we must identify what contributes to the differences in access.

摘要

本研究探讨了美国各县之间自闭症谱系障碍儿童获得认证行为分析师的情况是否存在差异。该研究包括 48 个州和哥伦比亚特区的所有美国县和县级行政区( = 3108)。在 2019 年 3 月至 5 月期间,我们结合了美国教育部民权数据收集、行为分析师认证委员会认证人员登记处和美国人口普查的数据。我们根据认证行为分析师的地址将其分配到各县,将学区中的儿童与各县相匹配,并确定一个县中有多少自闭症谱系障碍儿童,以及该县中有多少认证行为分析师。结果表明,美国各县之间的认证行为分析师数量存在不均衡。超过一半的县没有认证行为分析师。全国地图说明了认证行为分析师可及性高和低的聚类。为了改善服务不足地区获得认证行为分析师的机会,我们必须确定造成可及性差异的原因。

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