University of Wisconsin-Madison, USA.
OTJR (Thorofare N J). 2021 Oct;41(4):243-250. doi: 10.1177/15394492211012654. Epub 2021 May 6.
Children in lower income households are less likely to be diagnosed with autism spectrum disorder (ASD) and diagnosis is often delayed. Lack of or delayed identification of ASD minimizes a child's ability to receive effective early intervention services that support development of functional independence skills. Research has yet to identify relationships between functional independence and household income for children with ASD. A cross-sectional national survey with 231 caregivers of children with autism aged 2-12 years was conducted. Caregivers completed a 90-min survey examining family demographics, intervention services, autism symptom severity, and children's functional behavioral outcomes. Significant differences in functional independence behavior scores were identified for children from the highest and lowest income categories when controlling for autism symptom severity, age of diagnosis, and receipt of intervention services. This study provides preliminary evidence to support the association between income and functional independent behavior for children with ASD.
低收入家庭的儿童被诊断为自闭症谱系障碍 (ASD) 的可能性较低,且诊断往往会延迟。ASD 的识别不足或延迟会降低儿童获得有效早期干预服务的能力,而这些服务可以支持其功能性独立技能的发展。目前,还没有研究确定 ASD 儿童的功能性独立与家庭收入之间的关系。本研究采用横断面全国性调查,共纳入 231 名 2-12 岁自闭症儿童的照顾者。照顾者完成了一项 90 分钟的调查,内容包括家庭人口统计学、干预服务、自闭症症状严重程度以及儿童的功能性行为结果。在控制自闭症症状严重程度、诊断年龄和干预服务的情况下,来自收入最高和最低类别的儿童在功能性独立行为评分上存在显著差异。本研究初步证明了 ASD 儿童的收入与功能性独立行为之间存在关联。