Department of Pediatrics, University of Minnesota, 606 24th Ave S, Minneapolis, MN, 55454, USA.
Department of Pediatrics, University of Minnesota, 420 Delaware St SE, Minneapolis, MN, 55455, USA.
J Autism Dev Disord. 2023 May;53(5):1739-1754. doi: 10.1007/s10803-022-05475-5. Epub 2022 Feb 25.
The study examined timing of autism spectrum disorder (ASD) identification in education versus health settings for 8-year-old children with ASD identified through records-based surveillance. The study also examined type of ASD symptoms noted within special education evaluations. Results indicated that children with records from only education sources had a median time to identification of ASD over a year later than children with records from health sources. Black children were more likely than White children to have records from only education sources. Restricted and repetitive behaviors were less frequently documented in educational evaluations resulting in developmental delay eligibility compared to specific ASD eligibility among children with ASD. Future research could explore strategies reduce age of identification in educational settings and increase equitable access to health evaluations.
本研究通过基于记录的监测，对在教育环境和医疗环境中识别自闭症谱系障碍（ASD）的时间进行了研究，以确定 8 岁患有 ASD 的儿童。本研究还研究了特殊教育评估中记录的 ASD 症状类型。结果表明，与有医疗记录的儿童相比，只有教育记录的儿童被确诊 ASD 的时间中位数要晚一年多。有教育记录的儿童中，黑人儿童比白人儿童更有可能只有教育记录。与特定的 ASD 资格相比，在有 ASD 的儿童中，教育评估中记录的受限和重复行为较少，导致发育迟缓资格。未来的研究可以探索在教育环境中减少识别年龄的策略，并增加获得医疗评估的公平机会。
