Portillo Nora L, Thammathorn Looknoo Patcharapon, Buitrago Luisa María, Carter Alice S, Sheldrick Radley Christopher, Eisenhower Abbey
Montclair State University, 1 Normal Ave, Montclair, NJ, 07043, USA.
University of Massachusetts Boston, 100 Morrissey Boulevard, Boston, MA, 02125, USA.
J Autism Dev Disord. 2024 Oct 28. doi: 10.1007/s10803-024-06613-x.
We examined receipt of general early intervention services and autism-specific specialized services across demographic groups among toddlers with autism diagnoses who were receiving Part C Early Intervention (EI). Latent class analysis (n = 508) identified five demographically distinct subgroups associated with intersecting marginalization and privilege. Analyses of longitudinal parent interviews (n = 225) revealed service receipt disparities across these demographically distinct latent classes; children from White, U.S. born, English-proficient parents with incomes above poverty level received more EI services (M = 12.0 h/week) than other subgroups, with children from Latiné immigrant families receiving the fewest hours (M = 6.9 h/week). Across all groups, average intervention hours were 8.8 h/week. Despite early identification, racial, ethnic, and other sociodemographic disparities were evident in receipt of Part C Early Intervention services, indicating the need to address barriers to equitable care.
我们调查了接受C部分早期干预（EI）的自闭症幼儿在不同人口群体中获得的一般早期干预服务和自闭症特定的专业服务情况。潜在类别分析（n = 508）确定了五个在人口统计学上不同的亚组，这些亚组与交叉边缘化和特权相关。对纵向家长访谈（n = 225）的分析揭示了这些在人口统计学上不同的潜在类别之间的服务接受差异；来自美国本土、英语熟练、收入高于贫困线的白人父母的孩子比其他亚组接受了更多的EI服务（平均每周12.0小时），而拉丁裔移民家庭的孩子接受的服务时间最少（平均每周6.9小时）。在所有群体中，平均干预时间为每周8.8小时。尽管进行了早期识别，但在接受C部分早期干预服务方面，种族、民族和其他社会人口差异仍然明显，这表明需要解决公平护理的障碍。
