Association of childhood autism spectrum disorders and loss of family income
Association of childhood autism spectrum disorders and loss of family income
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DOI：
10.1542/peds.2007-1594
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发表时间：
2008-04-01
期刊：
影响因子：
8
通讯作者：
Halterman, Jill S.
中科院分区：
文献类型：
--
作者：
Montes, Guillermo;Halterman, Jill S.
背景自闭症儿童的父母有显着的自付支出与他们的孩子的照顾。孩子患有自闭症对家庭收入的影响尚不清楚。这项工作的目的是估计损失的家庭收入与儿童自闭症使用全国代表性的样本。2005年，全国家庭教育调查----课外方案和活动对11684名就读于幼儿园至八年级的儿童的父母进行了调查。自闭症谱系障碍被定义为对问题的肯定回答，“有健康专业人士告诉你[孩子]有以下任何残疾吗？1)自闭症吗2)广泛性发育障碍“样本中有131名自闭症谱系障碍儿童和2775名其他残疾儿童。我们使用有序逻辑回归分析来估计自闭症儿童家庭的预期收入，考虑到他们的教育水平和人口统计学特征，并将预期收入与他们报告的收入进行比较。在控制了父母教育、家庭类型、父母年龄、家庭所在地和少数民族之后，患有自闭症谱系障碍的孩子和患有其他残疾的孩子都与生活在高收入家庭的几率降低有关。与自闭症谱系障碍儿童相关的年收入平均损失为6200美元，占其报告收入的14%。儿童自闭症与家庭年收入的大量损失有关。这可能会给家庭带来沉重的负担，因为他们需要额外的自付支出。
BACKGROUND. Parents of children with autism have significant out-of-pocket expenditures related to their child's care. The impact of having a child with autism on household income is not known.OBJECTIVE. The purpose of this work was to estimate the loss of household income associated with childhood autism using a nationally representative sample.METHODS. Parents of 11 684 children enrolled in kindergarten to eighth grade were surveyed by the National Household Education Survey-After School Programs and Activities in 2005. An autism spectrum disorder was defined as an affirmative response to the questions, "has a health professional told you that [child] has any of the following disabilities? 1) autism? 2) pervasive developmental disorder or PDD?" There were 131 children with autism spectrum disorder in the sample and 2775 children with other disabilities. We used ordinal logistic regression analyses to estimate the expected income of families of children with autism given their education level and demographic characteristics and compared the expected income with their reported income.RESULTS. Both having a child with autism spectrum disorder and having a child with other disabilities were associated with decreased odds of living in a higher income household after controlling for parental education, type of family, parental age, location of the household, and minority ethnicity. The average loss of annual income associated with having a child with autism spectrum disorder was $6200 or 14% of their reported income.CONCLUSION. Childhood autism is associated with a substantial loss of annual household income. This likely places a significant burden on families in the face of additional out-of-pocket expenditures.