Health Services Utilization Among Children With and Without Autism Spectrum Disorders.
Health Services Utilization Among Children With and Without Autism Spectrum Disorders.
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DOI：
10.1007/s10803-015-2634-z
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发表时间：
2016-03
影响因子：
3.9
通讯作者：
Croen LA
中科院分区：
文献类型：
--
作者：
Cummings JR;Lynch FL;Rust KC;Coleman KJ;Madden JM;Owen-Smith AA;Yau VM;Qian Y;Pearson KA;Crawford PM;Massolo ML;Quinn VP;Croen LA
本研究利用来自多个卫生系统（2009-2010年）的数据和迄今为止最大的样本，比较了患有和不患有自闭症谱系障碍（ASD）的青年对卫生服务的使用情况，包括以前未研究过的预防服务。为了检验这些差异，我们估计了逻辑和计数数据模型，控制了人口统计学特征、共病的身体健康和精神健康状况。结果表明，患有自闭症谱系障碍的青少年在许多方面都有更多的医疗保健使用，但不太可能接受重要的预防服务，包括流感疫苗和其他疫苗接种。更好地了解这一人群使用卫生保健的总体模式，可以使卫生系统促进接受适当和有效的卫生保健。
Using data from multiple health systems (2009–2010) and the largest sample to date, this study compares health services use among youth with and without an autism spectrum disorder (ASD) – including preventive services not previously studied. To examine these differences, we estimated logistic and count data models, controlling for demographic characteristics, comorbid physical health, and mental health conditions. Results indicated that youth with an ASD had greater health care use in many categories, but were less likely to receive important preventive services including flu shots and other vaccinations. An improved understanding of the overall patterns of health care use among this population could enable health systems to facilitate the receipt of appropriate and effective health care.