Delayed Diagnosis and Treatment Among Children with Autism Who Experience Adversity
Delayed Diagnosis and Treatment Among Children with Autism Who Experience Adversity
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DOI：
10.1007/s10803-017-3294-y
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发表时间：
2018-01-01
影响因子：
3.9
通讯作者：
Msall, Michael E.
中科院分区：
文献类型：
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作者：
Berg, Kristin L.;Acharya, Kruti;Msall, Michael E.
使用2011-2012年全国儿童健康调查的数据来衡量家庭不良童年经历(ACE)对ASD诊断和接受治疗的时机的影响。参数加速失效时间模型估计了美国儿童(2-17岁；N=1624)的家庭ACE与ASD诊断和接受治疗的时间之间的关系。与没有家庭ACEs的儿童相比，1-2ACEs和AE3ACEs的调整效应导致诊断时间延长，时间比分别为1.17和1.23。报告1-2和AE3的A与进入服务的中位年龄分别增加22%和27%相关。ACE可能会对ASD儿童的诊断和治疗构成重大障碍。
The effects of family adverse childhood experiences (ACEs) on timing of ASD diagnoses and receipt of therapies were measured using data from the 2011-2012 National Survey of Children's Health. Parametric accelerated failure time models estimated the relationship between family ACEs and both timing of ASD diagnosis and receipt of therapies among US children (age 2-17 years; N = 1624). Compared to children without family ACEs, the adjusted effects of 1-2 and ae 3 ACEs resulted in prolonged time of diagnoses with time ratios of 1.17 and 1.23. Report of 1-2 and ae 3 ACEs were associated with a 22 and 27% increase in the median age of entry into services. ACEs may pose significant barriers to diagnoses and treatment of children with ASD.