COVID-19 and behaviors in children with autism spectrum disorder: Disparities by income and food security status.
COVID-19 and behaviors in children with autism spectrum disorder: Disparities by income and food security status.
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DOI：
10.1016/j.ridd.2021.104002
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发表时间：
2021-08
影响因子：
3.1
通讯作者：
Kelleher BL
中科院分区：
文献类型：
--
作者：
Panjwani AA;Bailey RL;Kelleher BL
关于COVID-19大流行对自闭症谱系障碍（ASD）儿童行为的影响的研究还很缺乏。这项研究调查了COVID-19与生活在美国的ASD儿童行为之间的关系。美国各地的父母和照顾者（n = 200）作为2-17岁ASD儿童的代理人，参与了一项在线调查，调查了COVID-19大流行期间整体行为和15种特定行为的变化。Logistic回归被用来评估一个中等到大的影响，对儿童的整体行为与家庭收入水平和食品安全状况的关联。大多数受访者表示，COVID-19对儿童的整体行为产生了中度至重度影响（74%）。一些特定的行为也受到影响。按收入水平和粮食安全状况分层，发现对总体行为和大多数具体行为的影响存在差异。与家庭收入≥ 10万美元相比，收入<5万美元与对儿童整体行为产生中度至重度影响的风险增加相关（比值比（OR）：4.07，95% CI：1.60，10.38）。即使在调整潜在混杂因素后，粮食不安全也会显著影响这种风险（OR：3.31，95% CI：1.13，9.66）。我们的研究结果显示，很大一部分照顾者报告称，在COVID-19后，美国ASD儿童的行为发生了中度至较大的变化，特别是在低收入和/或粮食不安全的家庭中。这项研究强调了在这一前所未有的时期，现有的差距对ASD儿童及其家庭的影响。
Research on the impact of the COVID-19 pandemic on behaviors of children with autism spectrum disorder (ASD) is lacking. This study investigates the relationship between COVID-19 and behaviors of children with ASD living in the United States. Parents and caregivers (n = 200) across the United States, as proxies for children 2–17 years of age with ASD, participated in an online survey querying changes in overall behavior and 15 specific behaviors during the COVID-19 pandemic. Logistic regression was used to assess the association of a moderate-to-large impact on the child’s overall behavior with household income level and food security status. A majority of respondents reported a moderate-to-large impact on the child’s overall behavior (74 %) due to COVID-19. Several specific behaviors were also affected. Stratifying by income level and food security status revealed disparities in the impact on overall behavior and most specific behaviors. Compared to a household income ≥$100 K, an income <$50 K was associated with an increased risk of moderate-to-large impact on the child’s overall behavior (odds ratio (OR): 4.07, 95 % CI: 1.60, 10.38). Food insecurity also significantly impacted this risk, even after adjusting for potential confounding factors (OR: 3.31, 95 % CI: 1.13, 9.66). Our findings show a large proportion of caregivers reporting moderate-to-large changes post-COVID-19 in the behaviors of U.S. children with ASD, particularly in families with low income and/or food insecurity. This study highlights the effects of existing disparities on children with ASD and their families during this unprecedented time.
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影响因子：
3.2
作者：
Pereira M;Oliveira AM
通讯作者：
Oliveira AM
DOI：
10.1016/j.rcp.2020.05.006
发表时间：
2020-12-01
期刊：
Revista Colombiana de Psiquiatría
影响因子：
--
作者：
Palacio-Ortiz, Juan David;Londoño-Herrera, Juan Pablo;Quintero-Cadavid, Claudia Patricia
通讯作者：
Quintero-Cadavid, Claudia Patricia
影响因子：
3.8
作者：
Jeong H;Yim HW;Song YJ;Ki M;Min JA;Cho J;Chae JH
通讯作者：
Chae JH
影响因子：
6.9
作者：
Adams, Elizabeth L.;Caccavale, Laura J.;Bean, Melanie K.
通讯作者：
Bean, Melanie K.
影响因子：
1.2
作者：
Amorim, Rita;Catarino, Sara;Guardiano, Micaela
通讯作者：
Guardiano, Micaela