Regional Variations in Early Intervention Utilization for Children with Developmental Delay
Regional Variations in Early Intervention Utilization for Children with Developmental Delay
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DOI：
10.1007/s10995-012-1119-3
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发表时间：
2013-09-01
影响因子：
2.3
通讯作者：
Isakson, Elizabeth A.
中科院分区：
文献类型：
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作者：
Grant, Roy;Isakson, Elizabeth A.
我们测试了早期干预计划（EI）参与的州一级变化是否与早期发育迟缓的关键风险因素的比率一致。基于先前的研究结果，我们专注于儿童贫困和低出生体重的风险因素，包括国家门槛EI资格类别（分类为广泛/中等或狭窄），并汇总到地区的国家。在SPSS 15.0中进行双变量分析。所有数据都是2009年的。根据往年的数据对结果进行了检验，以确定2009年的调查结果是否异常。在全国范围内，2.67%的适龄人口在就业保险中得到服务（各州之间的范围为1.24- 6.51%）。在区域一级，教育机构的参与情况差异很大。早期干预参与率南部最低，东北部最高（p < 0.01）。低出生体重（p < 0.01）和儿童贫困（p < 0.01）的地区差异也很大。两者都在南方最高。虽然EI参与显着不同的国家资格标准，这一因素并不能完全解释利用率的差异。2009年的结果代表了多年趋势数据。多个来源的流行病学研究表明，国家EI使用率始终落后于需求。研究结果强烈表明，有一个显着的人口的婴儿和幼儿谁需要，但不接受EI服务，特别是在南方。
We tested whether state-level variations in early intervention program (EI) participation were consistent with rates of key risk factors for early developmental delay. Based on the results of prior studies, we focused on child poverty and low birth weight as risk factors, included state threshold for EI eligibility by category (classified as broad/moderate or narrow), and aggregated the states into regions. Bivariate analyses were done in SPSS 15.0. All data were for 2009. Results were tested against data for prior years to ascertain whether findings for 2009 were anomalous. Nationally, 2.67 % of the age-eligible population was served in EI (range among states, 1.24-6.51 %). Variation in EI participation was significant at the regional level. Early intervention participation was lowest in the south and highest in the northeast (p < 0.01). Regional variations in low birth weight (p < 0.01) and child poverty (p < 0.01) were also significant. Both were highest in the south. While EI participation varied significantly by state eligibility standards, this factor did not entirely explain variance in utilization. Results for 2009 were representative of multi-year trend data. National EI utilization rates consistently lagged behind need as identified in epidemiologic studies from multiple sources. The results strongly suggest that there is a significant population of infants and toddlers who need but do not receive EI services, especially in the south.