Variance in Autism Prevalence: Links With State-Level Autism Resources

IF 1.1 4区医学 Q3 REHABILITATION

Journal of Disability Policy Studies Pub Date : 2023-03-07 DOI:10.1177/10442073231156940

Johanna S. Kester, Trenesha L Hill, Lauren Thompson, Corey L. Black, Veronica L. Coriano, Julia Bruton, Courtney N. Baker

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引用次数: 0

Abstract

The prevalence of autism spectrum disorder (ASD) has varied over time and across the United States. This variability is likely related to external factors, such as regional differences in ASD-related resources. The study reported on here examined the links between ASD prevalence as measured by Individuals with Disabilities Education Act (IDEA) Part B child count data and four aspects of state infrastructure (health care and insurance policies, clinical resources, research infrastructure, and awareness-raising individuals/organizations). This study also investigated whether these constructs varied by geographical region. The data for this study were abstracted from publicly available databases. Information on state infrastructure was gathered from high-quality reports, resource guides, certificant registries, and databases. More comprehensive ASD-relevant insurance and health care policies, more clinical resources, and greater research infrastructure were associated with higher ASD state prevalence rates as measured by the IDEA Part B child count data. Prevalence of ASD was higher in eastern U.S. states compared with southern U.S. states, but state-level ASD resources did not statistically significantly differ across geographic regions. Implications for research, practice, and policy are discussed.

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自闭症患病率的差异：与州一级自闭症资源的联系

自闭症谱系障碍（ASD）的患病率随着时间的推移和美国各地的不同而不同。这种可变性可能与外部因素有关，例如ASD相关资源的区域差异。本文报道的这项研究考察了《残疾人教育法》（IDEA）B部分儿童计数数据衡量的ASD患病率与国家基础设施的四个方面（医疗保健和保险政策、临床资源、研究基础设施和提高个人/组织意识）之间的联系。本研究还调查了这些结构是否因地理区域而异。这项研究的数据是从公开的数据库中提取的。有关国家基础设施的信息是从高质量的报告、资源指南、认证机构登记处和数据库中收集的。根据IDEA B部分儿童计数数据，更全面的ASD相关保险和医疗政策、更多的临床资源和更大的研究基础设施与更高的ASD州患病率相关。与美国南部各州相比，美国东部各州的ASD患病率更高，但州级ASD资源在不同地理区域的统计上没有显著差异。讨论了对研究、实践和政策的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Disability Policy Studies REHABILITATION-

CiteScore

3.20

自引率

0.00%

发文量

期刊介绍： The Journal of Disability Policy Studies addresses compelling, variable issues in ethics, policy, and law related to individuals with disabilities. A major focus is quantitative and qualitative policy research. Articles have implications in fields such as education, law, sociology, public health, family studies, medicine, social work, and public administration. Occasional special series discuss current problems or areas needing more in-depth research, for example, disability and aging, policy concerning families of children with disabilities, oppression and disability, school violence policies and interventions, and systems change in supporting individuals with disabilities.