TY - JOUR
T1 - Is medical home care adequacy associated with educational service use in children and youth with autism spectrum disorder (ASD)?
AU - Rizk, Sabrin
AU - Ngui, Emmanuel
AU - Benevides, Teal W.
AU - Moerchen, Victoria A.
AU - Khetani, Mary
AU - Barnekow, Kris
N1 - Funding Information:
We hypothesized that the association between reported inadequate medical home care and current educational service use would be attenuated by select sociodemographic factors. Our hypothesis was partially supported. Multivariate analyses showed that children and youth with ASD with inadequate medical home care had significantly higher odds of current educational service use (see Appendix, Model ). After adjusting for predisposing factors, the odds of current educational service use slightly decreased, but remained statistically significant. Older children and youth with ASD and mothers with reported lower overall health (i.e., < less than excellent or very good) had significantly lower odds of current educational service use (see Appendix, Model ). The enabling factors (including enabling-vulnerability) did not affect the interpretation of inadequate medical home care or the other predisposing factors (see Appendix, Models and ).
Publisher Copyright:
© 2023, The Author(s).
PY - 2023/12
Y1 - 2023/12
N2 - Background: The American Academy of Pediatrics (AAP) recommends medical home care for children and youth with autism spectrum disorder (ASD) for health needs. Children and youth with ASD also receive educational services for cognitive, social, and behavioral needs. We measured whether inadequate medical home care was significantly associated with current educational service use, controlling for sociodemographic factors. Methods: We analyzed the 2016/2017 National Survey of Children’s Health (NSCH) on 1,248 children and youth with ASD ages 1–17. Inadequate medical home care was operationalized as negative or missing responses to at least one medical home component. Educational service use was defined as current service use under individualized family service plans (IFSP) and individualized education programs (IEP). Results: Inadequate medical home care was significantly associated with higher likelihood of current educational service use (aOR = 1.95, 95% CI [1.10, 3.44], p = 0.03). After adjustment, older children (aOR = 0.91, 95% CI [0.84, 0.99], p = 0.03), lower maternal health (aOR = 0.52, 95% CI [0.29, 0.94], p = 0.03), and children without other special health care factors (aOR = 0.38, 95% CI [0.17–0.85], p = 0.02) had significantly lower odds of current educational service use. Conclusions: Inadequate medical home care yielded higher odds of current educational service use. Child’s age, maternal health, and lack of other special health care factors were associated with lower odds of current educational service use. Future research should examine medical home care defined in the NSCH and improving educational service use via medical home care.
AB - Background: The American Academy of Pediatrics (AAP) recommends medical home care for children and youth with autism spectrum disorder (ASD) for health needs. Children and youth with ASD also receive educational services for cognitive, social, and behavioral needs. We measured whether inadequate medical home care was significantly associated with current educational service use, controlling for sociodemographic factors. Methods: We analyzed the 2016/2017 National Survey of Children’s Health (NSCH) on 1,248 children and youth with ASD ages 1–17. Inadequate medical home care was operationalized as negative or missing responses to at least one medical home component. Educational service use was defined as current service use under individualized family service plans (IFSP) and individualized education programs (IEP). Results: Inadequate medical home care was significantly associated with higher likelihood of current educational service use (aOR = 1.95, 95% CI [1.10, 3.44], p = 0.03). After adjustment, older children (aOR = 0.91, 95% CI [0.84, 0.99], p = 0.03), lower maternal health (aOR = 0.52, 95% CI [0.29, 0.94], p = 0.03), and children without other special health care factors (aOR = 0.38, 95% CI [0.17–0.85], p = 0.02) had significantly lower odds of current educational service use. Conclusions: Inadequate medical home care yielded higher odds of current educational service use. Child’s age, maternal health, and lack of other special health care factors were associated with lower odds of current educational service use. Future research should examine medical home care defined in the NSCH and improving educational service use via medical home care.
KW - Adolescents
KW - Autism spectrum disorders
KW - Education services
KW - Health services
KW - Pre-school children
KW - School-age children
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U2 - 10.1186/s12887-022-03776-3
DO - 10.1186/s12887-022-03776-3
M3 - Article
C2 - 36617543
AN - SCOPUS:85145977214
SN - 1471-2431
VL - 23
JO - BMC pediatrics
JF - BMC pediatrics
IS - 1
M1 - 12
ER -