Journal of Autism and Developmental Disorders

, Volume 43, Issue 12, pp 2844–2854

Children’s Compliance with American Academy of Pediatrics’ Well-Child Care Visit Guidelines and the Early Detection of Autism

Original Paper


This study estimated compliance with American Academy of Pediatrics (AAP) guidelines for well-child care and the association between compliance and age at diagnosis in a national sample of Medicaid-enrolled children with autism (N = 1,475). Mixed effects linear regression was used to assess the relationship between compliance and age at diagnosis. Mean age at diagnosis was 37.4 (SD 8.4) months, and mean compliance was 55 % (SD 33 %). Children whose care was compliant with AAP guidelines were diagnosed 1.6 months earlier than children who received no well-child care. Findings support that the timely receipt of well-child care may contribute to earlier detection. Additional research on the contribution of compliance, well-child visit components and provider characteristics on the timely diagnosis of autism is needed.


Compliance Well-child care Autism Diagnosis Medicaid 

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Autism SpeaksNew YorkUSA
  2. 2.Johns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  3. 3.Center for Mental Health Policy and Services Research, Perelman School of MedicineUniversity of PennsylvaniaPhiladelphiaUSA
  4. 4.Center for Autism ResearchThe Children’s Hospital of PhiladelphiaPhiladelphiaUSA

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