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Journal of Autism and Developmental Disorders

, Volume 49, Issue 4, pp 1652–1664 | Cite as

Health Disparities among Children with Autism Spectrum Disorders: Analysis of the National Survey of Children’s Health 2016

  • Arun KarpurEmail author
  • Angela Lello
  • Thomas Frazier
  • Pamela J. Dixon
  • Andy J. Shih
Original Paper

Abstract

Utilizing the 2016 National Survey of Children’s Health, this study illustrates that children with ASD have nearly 4 times higher odds of unmet health care needs compared to children without disabilities, whereas children with other disabilities had nearly 2 times higher odds of unmet health care needs compared to children without disabilities. Applying Andersen’s Behavioral Model of health care utilization, this study estimates that enabling factors (e.g., access to health insurance, quality of health insurance, access to family-centered care, family-level stress, exposure to adverse childhood experiences, and parental employment) improved prediction of regression model for unmet health care needs by 150%. Policy and program implications are discussed and a new framework for responding to observed disparities is discussed.

Keywords

Autism Spectrum Disorders (ASD) Health disparities Andersen’s Behavioral Model Unmet health care needs 

Notes

Author Contributions

AK conceptualized the study, analyzed data, wrote the manuscript; AL contributed to writing the manuscript; TF conceptualized and contributed to the writing; PD contributed to the writing; AS helped with conceptualization of the study.

Funding

No external funding was received for this research.

Compliance with Ethical Standards

Conflict of interest

Arun Karpur, Angela Lello, Thomas Frazier, Pamela J. Dixon, and Andy J. Shih declares that they have no conflict of interest.

Research Involving Human Participants and/or Animals

This article does not contain any studies with human participants or animals performed by any of the authors.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Autism SpeaksPrincetonUSA
  2. 2.Data Science and Evaluation ResearchAutism SpeaksPrincetonUSA

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