Abstract
Objective
To estimate the prevalence of health care transition components among youth with autism spectrum disorder (ASD) aged 12–17 using the 2016 National Survey of Children’s Health (NSCH), compared to youth with other mental, behavioral, or developmental disorders (MBDDs) or youth without MBDDs.
Methods
The 2016 NSCH is a nationally and state representative survey that explores issues of health and well-being among children ages 0–17. Within the NSCH, parents of a subset of youth, ages 12–17, are asked a series of questions about their youth’s eventual transition into the adult health care system. The current study explores components of this transition, comparing youth diagnosed with ASD, youth with other mental, behavioral, or developmental disorders (MBDDs), and youth without MBDDs.
Results
Approximately 1-in-4 youth with ASD had actively worked with their doctor to understand future changes to their health care, significantly less than youth with other MBDDs and youth without MBDDs. Fewer than 2-in-5 youth with ASD had met with their doctor privately or had a parent who knew how their youth would be insured when they reached adulthood.
Conclusions
The current analysis of a nationally representative sample of youth reveals discrepancies in the proportion of youth with ASD receiving appropriate health care transition planning compared to youth with other MBDDs and youth without MBDDs. These findings suggest the potential for barriers among youth with ASD to effectively transitioning into the adult health care system.
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Change history
09 March 2020
In the original publication of the article, Figure 1 included footnotes which duplicated information appearing in the figure caption. Therefore the notes of “NOTES: ASD = autism spectrum disorder; MBDD = mental, behavioral, or developmental disorder. Indicators presented are unadjusted estimates. <Superscript>x</Superscript> Significantly different than youth with autism spectrum disorder based on adjusted odds ratio (<Emphasis Type="Italic">p</Emphasis> < .05). <Superscript>y</Superscript> Significantly different than youth with other mental, behavioral, or developmental disorders based on adjusted odds ratio (<Emphasis Type="Italic">p</Emphasis> < .05).” have been removed. The figure 1 appearing in the original version of the article has been corrected.
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Funding
Drs. Zablotsky and Bramlett have no received nor external funding for this report. Dr. Shattuck and Ms. Rast were supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under UJ2MC31073: Maternal and Child Health-Autism Transitions Research Project.
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The original version of this article was revised: The figure 1 included footnotes which duplicated information appearing in the figure 1 caption. However, it is now corrected.
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Zablotsky, B., Rast, J., Bramlett, M.D. et al. Health Care Transition Planning Among Youth with ASD and Other Mental, Behavioral, and Developmental Disorders. Matern Child Health J 24, 796–804 (2020). https://doi.org/10.1007/s10995-019-02858-6
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DOI: https://doi.org/10.1007/s10995-019-02858-6