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07-02-2022 | Original Paper

Urban–Rural Disparity in the Incidence of Diagnosed Autism Spectrum Disorder in Taiwan: A 10-Year National Birth Cohort Follow-up Study

Auteurs: Yuu-Hueih Hsu, Chi-Wen Chen, Yuh-Jyh Lin, Chung-Yi Li

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 5/2023

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Abstract

Autism spectrum disorder (ASD) is reportedly more prevalent in urban areas partly because of better accessibility and affordability to healthcare. With universal health insurance coverage in Taiwan, a previous study has shown no urban–rural disparity in the utilization rate of a child’s preventive healthcare. Under this circumstance, we followed a birth cohort of 176,273 live births from 2006 to 2015 to detect the differences in ASD incidence between urbanicities. After adjusting for socioeconomic factors, children were 1.28 (95% confidence interval (CI): 1.13–1.44) and 1.54 (95% CI: 1.36–1.75) more likely to acquire ASD in satellite and urban areas compared with those in rural areas, respectively. A gradient association between parental educational attainment and ASD incidence was also noted. Greater ASD incidences in more urbanized areas and more advanced educated parents’ children were detected under a circumstance with low barriers to healthcare.
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Metagegevens
Titel
Urban–Rural Disparity in the Incidence of Diagnosed Autism Spectrum Disorder in Taiwan: A 10-Year National Birth Cohort Follow-up Study
Auteurs
Yuu-Hueih Hsu
Chi-Wen Chen
Yuh-Jyh Lin
Chung-Yi Li
Publicatiedatum
07-02-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 5/2023
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-022-05453-x

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