Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Journal of Autism and Developmental Disorders 3/2008

01-03-2008 | Original Paper

Urbanicity-related Variation in Help-seeking and Services Utilization among Preschool-age Children with Autism in Taiwan

Auteurs: Chuan-Yu Chen, Chieh-Yu Liu, Wen-Chuan Su, Su-Ling Huang, Keh-Ming Lin

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 3/2008

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

The present study examines urbanicity-related differences in help-seeking process among preschool children with autism and investigates the factors associated with utilization of autism-related services within the year of diagnosis. Using the 1997–2004 National Health Insurance Research Database (NHIRD) in Taiwan, we identified a total of 3495 autistic children born in 1997–1999 and 13964 matched controls. Results indicate that suburban and rural autism tended to receive the diagnosis at an older age and to have a longer diagnosis process as compared with urban counterparts. Male gender, a younger age of diagnosis, and being diagnosed by psychiatric specialty strongly predict subsequent greater utilization of autism-specific services (all p < 0.05). Health policy makers and other service providers should address the needs of children with early-onset neurodevelopmental disorders in rural areas, particularly those from disadvantaged families.
Literatuur
go back to reference Aman, M. G. (2005). Treatment planning for patients with autism spectrum disorders. The Journal of Clinical Psychiatry, 66(Suppl.), 38–45. PubMed Aman, M. G. (2005). Treatment planning for patients with autism spectrum disorders. The Journal of Clinical Psychiatry, 66(Suppl.), 38–45. PubMed
go back to reference Barber, J., & Thompson, S. (2004). Multiple regression of cost data: Use of generalised linear models. Journal of Health Services Research & Policy, 9, 197–204. CrossRef Barber, J., & Thompson, S. (2004). Multiple regression of cost data: Use of generalised linear models. Journal of Health Services Research & Policy, 9, 197–204. CrossRef
go back to reference Boydell, K. M., Pong, R., Volpe, T., Tilleczek, K., Wilson, E., & Lemieux, S. (2006). Family perspectives on pathways to mental health care for children and youth in rural communities. The Journal of Rural Health, 22, 182–188. PubMedCrossRef Boydell, K. M., Pong, R., Volpe, T., Tilleczek, K., Wilson, E., & Lemieux, S. (2006). Family perspectives on pathways to mental health care for children and youth in rural communities. The Journal of Rural Health, 22, 182–188. PubMedCrossRef
go back to reference Chen, C. S., & Liu, T. C. (2005). The Taiwan national health insurance program and full infant immunization coverage. American Journal of Public Health, 95, 305–311. PubMedCrossRef Chen, C. S., & Liu, T. C. (2005). The Taiwan national health insurance program and full infant immunization coverage. American Journal of Public Health, 95, 305–311. PubMedCrossRef
go back to reference Chen, C. Y., Liu, C. Y., Su, W. C., Huang, S. L., & Lin, K. M. (2007). Factors associated with the diagnosis of neurodevelopmental disorders: A population-based longitudinal study. Pediatrics, 119, 435–443. CrossRef Chen, C. Y., Liu, C. Y., Su, W. C., Huang, S. L., & Lin, K. M. (2007). Factors associated with the diagnosis of neurodevelopmental disorders: A population-based longitudinal study. Pediatrics, 119, 435–443. CrossRef
go back to reference Cheng, T. M. (2003). Taiwan’s new national health insurance program: genesis and experience so far. Health Affairs (Project Hope), 22, 61–76. CrossRef Cheng, T. M. (2003). Taiwan’s new national health insurance program: genesis and experience so far. Health Affairs (Project Hope), 22, 61–76. CrossRef
go back to reference Committee on Educational Interventions for Children with Autism. (2001). Educating Children with Autism. Washington, DC: National Research Council. Committee on Educational Interventions for Children with Autism. (2001). Educating Children with Autism. Washington, DC: National Research Council.
go back to reference Costello, E. J., Foley, D. L., & Angold, A. (2006). 10-year research update review: The epidemiology of child and adolescent psychiatric disorders: II. Developmental epidemiology. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 8–25. PubMedCrossRef Costello, E. J., Foley, D. L., & Angold, A. (2006). 10-year research update review: The epidemiology of child and adolescent psychiatric disorders: II. Developmental epidemiology. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 8–25. PubMedCrossRef
go back to reference Costello, E. J., & Janiszewski, S. (1990). Who gets treated? Factors associated with referral in children with psychiatric disorders. Acta Psychiatrica Scandinavica, 81, 523–529. PubMedCrossRef Costello, E. J., & Janiszewski, S. (1990). Who gets treated? Factors associated with referral in children with psychiatric disorders. Acta Psychiatrica Scandinavica, 81, 523–529. PubMedCrossRef
go back to reference Daley, T. C. (2004). From symptom recognition to diagnosis: Children with autism in urban India. Social Science & Medicine, 58, 1323–1335. CrossRef Daley, T. C. (2004). From symptom recognition to diagnosis: Children with autism in urban India. Social Science & Medicine, 58, 1323–1335. CrossRef
go back to reference Department of Health (2004). General health statistics, Taiwan area, R.O.C. Taipei, Taiwan. Retrieved Sep 18, 2006, from Department of Health, the Executive Yuan, Taipei, Taiwan Web site: http://​www.​doh.​gov.​tw/​EN2006/​Statistics_​Publications/​Statistics_​list01.​aspx?​dept=​R&​now_​fod_​list_​no=​8385&​class_​no=​254&​level_​no=​2&​divNo=​&​divCount=​.​ Department of Health (2004). General health statistics, Taiwan area, R.O.C. Taipei, Taiwan. Retrieved Sep 18, 2006, from Department of Health, the Executive Yuan, Taipei, Taiwan Web site: http://​www.​doh.​gov.​tw/​EN2006/​Statistics_​Publications/​Statistics_​list01.​aspx?​dept=​R&​now_​fod_​list_​no=​8385&​class_​no=​254&​level_​no=​2&​divNo=​&​divCount=​.​
go back to reference Department of Health (2005). Health statistics: The Statistical Annual Report of Medical Care Institution’s Status & Hospital’s Utilization, Taiwan area. R.O.C. Retrieved May 30, 2007, from Department of Health, the Executive Yuan, Taipei, Taiwan Web site: http://​www.​doh.​gov.​tw/​EN2006/​Statistics_​Publications/​Statistics_​list01.​aspx?​dept=​R&​now_​fod_​list_​no=​8323&​class_​no=​349&​level_​no=​2&​divNo=​&​divCount=​.​ Department of Health (2005). Health statistics: The Statistical Annual Report of Medical Care Institution’s Status & Hospital’s Utilization, Taiwan area. R.O.C. Retrieved May 30, 2007, from Department of Health, the Executive Yuan, Taipei, Taiwan Web site: http://​www.​doh.​gov.​tw/​EN2006/​Statistics_​Publications/​Statistics_​list01.​aspx?​dept=​R&​now_​fod_​list_​no=​8323&​class_​no=​349&​level_​no=​2&​divNo=​&​divCount=​.​
go back to reference Dunn, G., Mirandola, M., Amaddeo, F., & Tansella, M. (2003). Describing, explaining or predicting mental health care costs: A guide to regression models. Methodological review. The British Journal of Psychiatry, 183, 398–404. PubMedCrossRef Dunn, G., Mirandola, M., Amaddeo, F., & Tansella, M. (2003). Describing, explaining or predicting mental health care costs: A guide to regression models. Methodological review. The British Journal of Psychiatry, 183, 398–404. PubMedCrossRef
go back to reference Farmer, J. E., Clark, M. J., Sherman, A., Marien, W. E., & Selva, T. J. (2005). Comprehensive primary care for children with special health care needs in rural areas. Pediatrics, 116, 649–656. PubMedCrossRef Farmer, J. E., Clark, M. J., Sherman, A., Marien, W. E., & Selva, T. J. (2005). Comprehensive primary care for children with special health care needs in rural areas. Pediatrics, 116, 649–656. PubMedCrossRef
go back to reference Halfon, N., Inkelas, M., & Wood, D. (1995). Nonfinancial barriers to care for children and youth. Annual Review of Public Health, 16, 447–472. PubMedCrossRef Halfon, N., Inkelas, M., & Wood, D. (1995). Nonfinancial barriers to care for children and youth. Annual Review of Public Health, 16, 447–472. PubMedCrossRef
go back to reference Hollander, E., Phillips, A. T., & Yeh, C. C. (2003). Targeted treatments for symptom domains in child and adolescent autism. Lancet, 362, 732–734. PubMedCrossRef Hollander, E., Phillips, A. T., & Yeh, C. C. (2003). Targeted treatments for symptom domains in child and adolescent autism. Lancet, 362, 732–734. PubMedCrossRef
go back to reference Howlin, P. (1998). Practitioner review: Psychological and educational treatments for autism. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 39, 307–322. PubMedCrossRef Howlin, P. (1998). Practitioner review: Psychological and educational treatments for autism. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 39, 307–322. PubMedCrossRef
go back to reference Howlin, P. (2005). The effectiveness of interventions for children with autism. Journal of Neural Transmission, 69(Suppl.), 101–119. PubMed Howlin, P. (2005). The effectiveness of interventions for children with autism. Journal of Neural Transmission, 69(Suppl.), 101–119. PubMed
go back to reference King, B. H., & Bostic, J. Q. (2006). An update on pharmacologic treatments for autism spectrum disorders. Child and Adolescent Psychiatric Clinics of North America, 15, 161–175. PubMedCrossRef King, B. H., & Bostic, J. Q. (2006). An update on pharmacologic treatments for autism spectrum disorders. Child and Adolescent Psychiatric Clinics of North America, 15, 161–175. PubMedCrossRef
go back to reference Lavigne, J. V., Arend, R., Rosenbaum, D., Binns, H. J., Christoffel, K. K., Burns, A., & Smith, A. (1998). Mental health service use among young children receiving pediatric primary care. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 1175–1183. PubMedCrossRef Lavigne, J. V., Arend, R., Rosenbaum, D., Binns, H. J., Christoffel, K. K., Burns, A., & Smith, A. (1998). Mental health service use among young children receiving pediatric primary care. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 1175–1183. PubMedCrossRef
go back to reference Leslie, L. K., Hurlburt, M. S., James, S., Landsverk, J., Slymen, D. J., & Zhang, J. (2005). Relationship between entry into child welfare and mental health service use. Psychiatric Services, 56, 981–987. PubMedCrossRef Leslie, L. K., Hurlburt, M. S., James, S., Landsverk, J., Slymen, D. J., & Zhang, J. (2005). Relationship between entry into child welfare and mental health service use. Psychiatric Services, 56, 981–987. PubMedCrossRef
go back to reference Liu, C. Y., Hung, Y. T., Chuang, Y. L., Chen, Y. J., Weng, W. S., Liu, J. S., Liang, K. Y. (2006). Incorporating development stratification of Taiwan townships into sampling design of large scale health interview survey. Journal of Health Management, 4, 1–22. Liu, C. Y., Hung, Y. T., Chuang, Y. L., Chen, Y. J., Weng, W. S., Liu, J. S., Liang, K. Y. (2006). Incorporating development stratification of Taiwan townships into sampling design of large scale health interview survey. Journal of Health Management, 4, 1–22.
go back to reference Mandell, D. S., Listerud, J., Levy, S. E., & Pinto-Martin, J. A. (2002). Race differences in the age at diagnosis among medicaid-eligible children with autism. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1447–1453. PubMedCrossRef Mandell, D. S., Listerud, J., Levy, S. E., & Pinto-Martin, J. A. (2002). Race differences in the age at diagnosis among medicaid-eligible children with autism. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1447–1453. PubMedCrossRef
go back to reference Mandell, D. S., & Novak, M. (2005). The role of culture in families’ treatment decisions for children with autism spectrum disorders. Mental Retardation and Developmental Disabilities Research Reviews, 11, 110–115. PubMedCrossRef Mandell, D. S., & Novak, M. (2005). The role of culture in families’ treatment decisions for children with autism spectrum disorders. Mental Retardation and Developmental Disabilities Research Reviews, 11, 110–115. PubMedCrossRef
go back to reference Mandell, D. S., Novak, M. M., & Zubritsky, C. D. (2005). Factors associated with age of diagnosis among children with autism spectrum disorders. Pediatrics, 116, 1480–1486. PubMedCrossRef Mandell, D. S., Novak, M. M., & Zubritsky, C. D. (2005). Factors associated with age of diagnosis among children with autism spectrum disorders. Pediatrics, 116, 1480–1486. PubMedCrossRef
go back to reference McConnell, S. R. (2002). Interventions to facilitate social interaction for young children with autism: Review of available research and recommendations for educational intervention and future research. Journal of Autism and Developmental Disorders, 32, 351–372. PubMedCrossRef McConnell, S. R. (2002). Interventions to facilitate social interaction for young children with autism: Review of available research and recommendations for educational intervention and future research. Journal of Autism and Developmental Disorders, 32, 351–372. PubMedCrossRef
go back to reference Owens, P. L., Hoagwood, K., Horwitz, S. M., Leaf, P. J., Poduska, J. M., Kellam, S. G., & Ialongo, N. S. (2002). Barriers to children’s mental health services. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 731–738. PubMedCrossRef Owens, P. L., Hoagwood, K., Horwitz, S. M., Leaf, P. J., Poduska, J. M., Kellam, S. G., & Ialongo, N. S. (2002). Barriers to children’s mental health services. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 731–738. PubMedCrossRef
go back to reference Petrou, S., & Kupek, E. (2007). Socioeconomic differences in childhood hospital inpatient service utilisation and costs: prospective cohort study. Journal of Epidemiology and Community Health, 59, 591–597. CrossRef Petrou, S., & Kupek, E. (2007). Socioeconomic differences in childhood hospital inpatient service utilisation and costs: prospective cohort study. Journal of Epidemiology and Community Health, 59, 591–597. CrossRef
go back to reference Petti, T. A., & Leviton, L. C. (1986). Re-thinking rural mental health services for children and adolescents. Journal of Public Health Policy, 7, 58–77. PubMedCrossRef Petti, T. A., & Leviton, L. C. (1986). Re-thinking rural mental health services for children and adolescents. Journal of Public Health Policy, 7, 58–77. PubMedCrossRef
go back to reference Rothman, K. J. (1986). Modern Epidemiology. Boston: Little, Brown & Company. Rothman, K. J. (1986). Modern Epidemiology. Boston: Little, Brown & Company.
go back to reference Rutter, M. (2005). Incidence of autism spectrum disorders: Changes over time and their meaning. Acta Paediatrica, 94, 2–15. PubMedCrossRef Rutter, M. (2005). Incidence of autism spectrum disorders: Changes over time and their meaning. Acta Paediatrica, 94, 2–15. PubMedCrossRef
go back to reference Rubble, L. A., Heflinger, C. A., Renfrew, J. W., Saunders, R. C. (2005). Access and service use by children with autism spectrum disorders in Medicaid Managed Care. Journal of Autism and Developmental Disorders, 35, 3–13. CrossRef Rubble, L. A., Heflinger, C. A., Renfrew, J. W., Saunders, R. C. (2005). Access and service use by children with autism spectrum disorders in Medicaid Managed Care. Journal of Autism and Developmental Disorders, 35, 3–13. CrossRef
go back to reference SAS Institute Inc. (2005). SAS (STAT), Version 9.13. Cary, NC: SAS Institute Inc. SAS Institute Inc. (2005). SAS (STAT), Version 9.13. Cary, NC: SAS Institute Inc.
go back to reference Simpson, L., Owens, P. L., Zodet, M. W., Chevarley, F. M., Dougherty, D., Elixhauser, A., McCormick, M. C. (2005). Health care for children and youth in the United States: Annual report on patterns of coverage, utilization, quality, and expenditures by income. Ambulatory Pediatrics, 5, 6–44. PubMedCrossRef Simpson, L., Owens, P. L., Zodet, M. W., Chevarley, F. M., Dougherty, D., Elixhauser, A., McCormick, M. C. (2005). Health care for children and youth in the United States: Annual report on patterns of coverage, utilization, quality, and expenditures by income. Ambulatory Pediatrics, 5, 6–44. PubMedCrossRef
go back to reference STATA Corporation. (2005). Stata Statistical Software, Release 8.02. College Station, TX: Stata Corporation. STATA Corporation. (2005). Stata Statistical Software, Release 8.02. College Station, TX: Stata Corporation.
go back to reference Thomas, C. R., & Holzer, C. E., 3rd. (2006). The continuing shortage of child and adolescent psychiatrists. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 1023–1031. Thomas, C. R., & Holzer, C. E., 3rd. (2006). The continuing shortage of child and adolescent psychiatrists. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 1023–1031.
go back to reference Volkmar, F. R., Wiesner, L. A., & Westphal, A. (2006). Healthcare issues for children on the autism spectrum. Current Opinion in Psychiatry, 19, 361–366. PubMedCrossRef Volkmar, F. R., Wiesner, L. A., & Westphal, A. (2006). Healthcare issues for children on the autism spectrum. Current Opinion in Psychiatry, 19, 361–366. PubMedCrossRef
go back to reference Williams White, S., Keonig, K., & Scahill, L. (2006). Social skills development in children with autism spectrum disorders: A review of the intervention research. Journal of Autism and Developmental Disorders, 36, 1065–1076. CrossRef Williams White, S., Keonig, K., & Scahill, L. (2006). Social skills development in children with autism spectrum disorders: A review of the intervention research. Journal of Autism and Developmental Disorders, 36, 1065–1076. CrossRef
go back to reference World Health Organization. (1992). International Statistical Classification of Disease and Health Related Problems, Ninth Revision. Geneva: WHO. World Health Organization. (1992). International Statistical Classification of Disease and Health Related Problems, Ninth Revision. Geneva: WHO.
go back to reference Zwaanswijk, M., Verhaak, P. F., Bensing, J. M., van der Ende, J., & Verhulst, F. C. (2003). Help seeking for emotional and behavioural problems in children and adolescents: A review of recent literature. European Child & Adolescent Psychiatry, 12, 153–161. CrossRef Zwaanswijk, M., Verhaak, P. F., Bensing, J. M., van der Ende, J., & Verhulst, F. C. (2003). Help seeking for emotional and behavioural problems in children and adolescents: A review of recent literature. European Child & Adolescent Psychiatry, 12, 153–161. CrossRef
Metagegevens
Titel
Urbanicity-related Variation in Help-seeking and Services Utilization among Preschool-age Children with Autism in Taiwan
Auteurs
Chuan-Yu Chen
Chieh-Yu Liu
Wen-Chuan Su
Su-Ling Huang
Keh-Ming Lin
Publicatiedatum
01-03-2008
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 3/2008
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-007-0416-y