RESUMO
Racial and ethnic disparities in accessing health care have been described in children with autism spectrum disorder (ASD). In a retrospective chart review of 152 children with ASD, children of parents whose primary language was English were significantly more likely to have both social skills and communication goals within their individualized education plan (IEP) compared to children of parents whose primary language was not English. Additionally, children of primary English speakers received significantly more hours of direct services from their state disability program. After controlling for demographic covariates, findings suggest that language barriers may negatively affect parents' abilities to access health care services for their child with ASD. Acculturation factors must therefore be considered when analyzing disparities in autism.
Assuntos
Transtorno do Espectro Autista/diagnóstico , Transtorno do Espectro Autista/etnologia , Barreiras de Comunicação , Assistência à Saúde Culturalmente Competente/etnologia , Acessibilidade aos Serviços de Saúde , Idioma , Adolescente , Transtorno do Espectro Autista/terapia , Criança , Pré-Escolar , Assistência à Saúde Culturalmente Competente/métodos , Feminino , Acessibilidade aos Serviços de Saúde/normas , Humanos , Lactente , Masculino , Estudos RetrospectivosRESUMO
A retrospective cohort study was conducted on infants of mothers delivering at an inner-city hospital in October 2009 where postpartum maternal tetanus toxoid, reduced diptheria toxoid and acellular pertussis (Tdap) vaccination had been initiated in May 2008. We compared mothers and infants in a Tdap intervention group discharged July 2008 (n=250) with a pre-Tdap control group discharged July 2007 (n=238). Postpartum maternal Tdap impacted positively timeliness of early infant immunization.
