Navigation Links
Study finds racial and ethnic disparities in usage of specialty services for children with autism
Date:6/16/2013

A study from investigators at MassGeneral Hospital for Children (MGHfC) found that African-American or Hispanic children diagnosed with autism were significantly less likely than white children to have received subspecialty care or procedures related to conditions that often accompany autism spectrum disorders. While previous studies have documented that minority children with autism tend to be diagnosed at a later age than white children, this report which will appear in the July issue of Pediatrics and has been released online is the first to describe disparities in the use of specialty services in gastroenterology, psychiatry or psychology.

"We think there are probably many reasons for these differences," says Sarabeth Broder-Fingert, MD, of MGHfC and the Center for Child and Adolescent Health Research and Policy at Massachusetts General Hospital (MGH), lead author of the report. "Many autism-related medical symptoms including gastrointestinal issues like constipation and neuropsychiatric issues such as anxiety or sleep disorders are not well understood, so doctors may not realize children are having those symptoms."

The research team reviewed records for more than 3,600 patients ages 2 to 21 with a diagnosis of autism who received care at the MGH or its affiliated health centers from 2000 through 2010. Data on each clinical visit was analyzed, with particular attention to specialty care in gastroenterology, psychiatry and psychology and to procedures including endoscopy, ultrasound, EEG, brain imaging and sleep studies. Among the patients identified, 81 percent were white, 5 percent were African-American and 7 percent, Hispanic.

The analysis revealed that minority children were significantly less likely to have received either subspecialty care or procedures, with some of the most significant differences in gastroenterology services, which were accessed by almost 14 percent of white children but only 9 percent of African-American children and 10 percent of Hispanic children. Minority children were less likely to have received an endoscopy or colonoscopy, and Hispanic children were much less likely to have had sleep studies or other neurological or neuropsychiatric tests.

"We know that many children with autism have gastrointestinal or sleep issues, and if those problems are not being diagnosed or treated, they can lead to additional behavior difficulties that can inhibit development," says Broder-Fingert, who is a clinical fellow in Pediatrics at Harvard Medical School. "Combining the challenges of accessing specialty services for any child with autism, regardless of race or ethnicity, with the recognized difficulties minority communities have accessing medical care in general can lead to these major disparities in the use of services.

"It's going to be important to see whether these differences in service use lead to differences in medical and behavioral outcomes, and we need to understand more about why this is happening," she adds. "We hope this work can help doctors be aware of these disparities and be sure to look out for patients especially minority patients who might need specialty services, and that we can help parents of children with autism be aware that these conditions may occur in their children and ask their doctors for assistance."


'/>"/>

Contact: Kory Dodd Zhao
kzhao2@partners.org
617-726-0274
Massachusetts General Hospital
Source:Eurekalert

Related medicine news :

1. Study Finds Individuals with Arthritis Don’t Walk Enough, Allsup Reports
2. Older patients will make lifestyle changes to avoid fractures, study finds
3. Loopholes in Federally Mandated IVF Reporting Lead Some Clinics to Artificially Inflate IVF Pregnancy Rates, Center for Human Reproduction Study Reports
4. Study Shows Alcohol Abusers Cannot Depend on Their Designated Drivers
5. UF study finds brain-imaging technique can help diagnose movement disorders
6. First major study of suicide motivations to advance prevention
7. Insurance Service Center Discusses a Recent Health Study and Encourages the Wisconsin Community to Purchase Adequate Health Coverage to Avoid a Financial Disaster
8. Study Identifies Most Effective Natural Bed Bug Killer
9. Clearwater, FL Periodontist, Dr. Stephen Kobernick Cites Recent Periodontal Study Urging Patients to Seek Gum Disease Treatment
10. Self-defense training for Kenyan girls reduces rape, Stanford/Packard study finds
11. Study finds greater potential benefit in overall survival for eribulin compared with capecitabine
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... Pixel Film Studios Released ProSlice ... "Film editors can give their videos a whole new perspective by using the ... of Pixel Film Studios. , ProSlice Levels contains over 30 Different presets to ...
(Date:6/25/2016)... ... 2016 , ... Experts from the American Institutes for Research ... June 26-28, 2016, at the Hynes Convention Center in Boston. , AIR experts ... planning, healthcare costs and patient and family engagement. , AIR researchers will be ...
(Date:6/25/2016)... ... , ... First Choice Emergency Room , the largest network of independent ... Director of its new Mesquite-Samuell Farm facility. , “We are pleased to announce ... Dr. James M. Muzzarelli, Executive Medical Director of First Choice Emergency Room. , ...
(Date:6/25/2016)... ... June 25, 2016 , ... Conventional wisdom preaches the benefits ... terms of the latter, setting the bar too high can result in disappointment, perhaps ... slow progress toward their goal. , Research from PsychTests.com reveals that ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Marcy was in a crisis. Her son James, ... out at his family verbally and physically. , “When something upset him, he couldn’t control ... use it. He would throw rocks at my other children and say he was going ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016 Dehaier Medical Systems ... "Company"), which develops, markets and sells medical devices and ... , signed a strategic cooperation agreement with Hongyuan Supply ... Supply Chain") on June 20, 2016, to develop Dehaier,s ... strategic cooperation agreement, Dehaier will leverage Hongyuan Supply Chain,s ...
(Date:6/24/2016)... , June 24, 2016   Pulmatrix, Inc ... company developing innovative inhaled drugs, announced today that it ... Russell Investments reconstituted its comprehensive set of U.S. ... "This is an important milestone for Pulmatrix," said ... increase shareholder awareness of our progress in developing drugs ...
(Date:6/23/2016)... June 23, 2016 Research and Markets ... Market - Forecast to 2022" report to their offering. ... method for the patients with kidney failure, it replaces the ... from the patient,s blood and thus the treatment helps to ... chloride in balance. Increasing number of ESRD ...
Breaking Medicine Technology: