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首页> 外文期刊>Journal of Autism and Developmental Disorders >Urbanicity-related Variation in Help-seeking and Services Utilization among Preschool-age Children with Autism in Taiwan
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Urbanicity-related Variation in Help-seeking and Services Utilization among Preschool-age Children with Autism in Taiwan

机译：台湾学龄前自闭症儿童寻求帮助和服务利用中与城市有关的差异

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摘要

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.
机译：本研究调查了自闭症学龄前儿童在寻求帮助过程中与城市性有关的差异，并调查了在诊断年内与自闭症相关服务的利用相关的因素。我们使用台湾的1997-2004年国家健康保险研究数据库（NHIRD），确定了1997-1999年出生的3495名自闭症儿童和13964名匹配的对照组。结果表明，与城市自闭症相比，郊区和乡村自闭症倾向于年龄大，并且诊断过程更长。男性，较年轻的诊断年龄以及被精神病学专业诊断的患者强烈预测随后会更多地使用自闭症专项服务（所有p <0.05）。卫生政策制定者和其他服务提供者应解决农村地区患有早期神经发育障碍儿童的需求，特别是处境不利家庭的儿童。

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