PMID- 28557734
OWN - NLM
STAT- MEDLINE
DCOM- 20170803
LR  - 20211204
IS  - 1098-4275 (Electronic)
IS  - 0031-4005 (Print)
IS  - 0031-4005 (Linking)
VI  - 139
IP  - 5
DP  - 2017 May
TI  - Disparities in Diagnosis and Treatment of Autism in Latino and Non-Latino White 
      Families.
LID - 10.1542/peds.2016-3010 [doi]
LID - e20163010
AB  - OBJECTIVES: To compare barriers to autism spectrum disorder (ASD) diagnosis and 
      current ASD-related service use among non-Latino white (NLW) families and Latino 
      families with English proficiency (L-EP) or limited English proficiency (L-LEP). 
      METHODS: We conducted a mixed-mode survey of families of children with confirmed 
      ASD seen at specialty clinics in 3 United States cities. Bivariate and 
      multivariate analyses compared barriers to ASD diagnosis, current service use, 
      and unmet therapy need among NLW, L-EP, and L-LEP families. RESULTS: Overall, 
      barriers to ASD diagnosis were prevalent: families (n = 352) experienced a mean 
      of 8 of 15 barriers to ASD diagnosis. The most prevalent barriers overall were 
      "stress of diagnostic process," "parent knowledge about ASD," and "understanding 
      medical system." Compared with NLW families, L-LEP families were more likely to 
      experience barriers related to knowledge about ASD and trust in providers. 
      Children in L-LEP families also had fewer current therapy hours and more unmet 
      therapy needs than children in NLW families. L-EP families' barriers and 
      treatment services use profile was more similar to NLW than to L-LEP families. 
      CONCLUSIONS: English proficiency was an important marker for barriers to ASD 
      diagnosis and treatment in Latinos. Increasing ASD-related knowledge and provider 
      trust may decrease disparities in the diagnosis and treatment of ASD among US 
      Latinos.
CI  - Copyright (c) 2017 by the American Academy of Pediatrics.
FAU - Zuckerman, Katharine E
AU  - Zuckerman KE
AD  - Division of General Pediatrics, Oregon Health and Science University, Doernbecher 
      Children's Hospital, Portland, Oregon; zuckerma@ohsu.edu.
AD  - Oregon Health and Science University-Portland State University School of Public 
      Health, Portland, Oregon.
FAU - Lindly, Olivia J
AU  - Lindly OJ
AD  - Division of General Pediatrics, Oregon Health and Science University, Doernbecher 
      Children's Hospital, Portland, Oregon.
AD  - College of Public Health and Human Sciences, Oregon State University, Corvallis, 
      Oregon.
FAU - Reyes, Nuri M
AU  - Reyes NM
AD  - Departments of Pediatrics and.
FAU - Chavez, Alison E
AU  - Chavez AE
AD  - Division of General Pediatrics, Oregon Health and Science University, Doernbecher 
      Children's Hospital, Portland, Oregon.
FAU - Macias, Kristy
AU  - Macias K
AD  - Department of Pediatrics, University of Southern California, Los Angeles 
      Children's Hospital, Los Angeles, California.
AD  - University Center for Excellence in Developmental Disabilities, University of 
      Southern California, Los Angeles, California; and.
FAU - Smith, Kathryn N
AU  - Smith KN
AD  - Department of Pediatrics, University of Southern California, Los Angeles 
      Children's Hospital, Los Angeles, California.
AD  - University Center for Excellence in Developmental Disabilities, University of 
      Southern California, Los Angeles, California; and.
FAU - Reynolds, Ann
AU  - Reynolds A
AD  - Departments of Pediatrics and.
AD  - Psychiatry, University of Colorado School of Medicine, Aurora, Colorado.
LA  - eng
GR  - K23 MH095828/MH/NIMH NIH HHS/United States
PT  - Journal Article
PL  - United States
TA  - Pediatrics
JT  - Pediatrics
JID - 0376422
SB  - IM
MH  - Autism Spectrum Disorder/*diagnosis
MH  - Child
MH  - Child, Preschool
MH  - *Communication Barriers
MH  - Female
MH  - Health Services Accessibility/*statistics & numerical data
MH  - Health Surveys
MH  - Healthcare Disparities/*statistics & numerical data
MH  - Hispanic or Latino
MH  - Humans
MH  - Language
MH  - Male
MH  - United States
PMC - PMC5404727
MID - NIHMS860855
COIS- POTENTIAL CONFLICT OF INTEREST: The institutions of Drs Reynolds, Smith, and 
      Zuckerman and Ms Chavez have each received research funding from Autism Speaks; 
      the other authors have indicated they have no potential conflicts of interest to 
      disclose.
EDAT- 2017/05/31 06:00
MHDA- 2017/08/05 06:00
PMCR- 2018/05/01
CRDT- 2017/05/31 06:00
PHST- 2017/02/09 00:00 [accepted]
PHST- 2017/05/31 06:00 [entrez]
PHST- 2017/05/31 06:00 [pubmed]
PHST- 2017/08/05 06:00 [medline]
PHST- 2018/05/01 00:00 [pmc-release]
AID - peds.2016-3010 [pii]
AID - 10.1542/peds.2016-3010 [doi]
PST - ppublish
SO  - Pediatrics. 2017 May;139(5):e20163010. doi: 10.1542/peds.2016-3010.