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

Chen, Chuan Yu; Liu, Chieh‐Yu; Su, Wen Chuan; Huang, Su Ling; Lin, Keh Ming

doi:10.1007/s10803-007-0416-y

Cited by 51 publications

(34 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This finding is inconsistent with previous studies that suggested that families in rural areas encounter specific difficulties in their search for services (Chen et al 2008;Hutton and Caron 2005;Kohler 1999;Mandell et al 2005;Pennington et al 2009). The population-based approach used in Québec to promote an equitable provision of services among all families living within a catchment area may explain this discrepancy.…”

Section: Discussioncontrasting

confidence: 97%

See 1 more Smart Citation

Quality Determinants of Services for Parents of Young Children with Autism Spectrum Disorders

Rivard

Lépine²,

Mercier

et al. 2014

J Child Fam Stud

View full text Add to dashboard Cite

This study examined how the parents of young children with autism spectrum disorders perceive the quality determinants of services provided to them in the context of a public network of services. The perceptions of 176 families who were receiving, or had received, specialized services for at least 12 months and were living in urban, suburban, and rural areas were investigated on three fronts: the relative importance of four determinants of quality, their degree of realization, and parents' satisfaction relative to these determinants. These determinants were the accessibility, continuity and flexibility of services, as well as the validity of information provided. Parents felt that the accessibility, continuity and flexibility of services were the most important determinants of quality. However, continuity and accessibility were also perceived as being the least realized. Parents were more satisfied with the validity of information and the flexibility of services than with their continuity and accessibility. These response patterns were observed consistently among parents from urban, suburban, and rural areas, with the exception that rural residents were less satisfied with the continuity of services. Such results emphasize the importance of examining perceived quality from a dynamic perspective. Indeed, the complex relationships that may exist between different aspects of quality, parents' expectations and concerns, along with the actual service delivery conditions, must be taken into account. Our findings also provide an incentive to pursue the development and implementation of evidence-based innovative practices to enhance the integration of services.

show abstract

Section: Discussioncontrasting

confidence: 97%

“…This situation seems to be felt most strongly by families living in rural areas (Chen et al 2008;Mandell et al 2005). For instance, a child residing in a rural community may obtain a diagnosis 5 months later than one of his or her peers living in an urban community (Mandell et al 2005).…”

Section: Introductionmentioning

confidence: 99%

Quality Determinants of Services for Parents of Young Children with Autism Spectrum Disorders

Rivard

Lépine²,

Mercier

et al. 2014

J Child Fam Stud

View full text Add to dashboard Cite

show abstract

“…To date, however, there is little evidence for the influence of such environmental pollutants including specific agents on the development of ASD (Kalkbrenner et al 2010). Our finding of an increased risk of ASD in urban areas compared to rural areas is in accordance with findings from studies of geographically and ethnically diverse areas such as Japan (Hoshino et al 1982), Taiwan (Chen et al 2008), and the United States (Rosenberg et al 2009). Furthermore, in a systematic review of prevalence studies of ASD, Williams et al (2006) found an association between urban residence of the child and ASD.…”

Section: Discussionsupporting

confidence: 91%

Urbanicity and Autism Spectrum Disorders

Lauritsen

Astrup

Pedersen

et al. 2013

J Autism Dev Disord

View full text Add to dashboard Cite

The etiology of autism spectrum disorders (ASD) is for the majority of cases unknown and more studies of risk factors are needed. Geographic variation in ASD occurrence has been observed, and urban residence has been suggested to serve as a proxy for etiologic and identification factors in ASD. We examined the association between urbanicity level and ASD at birth and during childhood. The study used a Danish register-based cohort of more than 800,000 children of which nearly 4,000 children were diagnosed with ASD. We found a dose–response association with greater level of urbanicity and risk of ASD. This association was found for residence at birth as well as residence during childhood. Further, we found an increased risk of ASD in children who moved to a higher level of urbanicity after birth. Also, earlier age of ASD diagnosis in urban areas was observed. While we could not directly examine the specific reasons behind these associations, our results demonstrating particularly strong associations between ASD diagnosis and post-birth migration suggest the influence of identification-related factors such as access to services might have a substantive role on the ASD differentials we observed.

show abstract

“…A detailed description of EC classification is described elsewhere. 24 The clinical characteristics of medical comorbidities (ie, myocardial infarction [MI], congestive heart failure [CHF], stroke, DM, cancer, systemic lupus erythematosus [SLE], rheumatoid arthritis [RA], osteoarthritis, gout, and calculus of kidney and ureter); medication use in the past year (ie, antihypertensive drugs, statin, aspirin, urate-lowering drugs, and proton pump inhibitors); and the CCI score (=0, 1-2, and ≥3) were also examined in this study. Because the primary outcome of interest was incident CKD in patients with hypertension, moderate or severe renal disease was not included in the CCI score calculation.…”

Section: Discussionmentioning

confidence: 99%

Use of Nonsteroidal Anti-Inflammatory Drugs and Risk of Chronic Kidney Disease in Subjects With Hypertension

et al. 2015

View full text Add to dashboard Cite

Abstract-Limited studies have examined the effects of nonsteroidal anti-inflammatory drug (NSAID) use on the risk of chronic kidney disease (CKD), especially in subjects with hypertension. Using National Health Insurance claims data in Taiwan, we conducted a propensity score-matched cohort study to investigate the relationship between NSAID use and CKD in subjects with hypertension. A total of 31 976 subjects were included in this study: subjects not taking any NSAIDs in 2007 (n=10 782); subjects taking NSAIDs for 1 to 89 days in 2007 (n=10 605); and subjects taking NSAIDs for ≥90 days in 2007 (n=10 589). We performed multivariable proportional hazard models to determine the relationship between NSAID use and CKD. The results showed that NSAID use was associated with a 1.18-fold increased risk of CKD in subjects taking NSAIDs for 1 to 89 days; and a 1.32-fold increased risk of CKD in hypertension subjects taking NSAIDs for ≥90 days, compared with subjects not taking any NSAIDs, after controlling for the confounding factors. In subgroup analyses, subjects taking NSAIDs for ≥90 days, >1 defined daily dose per day or taking NSAIDs >15 cumulative defined daily doses had a greater risk of CKD than subjects not taking any NSAID, but not for congestive heart failure, stroke, cancer, osteoarthritis, or rheumatoid arthritis. These results provide supportive evidence that NSAID use is associated with increased risk of CKD in subjects with hypertension. It is important to closely monitor the effects of NSAID use, particularly in patients with hypertension, a susceptible population for CKD.

show abstract

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

Cited by 51 publications

References 33 publications

Quality Determinants of Services for Parents of Young Children with Autism Spectrum Disorders

Quality Determinants of Services for Parents of Young Children with Autism Spectrum Disorders

Urbanicity and Autism Spectrum Disorders

Use of Nonsteroidal Anti-Inflammatory Drugs and Risk of Chronic Kidney Disease in Subjects With Hypertension

Contact Info

Product

Resources

About