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Research Objectives
To examine whether adequacy of medical home care was significantly associated with
the likelihood of children with an autism spectrum disorder (ASD) currently using
educational services
To identify sociodemographic factors associated with current use of educational services
among children with ASD.
Design
Retrospective analysis of cross-sectional data from the 2016/2017 National Survey
of Children's Health (NSCH). Binary logistic regression was conducted with current
educational services utilization as the outcome.
Setting
The 2016/2017 NSCH was administered to households in the U.S. and District of Columbia.
Participants
Participants were 1,248 children ages 1-17 years old with ASD currently receiving
educational services under individualized family service or education plans.
Interventions
Not Applicable.
Main Outcome Measures
Educational services utilization was defined as current receipt of an individualized
family or educational service plan.
Results
Inadequate medical home care was significantly associated with higher likelihood of
current educational services use (aOR = 1.95, 95% CI [1.10, 3.44], p = .028) in children
with ASD. Sociodemographic factors significantly associated with lower odds of using
educational services included older children (aOR = 0.91, 95% CI [0.84, 0.99], p = .028),
lower overall maternal health status (aOR = 0.52, 95% CI [0.29, 0.94], p = .031),
and children who did not qualify as having special health care needs (aOR =0.38, 95%
CI [0.17-0.85], p = .018).
Conclusions
Results suggest inadequate medical home care is associated with higher odds of educational
services utilization in children with ASD. Use of educational services varies by children's
age, maternal health status, and presence of other special health care needs. The
inverse relationship between adequacy of medical home care and educational services
utilization among children living with ASD suggests further research to explore the
complex relationship between medical home care and educational services use. Future
research is needed to examine differences more closely in medical home care, defined
within the NSCH survey structure, in relationship to the odds of educational services
utilization.
Author(s) Disclosures
The presenter declares no conflict of interest.
Keywords
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© 2022 Published by Elsevier Inc.
