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Rural and Racial/Ethnic Differences in Children Receiving Early Intervention Services
Lucy Barnard-Brak1, Mercedes M Morales-Alemán, Kimberly Tomeny
1Departments of Special Education and Multiple Abilities (Drs Barnard-Brak, Tomeny, and McWilliam) and Community Medicine and Population Health (Dr Morales-Alemán), The University of Alabama, Tuscaloosa.
Hispanic and rural families experienced longer wait times for developmental delay diagnoses due to healthcare provider delays. This highlights critical disparities in early intervention access for minority and underserved populations.
Area of Science:
- Pediatric Healthcare
- Developmental Pediatrics
- Health Services Research
Background:
- Racial and ethnic minority children often receive later diagnoses for developmental concerns compared to white children.
- Disparities exist in healthcare access and service receipt for children with developmental concerns.
Purpose of the Study:
- To examine healthcare providers' (HCPs') responses to parental concerns about child development.
- To investigate the association between HCP responses and factors like race, ethnicity, gender, rurality, and time to diagnosis.
Main Methods:
- Utilized secondary data from the Centers for Disease Control and Prevention's Survey of Pathways to Diagnosis and Services.
- Analyzed data from 1321 parents of children receiving early intervention services (collected in 2011).
Main Results:
- Hispanic families were more likely to receive delaying responses from HCPs.
- The average time to a developmental delay diagnosis was 5 months longer for families who received a delaying HCP response.
Conclusions:
- Hispanic families and those in rural areas were most likely to experience delayed HCP responses.
- Delayed HCP responses significantly extended the time to developmental delay diagnosis by approximately 5 months.
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