自闭症提供者ACE中的种族和社会经济差异调查调查
Kristin Walker1, Jacquelyn A Gates1, Sydney Boateng1,2
1Stony Brook University, Stony Brook, USA.
Journal of autism and developmental disorders
|July 8, 2025
概括
自闭症提供者根据患者的人口统计学不同地询问不良童年经历 (ACE). 服务于黑人,美洲原住民和各种社会经济群体的服务提供商询问更多,而服务于亚洲人的服务提供商询问特定ACE的情况较少.
科学领域:
- 神经发育障碍 神经发育障碍
- 公共卫生 公共卫生
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 自闭症患者不成比例地经历了虐待和忽视等不良童年经历 (ACE).
- 影响自闭症提供者ACE调查实践的因素尚不清楚.
- 基于种族,种族和社会经济地位 (SES) 的现有医疗保健差异可能会扩展到ACE的调查.
研究的目的:
- 调查自闭症社区提供者对ACE的询问是否根据他们所服务的种族,种族和SES群体而有所不同.
- 在自闭症护理中识别ACE查实践中的潜在差异.
主要方法:
- 调查了567个社区提供者,他们为7至22岁的自闭症患者提供服务.
- 使用后勤回归与概括估计方程来分析提供者人口统计服务和ACE查询频率之间的关联.
- 检查了不同患者群体的整体和特定ACE调查率.
主要成果:
- 总体而言,ACE调查率掩盖了特定ACE调查中的重大差异.
- 服务于黑人,美洲原住民和高/低SES个体的提供者报告说,询问各种ACE的几率更高.
- 服务于亚洲人的提供者报告说,询问特定ACE的可能性较低.
结论:
- 患者群体的人口特征显著影响自闭症提供者的ACE调查实践.
- 在自闭症提供者服务的不同种族,种族和SES群体中,ACE调查率存在差异.
- 需要进一步的研究来了解和解决导致ACE查缺陷的潜在因素.
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