Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Jan;48(1):45-54.
doi: 10.1007/s10803-017-3294-y.

Delayed Diagnosis and Treatment Among Children with Autism Who Experience Adversity

Kristin L Berg  1   2 , Kruti Acharya  3 , Cheng-Shi Shiu  4 , Michael E Msall  5   6
Affiliations

Delayed Diagnosis and Treatment Among Children with Autism Who Experience Adversity

Kristin L Berg et al. J Autism Dev Disord. 2018 Jan.

Abstract

The effects of family adverse childhood experiences (ACEs) on timing of ASD diagnoses and receipt of therapies were measured using data from the 2011-2012 National Survey of Children's Health. Parametric accelerated failure time models estimated the relationship between family ACEs and both timing of ASD diagnosis and receipt of therapies among US children (age 2-17 years; N = 1624). Compared to children without family ACEs, the adjusted effects of 1-2 and ≥ 3 ACEs resulted in prolonged time of diagnoses with time ratios of 1.17 and 1.23. Report of 1-2 and ≥ 3 ACEs were associated with a 22 and 27% increase in the median age of entry into services. ACEs may pose significant barriers to diagnoses and treatment of children with ASD.

Keywords: Access to treatment; Adverse childhood experiences; Autism spectrum disorder; Diagnosis; National Survey of Children’s Health.

PubMed Disclaimer

References

    1. Med Care. 1999 Dec;37(12):1282-93 - PubMed
    1. J Dev Behav Pediatr. 2014 Nov-Dec;35(9):561-9 - PubMed
    1. J Autism Dev Disord. 2012 Apr;42(4):539-48 - PubMed
    1. J Fam Psychol. 2010 Aug;24(4):449-57 - PubMed
    1. Public Health. 2009 Sep;123 Suppl 1:e11-6 - PubMed

LinkOut - more resources