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Urban-Rural Disparity in the Incidence of Diagnosed Autism Spectrum Disorder in Taiwan: A 10-Year National Birth Cohort Follow-up Study
- Source :
- Journal of Autism and Developmental Disorders. May, 2023, Vol. 53 Issue 5, p2127, 11 p.
- Publication Year :
- 2023
-
Abstract
- Autism spectrum disorder (ASD) is reportedly more prevalent in urban areas partly because of better accessibility and affordability to healthcare. With universal health insurance coverage in Taiwan, a previous study has shown no urban-rural disparity in the utilization rate of a child's preventive healthcare. Under this circumstance, we followed a birth cohort of 176,273 live births from 2006 to 2015 to detect the differences in ASD incidence between urbanicities. After adjusting for socioeconomic factors, children were 1.28 (95% confidence interval (CI): 1.13-1.44) and 1.54 (95% CI: 1.36-1.75) more likely to acquire ASD in satellite and urban areas compared with those in rural areas, respectively. A gradient association between parental educational attainment and ASD incidence was also noted. Greater ASD incidences in more urbanized areas and more advanced educated parents' children were detected under a circumstance with low barriers to healthcare.<br />Author(s): Yuu-Hueih Hsu [sup.1] , Chi-Wen Chen [sup.2] , Yuh-Jyh Lin [sup.3] , Chung-Yi Li [sup.1] [sup.4] [sup.5] Author Affiliations: (1) grid.64523.36, 0000 0004 0532 3255, Department of Public Health, [...]
Details
- Language :
- English
- ISSN :
- 01623257
- Volume :
- 53
- Issue :
- 5
- Database :
- Gale General OneFile
- Journal :
- Journal of Autism and Developmental Disorders
- Publication Type :
- Academic Journal
- Accession number :
- edsgcl.746803287
- Full Text :
- https://doi.org/10.1007/s10803-022-05453-x