Factors Influencing Low Prevalence of Neurodevelopmental Disabilities Among US Hispanic/Latino Children

Autor: Sarah Garcia, Kelly Nye-Lengerman, Jennifer Hall-Lande
Rok vydání: 2019
Předmět:
Male
Parents
Health (social science)
Sociology and Political Science
Autism Spectrum Disorder
Developmental Disabilities
Psychological intervention
Health Services Accessibility
0302 clinical medicine
Cultural diversity
Epidemiology
Health care
Prevalence
030212 general & internal medicine
Child
Language
education.field_of_study
Learning Disabilities
Health Policy
Communication Barriers
Hispanic or Latino
Health equity
Child
Preschool
Female
0305 other medical science
Psychology
medicine.medical_specialty
Adolescent
Population
Emigrants and Immigrants
Language barrier
White People
03 medical and health sciences
Intellectual Disability
medicine
Humans
National Health Interview Survey
Healthcare Disparities
education
Insurance
Health
030505 public health
business.industry
Public Health
Environmental and Occupational Health
Infant
Health Status Disparities
United States
Logistic Models
Attention Deficit Disorder with Hyperactivity
Neurodevelopmental Disorders
Anthropology
Multivariate Analysis
business
Demography
Zdroj: Journal of Racial and Ethnic Health Disparities. 6:1107-1121
ISSN: 2196-8837
2197-3792
DOI: 10.1007/s40615-019-00613-9
Popis: Hispanic/Latino (H/L) children have lower prevalence of neurodevelopmental disabilities (NDD) than other groups. The explanations for this are complex, but may be related to nativity, language barriers, and lack of access to and utilization of healthcare. Previous research focused on how these factors affect children with NDD, but little research has jointly examined whether these factors predict NDD. This study examines whether social and environmental factors explain low prevalence of NDD in this population. This study uses nationally representative Integrated Public Use Microdata Series National Health Interview Survey data (N = 200,622) and multivariate logistic regression analysis to compare NDD prevalence in white and H/L children (average age of 10.2), and examines whether nativity, healthcare access, healthcare utilization, and language barriers explain this disability disparity. Findings reveal that the H/L NDD disparity is not explained by differences in access to or utilization of healthcare, or as a result of language differences that may create barriers to NDD diagnosis. While H/L children whose sampled adult was born in the USA have lower rates of NDD than whites, H/Ls whose sampled adult were not born in the USA have even lower probability of NDD than H/Ls who were born in the USA. These findings may be a result of cultural differences in knowledge or understanding of what constitutes a disability or the result of differential treatment within the healthcare system among H/Ls. The findings underscore the importance of accessible and culturally appropriate health and clinical care interventions among H/L communities.
Databáze: OpenAIRE
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