County-Level Variation in Geographic Access to Board Certified Behavior Analysts among Children with Autism Spectrum Disorder in the United States

Autor/inn/en	Yingling, Marissa E.; Ruther, Matthew H.; Dubuque, Erick M.; Mandell, David S.
Titel	County-Level Variation in Geographic Access to Board Certified Behavior Analysts among Children with Autism Spectrum Disorder in the United States
Quelle	In: Autism: The International Journal of Research and Practice, 25 (2021) 6, S.1734-1745 (12 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Yingling, Marissa E.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/13623613211002051
Schlagwörter	Autism; Pervasive Developmental Disorders; Cultural Differences; Applied Behavior Analysis; Allied Health Personnel; Certification; Access to Health Care; Health Insurance; Socioeconomic Status; Geographic Location; Counties; Incidence; Racial Differences; Ethnicity; Poverty + Suchen Sie Ihr Suchwort? Autismus; Kultureller Unterschied; Abschlusszeugnis; Zertifizierung; Krankenversicherung; Socio-economic status; Sozioökonomischer Status; Vorkommen; Rassenunterschied; Ethnizität; Armut
Abstract	This study examined variation in geographic access to Board Certified Behavior Analysts for children with autism spectrum disorder. Between March and May 2019, we integrated public data from the U.S. Department of Education's Civil Rights Data Collection, Behavior Analyst Certification Board's certificant registry, and U.S. Census. The study sample included all U.S. counties and county equivalents in 48 states and D.C. (N = 3108). Using geographic information systems software, we assigned Board Certified Behavior Analysts to counties based on their residence, allocated children via school districts to counties, and generated per capita autism spectrum disorder/Board Certified Behavior Analyst ratios. We calculated the Getis-Ord G* statistics for each county and each ratio and compared counties in high-ratio clusters with counties in low-ratio clusters by socioeconomic variables. More than half of all counties had no Board Certified Behavior Analysts. Counties in the highest accessibility category had [less than or equal to]17.1 children with autism spectrum disorder per Board Certified Behavior Analyst (n = 770), while counties in the lowest accessibility category had [greater than or equal to]137.1 children with autism spectrum disorder per Board Certified Behavior Analyst (n = 12). In all, 55 of the 129 counties with the highest autism spectrum disorder prevalence had no Board Certified Behavior Analysts. Higher accessibility counties were wealthier and had smaller uninsured populations. To improve geographic access, we must identify factors driving unequal distribution that can inform provider recruitment and retention efforts in underserved areas. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01