Primary Care Provider and Child Characteristics Associated with Age of Diagnosis of Autism Spectrum Disorder: A Population-Based Cohort Study

Autor/inn/en	Siddiqua, Ayesha; Janus, Magdalena; Mesterman, Ronit; Duku, Eric; Georgiades, Kathy; Saxena, Farah; Zhao, Haoyu; Saunders, Natasha
Titel	Primary Care Provider and Child Characteristics Associated with Age of Diagnosis of Autism Spectrum Disorder: A Population-Based Cohort Study
Quelle	In: Journal of Autism and Developmental Disorders, 52 (2022) 7, S.2896-2910 (15 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Saunders, Natasha)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0162-3257
DOI	10.1007/s10803-021-05165-8
Schlagwörter	Physicians; Primary Health Care; Individual Characteristics; Age Differences; Clinical Diagnosis; Autism; Pervasive Developmental Disorders; Foreign Countries; Preschool Children; Kindergarten; Canada + Suchen Sie Ihr Suchwort? Physician; Doctor; Arzt; Gesundheitsvorsorge; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Age; Difference; Age difference; Altersunterschied; Autismus; Ausland; Pre-school age; Preschool age; Child; Children; Pre-school education; Preschool education; Vorschulalter; Kind; Kinder; Vorschulkind; Vorschulkinder; Vorschulerziehung; Vorschule; Kanada
Abstract	In a cohort of kindergarten children in Ontario, Canada with Autism Spectrum Disorder (ASD) (n = 1522), we tested the association of age at ASD diagnosis and characteristics of (1) the child's primary care provider and, (2) the child using health administrative databases. We tested the association of primary care practice model and time from developmental delay identification to age at ASD diagnosis. Older age of diagnosis was associated with provider foreign training (vs. domestic) (adjusted Hazard Ratio [aHR] 1.17, 95% CI 1.03, 1.33) but not sex, care model, and years of practice. After developmental delay identification, children with paediatricians had longer time to diagnosis than children with providers in care models (aHR 0.68, 95% CI 0.54, 0.86). Findings can be used to inform primary care provider ASD training. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01