Children's compliance with American Academy of Pediatrics' well-child care visit guidelines and the early detection of autism.

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TitleChildren's compliance with American Academy of Pediatrics' well-child care visit guidelines and the early detection of autism.
Publication TypeJournal Article
Year of Publication2013
AuthorsDaniels, AM, Mandell, DS
JournalJ Autism Dev Disord
Volume43
Issue12
Pagination2844-54
Date Published2013 Dec
ISSN1573-3432
KeywordsAutistic Disorder, Child, Child Care, Child, Preschool, Early Diagnosis, Female, Guideline Adherence, Humans, Infant, Male, Physical Examination, Practice Guidelines as Topic, United States
Abstract

This study estimated compliance with American Academy of Pediatrics (AAP) guidelines for well-child care and the association between compliance and age at diagnosis in a national sample of Medicaid-enrolled children with autism (N = 1,475). Mixed effects linear regression was used to assess the relationship between compliance and age at diagnosis. Mean age at diagnosis was 37.4 (SD 8.4) months, and mean compliance was 55 % (SD 33 %). Children whose care was compliant with AAP guidelines were diagnosed 1.6 months earlier than children who received no well-child care. Findings support that the timely receipt of well-child care may contribute to earlier detection. Additional research on the contribution of compliance, well-child visit components and provider characteristics on the timely diagnosis of autism is needed.

DOI10.1007/s10803-013-1831-x
Alternate JournalJ Autism Dev Disord
PubMed ID23619952
Grant ListR01 MH077000 / MH / NIMH NIH HHS / United States
F31 MH091833. / MH / NIMH NIH HHS / United States
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