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Racial Disparities in Hospitalization Due to Ambulatory Care Sensitive Conditions Among U.S. Children with Autism

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Abstract

Purpose

This study was to investigate the factors associated with preventable hospitalization due to ambulatory care sensitive conditions (ACSCs) in children with autism.

Methods

Using secondary data from the U.S. Nationwide Inpatient Sample (NIS), multivariable regression analyses were conducted to determine the potential effect of race and income level on the likelihood of inpatient stays for ACSCs among autistic children. Pediatric ACSCs included three acute conditions (dehydration, gastroenteritis, and urinary infection) and three chronic conditions (asthma, constipation, and diabetes short-term complications).

Results

In this analysis, there were 21,733 hospitalizations among children with autism; about 10% were hospitalized due to pediatric ACSCs. Overall, the odds of ACSCs hospitalization were greater among Hispanic and Black autistic children versus White autistic children. Both Hispanic and Black autistic children from the lowest income level had the highest odds to be hospitalized for chronic ACSCs.

Conclusion

Inequities of access to health care among racial/ethnic minorities were most notable for autistic children with chronic ACSC conditions.

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Funding

This research was funded by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS), grant number R41MC42493.

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Authors and Affiliations

  1. Department of Health Sciences, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Wanqing Zhang & Linda R. Watson

  2. Division of Occupational Science and Occupational Therapy, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Khalilah R. Johnson

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  1. Wanqing Zhang
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  2. Linda R. Watson
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Correspondence to Wanqing Zhang.

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Zhang, W., Watson, L.R. & Johnson, K.R. Racial Disparities in Hospitalization Due to Ambulatory Care Sensitive Conditions Among U.S. Children with Autism. J Autism Dev Disord (2023). https://doi.org/10.1007/s10803-023-05995-8

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