Prevalence estimates of autism spectrum disorder (ASD) point to geographic and socioeconomic disparities in identification and diagnosis. Estimating national prevalence rates can limit understanding of local disparities, especially in rural areas where disproportionately higher rates of poverty and decreased healthcare access exist. Using a small…

Fetal alcohol spectrum disorder (FASD) is a diagnostic term used to describe an array of structural, neurocognitive, and behavioral effects that result from prenatal alcohol exposure. While ongoing efforts have been made to increase the capacity of communities to provide early FASD diagnosis, there continues to be on-going challenges, particularly…

The present dissertation features two studies utilizing secondary data to explore the impact of geography on access to and utilization of early developmental services, including Part C early intervention (EI) and autism diagnosis. Both studies examined the role of geography on a micro-level using geographic information system (GIS) based…

In this retrospective cohort study using data from an integrated primary care and subspecialty network, we examined medical records of children seen in primary care at eligible autism spectrum disorder (ASD) screening ages and followed through at least 4 years of age. We examined the prevalence of ASD; age of first documented ASD diagnosis; and…

Awareness of autism is rising, yet social determinants of health continue to impact rates, ages of diagnosis, and diagnostic load. Different psychiatric labels carry stigmas; unequal rates of diagnoses may indicate biases in the healthcare system. This study investigates six prior diagnoses (ADHD, disorders of conduct, adjustment, anxiety, mood,…

Autism is a group of severe developmental disorders with impairments beginning before 30 months of age and characterized by a qualitative disturbance of social development and of language for communication, a stereotyped behaviour, and a lack of a broad set of interests. The expression of autism varies from one individual to the next. It is a…

Purpose: Globally, women suffer from a lack of knowledge about breast cancer (BC), its symptoms and treatment. The purpose of this paper is to examine how people living in rural and less developed areas in Pakistan perceive BC. The study investigates the level of knowledge about BC in rural communities and analyses how the prevalent perceptions…

As prevalence of autism spectrum disorder continues to increase, so too does the need for timely, accessible diagnostic consultation. The present work extends from a previous study which provided preliminary evidence for the feasibility of expert clinicians to utilize telemedicine to triage autism spectrum disorder risk in young children. However,…

Children living in rural areas are diagnosed with Autism Spectrum Disorder later than their non-rural counterparts. In rural areas, caregivers have limited access to ASD information and services. Caregivers play a central role in early diagnosis and intervention, only when they have current knowledge about early ASD symptoms. The purpose of this…

Parents who report motor difficulties as their primary concern receive autism intervention services earlier than those first concerned with communication. This study revealed that parent perceptions of their child's social responsiveness correlated with standardized scores of motor proficiency. Promoting awareness of this relationship could lead…

Autism affects over 2% of the school population in England. Education has proven to be an effective intervention strategy that improves the quality of life of children with autism and their families. However, governmental austerity policies have increased disadvantage in coastal areas of England with a detrimental impact on people with…

Literature does little to explore the perceptions of Black adolescents with depression or their perspective of treatment effectiveness. Studies are usually from urban areas and there is a dearth of research with Black adolescents from rural areas. This study explored the unique personal experiences of Black adolescents located in the rural…

Objectives: Explore the usage of tele-health to conduct diagnostic assessments and interventions for people with Autism Spectrum Disorder (ASD). Methods: A Pubmed search was conducted using the words tele-health, telemedicine, video conferencing and telepyschiatry in conjunction with the words ASD, Autism, Asperger's, and Developmental…

Families with individuals with special needs face many different struggles such as identifying needs and/or appropriate supports, accessing those supports, and then locating providers to help implement those supports (Boehm & Carter, 2016). These individuals may need continuous support to live meaningful and productive lives outside of the…

Objective: This report examines the prevalence of developmental disabilities among children in both rural and urban areas as well as service utilization among children with developmental issues in both areas. Methods: Data from the 2015-2018 National Health Interview Survey (NHIS) were used to examine the prevalence of 10 parent- or…