Examining the Prevalence Rates of Autism Diagnosis by Race/Ethnicity for Medicaid-Eligible Children Enrolled in NYC Universal Pre-Kindergarten Programs.

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Title: Examining the Prevalence Rates of Autism Diagnosis by Race/Ethnicity for Medicaid-Eligible Children Enrolled in NYC Universal Pre-Kindergarten Programs.
Authors: Strassfeld, Natasha M.1 (AUTHOR) natasha.strassfeld@utexas.edu, Cherng, Hua-Yu Sebastian2 (AUTHOR), Wang, Scarlett2 (AUTHOR), Glied, Sherry2 (AUTHOR)
Source: Journal of Research in Childhood Education. Jul2023, Vol. 37 Issue 3, p476-491. 16p. 8 Charts, 1 Graph.
Subject Terms: *Kindergarten children, *Autism, *Disability evaluation, *Learning disabilities, Race, Ethnicity
Geographic Terms: New York (N.Y.)
Abstract: This study examines autism diagnosis prevalence within the New York City (NYC) Universal Pre-K for All (UPK) program expansion into racially, ethnically, and socioeconomically diverse NYC neighborhoods. Here, it is hypothesized that racial/ethnic differences in autism diagnoses may close as more children are referred for testing by UPK programs, which they have more thorough interactions with, instead of by public health clinics or other medical avenues. Using NYC Medicaid claim data from 2006 to 2016, descriptive analyses were conducted by estimating linear probability regression and generalized multiple logistic regression to examine whether the probabilities of being diagnosed with autism in comparison to two other disability types (as counterfactuals), learning disabilities (LD) and physical disabilities (PD), differ by race. Subsequently, a difference in difference (DID) strategy (with pre- and post-UPK expansion cohorts) was used to examine the effects of UPK on the probabilities of receiving disability diagnoses. Notably, Latinx and "Other" racially identified children have much higher odds than White children of being diagnosed with autism. By contrast, all non-White groups had much lower odds of being diagnosed with a LD. These findings offer important insight for future UPK and childhood program implementation. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Research in Childhood Education is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Examining the Prevalence Rates of Autism Diagnosis by Race/Ethnicity for Medicaid-Eligible Children Enrolled in NYC Universal Pre-Kindergarten Programs.
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  Data: <searchLink fieldCode="AR" term="%22Strassfeld%2C+Natasha+M%2E%22">Strassfeld, Natasha M.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> natasha.strassfeld@utexas.edu</i><br /><searchLink fieldCode="AR" term="%22Cherng%2C+Hua-Yu+Sebastian%22">Cherng, Hua-Yu Sebastian</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wang%2C+Scarlett%22">Wang, Scarlett</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Glied%2C+Sherry%22">Glied, Sherry</searchLink><relatesTo>2</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Research+in+Childhood+Education%22">Journal of Research in Childhood Education</searchLink>. Jul2023, Vol. 37 Issue 3, p476-491. 16p. 8 Charts, 1 Graph.
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  Data: *<searchLink fieldCode="DE" term="%22Kindergarten+children%22">Kindergarten children</searchLink><br />*<searchLink fieldCode="DE" term="%22Autism%22">Autism</searchLink><br />*<searchLink fieldCode="DE" term="%22Disability+evaluation%22">Disability evaluation</searchLink><br />*<searchLink fieldCode="DE" term="%22Learning+disabilities%22">Learning disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink><br /><searchLink fieldCode="DE" term="%22Ethnicity%22">Ethnicity</searchLink>
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  Data: This study examines autism diagnosis prevalence within the New York City (NYC) Universal Pre-K for All (UPK) program expansion into racially, ethnically, and socioeconomically diverse NYC neighborhoods. Here, it is hypothesized that racial/ethnic differences in autism diagnoses may close as more children are referred for testing by UPK programs, which they have more thorough interactions with, instead of by public health clinics or other medical avenues. Using NYC Medicaid claim data from 2006 to 2016, descriptive analyses were conducted by estimating linear probability regression and generalized multiple logistic regression to examine whether the probabilities of being diagnosed with autism in comparison to two other disability types (as counterfactuals), learning disabilities (LD) and physical disabilities (PD), differ by race. Subsequently, a difference in difference (DID) strategy (with pre- and post-UPK expansion cohorts) was used to examine the effects of UPK on the probabilities of receiving disability diagnoses. Notably, Latinx and "Other" racially identified children have much higher odds than White children of being diagnosed with autism. By contrast, all non-White groups had much lower odds of being diagnosed with a LD. These findings offer important insight for future UPK and childhood program implementation. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Research in Childhood Education is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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        Value: 10.1080/02568543.2023.2213281
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      – Code: eng
        Text: English
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        PageCount: 16
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      – SubjectFull: Kindergarten children
        Type: general
      – SubjectFull: Autism
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      – SubjectFull: Disability evaluation
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      – SubjectFull: Learning disabilities
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      – SubjectFull: Race
        Type: general
      – SubjectFull: Ethnicity
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      – SubjectFull: New York (N.Y.)
        Type: general
    Titles:
      – TitleFull: Examining the Prevalence Rates of Autism Diagnosis by Race/Ethnicity for Medicaid-Eligible Children Enrolled in NYC Universal Pre-Kindergarten Programs.
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            NameFull: Strassfeld, Natasha M.
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            NameFull: Cherng, Hua-Yu Sebastian
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            – D: 01
              M: 07
              Text: Jul2023
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              Y: 2023
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