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. 2018 Nov 30;142(6):e20174161. doi: 10.1542/peds.2017-4161

TABLE 3.

Percentage of Children Aged 3–17 Years Who Took Medication for ASD or Received Behavioral Treatment of ASD, Among Children Aged 3–17 Years Who Currently Have ASD and are Insured, United States, 2016

Medication for ASD (n = 323) Behavioral Treatment of ASD (n = 686)
Weighted % Adjusted PRRa 95% CI Weighted % Adjusted PRRa 95% CI
Overall 27.4 64.2
Sex
 Boys 30.1 1.30 0.89–1.89 63.1 0.96 0.81–1.14
 Girls 17.4 1.00 Referent 68.4 1.00 Referent
Race and/or ethnicity
 Hispanic 15.5 0.89 0.60–1.31 67.7 1.19 0.99–1.42
 Non-Hispanic white 30.1 1.00 Referent 62.5 1.00 Referent
 Non-Hispanic African American 41.2 1.12 0.79–1.58 67.2 1.10 0.89–1.34
 Non-Hispanic other and/or multiracial 21.1 0.90 0.58–1.39 59.9 0.92 0.71–1.19
Highest level of education by parent in household
 Less than high school 55.5b 1.74c 1.17–2.59c 49.5b 0.64 0.39–1.05
 High school, GED, vocational 23.4 0.99 0.67–1.47 75.0 1.10 0.91–1.34
 Some college and/or technical school 23.8 0.88 0.61–1.26 63.5 1.00 0.83–1.20
 College degree or higher 24.3 1.00 Referent 63.6 1.00 Referent
Family structure
 2 parents, married 24.5 1.00 Referent 64.8 1.00 Referent
 2 parents, unmarried 19.9b 0.40c 0.19–0.82c 71.7 1.13 0.91–1.40
 Single mother 37.7 0.88 0.63–1.22 56.1 0.80 0.63–1.02
 Other 26.9 0.76 0.49–1.19 80.1 1.21 0.98–1.49
Household poverty
 <100% FPL 27.6 1.03 0.57–1.84 68.7 1.08 0.81–1.43
 100%–199% FPL 34.3 1.33 0.77–2.27 58.6 0.98 0.71–1.35
 200%–399% FPL 22.5 1.09 0.73–1.63 64.9 1.00 0.82–1.24
 ≥400% FPL 26.2 1.00 Referent 63.1 1.00 Referent
Insurance statusd
 Public only 32.4 1.08 0.73–1.60 67.3 0.98 0.80–1.19
 Private only 22.4 1.00 Referent 64.4 1.00 Referent
 Other 24.6 1.03 0.71–1.49 50.2 0.80 0.62–1.03
Region
 Northeast 26.3 1.41 0.89–2.24 67.5 1.11 0.88–1.41
 Midwest 34.4 1.95c 1.26–3.00c 61.0 1.03 0.81–1.31
 South 32.4 1.48 0.99–2.23 66.0 1.11 0.88–1.41
 West 12.4 1.00 Referent 61.9 1.00 Referent
Nativity
 US born 27.2 0.73 0.42–1.27 64.0 0.77c 0.63–0.93c
 Foreign born 39.4b 1.00 Referent 76.1b 1.00 Referent
Years since first diagnosise
 0–2 18.1 1.00 Referent 68.9 1.00 Referent
 3–6 22.5 1.12 0.76–1.65 65.1 0.98 0.81–1.18
 ≥7 42.9 1.66c 1.19–2.32c 62.8 0.92 0.77–1.12
Type of health care provider to give diagnosis
 Primary care provider 28.7 1.00 Referent 55.7 1.00 Referent
 Specialist 24.4 0.82 0.61–1.11 65.7 1.15 0.89–1.49
 Psychologist (school and nonschool) 23.6 0.70 0.49–1.01 59.7 1.16 0.90–1.51
 Psychiatrist 35.2 1.03 0.74–1.44 69.7 1.18 0.89–1.57
 Other or don’t know 34.0 0.70 0.45–1.10 75.3 1.42c 1.10–1.84c
Co-occurring conditions
 ADD and/or ADHD (ref = no ADD and/or ADHD) 47.5 3.30c 2.14–5.07c 62.8 0.84c 0.70–0.99c
 Anxiety problems (ref = no anxiety problems) 39.9 1.16 0.89–1.51 68.0 1.05 0.89–1.24
 Developmental delay (ref = no developmental delay) 32.1 1.30 0.98–1.73 68.2 1.08 0.93–1.26
 Behavioral or conduct problems (ref = no behavioral or conduct problems) 39.2 1.72c 1.26–2.33c 72.0 1.39c 1.16–1.66c
Currently taking medication for ASD 75.3 1.31c 1.13–1.52c
Received behavioral treatment of ASD 32.0 1.64c 1.18–2.28c

Data source: 2016 NSCH. GED, General Educational Development; ref, referent; —, not applicable.

a

Adjusted for all other demographic, sociodemographic, and birth characteristics shown.

b

Estimates are considered unreliable and should be used with caution. Data have a relative SE >30% or unweighted denominator n < 30.

c

Significant value.

d

Other insurance includes private, public, and unspecified.

e

The analyses included those with missing information on age at diagnosis (n = 95).