To better understand disparities between Latino and White children with autism or other developmental disabilities (ASD/DD), we examined whether Latino ethnicity predicted the number of specialty care services received by children with severe functional limitations depending on medical providers' responses to parents' initial concerns about their child's development. Through linkage of the Pathways and NS-CSHCN datasets, we found ethnic disparities in the receipt of specialty services associated with providers' responsiveness to parent-reported concerns among children with ASD/DD. Among children with significant functional limitations, Latino children whose parents received passive/reassuring responses from their providers were less likely to receive specialty services than White children with ASD/DD. Providers' guidance to parents may be a promising point of intervention for future disparity reduction efforts.

中文翻译：

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提供者对拉丁裔发育障碍儿童父母和服务使用的指导

为了更好地了解拉丁裔和白人患有自闭症或其他发育障碍（ASD / DD）的孩子之间的差异，我们检查了拉丁裔种族是否根据医疗服务提供者对父母最初的反应而预测了功能严重受限的儿童所接受的专科护理服务的数量对孩子成长的担忧。通过途径和NS-CSHCN数据集的链接，我们发现在特殊服务的接收中存在种族差异，这与提供者对ASD / DD儿童父母报告的担忧的反应能力有关。在功能严重受限的儿童中，其父母从其提供者那里获得被动/令人安心的答复的拉丁裔儿童比患有ASD / DD的白人儿童接受特殊服务的可能性要小。提供者