Attendance at Fragile X Specialty Clinics: Facilitators and Barriers

Am J Intellect Dev Disabil. 2017 Nov;122(6):457-475. doi: 10.1352/1944-7558-122.6.457.

Abstract

The objectives were to describe the demographic characteristics of children with Fragile X syndrome (FXS) and to determine predictors of attendance at Fragile X (FX) clinics. Findings from the Community Support Network (CSN) and Our Fragile X World (OFXW) samples showed that children who attended FX Clinics were mostly male, high-school aged or younger, and white, non-Hispanic. Using logistic regression models, awareness about FX Clinic services, guardian education, and income (CSN), and child age, family income, and total number of co-occurring conditions (OFXW) were predictors of clinic attendance. Demographic and child characteristics accounted for a large portion of the explained variance. Importantly, symptom severity and parent knowledge about services were independent predictors beyond the demographic characteristics of families.

Keywords: FMR1; Fragile X syndrome; health services; intellectual disability; socioeconomic status.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Female
  • Fragile X Syndrome / epidemiology*
  • Fragile X Syndrome / therapy*
  • Humans
  • Male
  • Outpatient Clinics, Hospital / statistics & numerical data*
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Registries / statistics & numerical data*
  • Self-Help Groups / statistics & numerical data*
  • Social Class*
  • Socioeconomic Factors*
  • United States / epidemiology