{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T04:09:37Z","timestamp":1792123777351,"version":"4.4.0"},"reference-count":27,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2017,11,1]],"date-time":"2017-11-01T00:00:00Z","timestamp":1509494400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/100004989","name":"Virginia Department of Health","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100004989","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["clinicalkey.jp","jpedhc.org","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Health Care"],"published-print":{"date-parts":[[2017,11]]},"DOI":"10.1016\/j.pedhc.2017.05.003","type":"journal-article","created":{"date-parts":[[2017,7,6]],"date-time":"2017-07-06T05:15:34Z","timestamp":1499318134000},"page":"663-670","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Mapping Geospatial Gaps in Early Identification of Children With Autism Spectrum Disorder"],"prefix":"10.1016","volume":"31","author":[{"given":"Pamela B.","family":"DeGuzman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paige","family":"Altrui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Allen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelia Ramsey","family":"Deagle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Keim-Malpass","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.pedhc.2017.05.003_bib1","unstructured":"American Association of Nurse Practitioners. (n.d.). State practice environment. Austin, TX: Author. Retrieved from https:\/\/www.aanp.org\/legislation-regulation\/state-legislation\/state-practice-environment"},{"key":"10.1016\/j.pedhc.2017.05.003_bib2","unstructured":"American Nurses Credentialing Center. (2009). 2008 Role Delineation Study: Pediatric nurse practitioner national survey results. Retrieved from http:\/\/www.nursecredentialing.org\/documents\/certification\/rds\/2008surveys\/pediatricnprds2008.aspx"},{"key":"10.1016\/j.pedhc.2017.05.003_bib3","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1097\/DBP.0b013e3181ba0f9f","article-title":"Autism spectrum disorders in infancy and toddlerhood: A review of the evidence on early signs, early identification tools, and early diagnosis","volume":"30","author":"Barbaro","year":"2009","journal-title":"Journal of Developmental and Behavioral Pediatrics"},{"key":"10.1016\/j.pedhc.2017.05.003_bib4","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1001\/archpediatrics.2011.90","article-title":"Access to autism evaluation appointments with developmental-behavioral and neurodevelopmental subspecialists","volume":"165","author":"Bisgaier","year":"2011","journal-title":"Archives of Pediatrics & Adolescent Medicine"},{"key":"10.1016\/j.pedhc.2017.05.003_bib5","series-title":"Pediatric specialist physician shortages affect access to care","year":"2012"},{"key":"10.1016\/j.pedhc.2017.05.003_bib6","first-page":"1","article-title":"Prevalence and characteristics of autism spectrum disorder among children aged 8 years\u2014Autism and Developmental Disabilities Monitoring Network, 11 sites, United States, 2012","volume":"65","author":"Christensen","year":"2016","journal-title":"Morbidity and Mortality Weekly Report Surveillance Summaries"},{"key":"10.1016\/j.pedhc.2017.05.003_bib7","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1111\/phn.12135","article-title":"Academic-practice partnership in public health nursing: Working with families in a village-based collaboration","volume":"32","author":"Davis","year":"2015","journal-title":"Public Health Nursing"},{"key":"10.1016\/j.pedhc.2017.05.003_bib8","series-title":"Maternal and Child Health Services Title V block grant: Virginia","author":"Deagle","year":"2016"},{"key":"10.1016\/j.pedhc.2017.05.003_bib9","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1111\/j.1547-5069.2012.01470.x","article-title":"Changing health outcomes of vulnerable populations through nursing's influence on neighborhood built environment: A framework for nursing research","volume":"44","author":"Deguzman","year":"2012","journal-title":"Journal of Nursing Scholarship"},{"key":"10.1016\/j.pedhc.2017.05.003_bib10","series-title":"Learn the signs. Act early","year":"2015"},{"key":"10.1016\/j.pedhc.2017.05.003_bib11","doi-asserted-by":"crossref","first-page":"412","DOI":"10.3109\/01612840.2016.1153174","article-title":"Identifying the barriers to early diagnosis and treatment in underserved individuals with autism spectrum disorders (ASD) and their families: A qualitative study","volume":"37","author":"Elder","year":"2016","journal-title":"Issues in Mental Health Nursing"},{"key":"10.1016\/j.pedhc.2017.05.003_bib29","unstructured":"ESRI (2011). ArcGIS Desktop (Release 10.3) [Software]. Available from http:\/\/desktop.arcgis.com\/en\/"},{"key":"10.1016\/j.pedhc.2017.05.003_bib12","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1016\/j.jpeds.2010.04.031","article-title":"Pediatric nurse practitioners in the United States: Current distribution and recent trends in training","volume":"157","author":"Freed","year":"2010","journal-title":"The Journal of Pediatrics"},{"key":"10.1016\/j.pedhc.2017.05.003_bib13","series-title":"NCHS urban\u2013rural classification scheme for counties. Vital Health Stat (Vol. 2)","author":"Ingram","year":"2014"},{"key":"10.1016\/j.pedhc.2017.05.003_bib14","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1177\/1362361315585055","article-title":"Screening for autism spectrum disorder in underserved communities: Early childcare providers as reporters","volume":"20","author":"Janvier","year":"2016","journal-title":"Autism"},{"key":"10.1016\/j.pedhc.2017.05.003_bib15","doi-asserted-by":"crossref","first-page":"1183","DOI":"10.1542\/peds.2007-2361","article-title":"Identification and evaluation of children with autism spectrum disorders","volume":"120","author":"Johnson","year":"2007","journal-title":"Pediatrics"},{"key":"10.1016\/j.pedhc.2017.05.003_bib16","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1016\/j.annepidem.2010.11.010","article-title":"Geographic access to health services and diagnosis with an autism spectrum disorder","volume":"21","author":"Kalkbrenner","year":"2011","journal-title":"Annals of Epidemiology"},{"key":"10.1016\/j.pedhc.2017.05.003_bib18","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1097\/DBP.0b013e318165c7a0","article-title":"Disparities in diagnosis and access to health services for children with autism: Data from the National Survey of Children's Health","volume":"29","author":"Liptak","year":"2008","journal-title":"Journal of Developmental and Behavioral Pediatrics"},{"key":"10.1016\/j.pedhc.2017.05.003_bib19","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1016\/j.pedhc.2013.03.005","article-title":"The pediatric nurse practitioner workforce: Meeting the health care needs of children","volume":"27","author":"Martyn","year":"2013","journal-title":"Journal of Pediatric Health Care"},{"key":"10.1016\/j.pedhc.2017.05.003_bib20","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1097\/DBP.0000000000000097","article-title":"Age at first autism spectrum disorder diagnosis: The role of birth cohort, demographic factors, and clinical features","volume":"35","author":"Mazurek","year":"2014","journal-title":"Journal of Developmental and Behavioral Pediatrics"},{"key":"10.1016\/j.pedhc.2017.05.003_bib21","doi-asserted-by":"crossref","first-page":"1322","DOI":"10.1177\/0009922815592607","article-title":"Prevalence of autism spectrum disorder in children referred for diagnostic autism evaluation","volume":"54","author":"Monteiro","year":"2015","journal-title":"Clinical Pediatrics"},{"key":"10.1016\/j.pedhc.2017.05.003_bib22","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1023\/A:1025802832021","article-title":"Joint attention and early social communication: Implications for research on intervention with autism","volume":"27","author":"Mundy","year":"1997","journal-title":"Journal of Autism and Developmental Disorders"},{"key":"10.1016\/j.pedhc.2017.05.003_bib24","series-title":"CDC's \u201cLearn the Signs. Act Early.\u201d Program fact sheet","year":"2016"},{"key":"10.1016\/j.pedhc.2017.05.003_bib25","doi-asserted-by":"crossref","first-page":"874619","DOI":"10.1155\/2011\/874619","article-title":"Factors affecting age at initial autism spectrum disorder diagnosis in a national survey","volume":"2011","author":"Rosenberg","year":"2011","journal-title":"Autism Research and Treatment"},{"key":"10.1016\/j.pedhc.2017.05.003_bib27","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1542\/peds.2014-0967","article-title":"Strategic modeling of the pediatric nurse practitioner workforce","volume":"135","author":"Schell","year":"2015","journal-title":"Pediatrics"},{"key":"10.1016\/j.pedhc.2017.05.003_bib30","unstructured":"U.S. Census Bureau (2014). B27001 Health Insurance Status by Sex by Age: ACS 5-year estimates. Retrieved from https:\/\/factfinder.census.gov\/faces\/tableservices\/jsf\/pages\/productview.xhtml?pid=ACS_14_5YR_B27001&prodType=table"},{"issue":"2 Suppl.","key":"10.1016\/j.pedhc.2017.05.003_bib28","doi-asserted-by":"crossref","first-page":"S79","DOI":"10.1097\/00004703-200604002-00005","article-title":"Examination of the time between first evaluation and first autism spectrum diagnosis in a population-based sample","volume":"27","author":"Wiggins","year":"2006","journal-title":"Journal of Developmental and Behavioral Pediatrics"}],"container-title":["Journal of Pediatric Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0891524516303960?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0891524516303960?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,8,30]],"date-time":"2018-08-30T14:51:34Z","timestamp":1535640694000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0891524516303960"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11]]},"references-count":27,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,11]]}},"alternative-id":["S0891524516303960"],"URL":"https:\/\/doi.org\/10.1016\/j.pedhc.2017.05.003","relation":{},"ISSN":["0891-5245"],"issn-type":[{"value":"0891-5245","type":"print"}],"subject":[],"published":{"date-parts":[[2017,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Mapping Geospatial Gaps in Early Identification of Children With Autism Spectrum Disorder","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Health Care","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pedhc.2017.05.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 by the National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}