{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T12:11:42Z","timestamp":1778760702399,"version":"3.51.4"},"reference-count":62,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["West J Nurs Res"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Health disparities in autistic people are well-documented. Less is known, however, about how health determinants intersect, including what factors make a difference, for whom, and under what conditions. Coincidence analysis (CNA) is a cross-case, mathematical approach that pinpoints minimally sufficient and necessary conditions for an outcome to appear, making it particularly well-suited to identify intersecting determinants and multiple paths to the same outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Guided by the National Institute on Minority Health and Health Disparities Research Framework, the study aimed to identify difference-makers for \u201cexcellent\/very good\u201d overall health among autistic children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The 2022 National Survey of Children\u2019s Health contains parent-reported data about 1231 autistic children with \u201cexcellent\/very good\u201d overall health. A literature review informed the selection of 62 potentially relevant factors for analysis. CNA was applied to develop a model for explaining parents\u2019 reporting \u201cexcellent\/very good\u201d health for their autistic children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Initial exploratory analyses identified 7 strongly related factors. The final model revealed a 2-pathway solution that accounted for 82% of the respondents with 80% consistency: (1) a combination of no intellectual disability, no difficulty with chronic pain, and high family resilience; or (2) a combination of no intellectual disability, no difficulty with chronic pain, and no history of being overweight.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Combinations of health determinants accounted for differences in the reported overall health of autistic children. This nuanced explanation for \u201cexcellent\/very good\u201d health among autistic children can guide future interventions and practices aimed at modifiable determinants of health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01939459261426896","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:45:21Z","timestamp":1777891521000},"page":"630-640","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pathways to Excellent Health Status in Autism: A Secondary Analysis of the 2022 National Survey of Children\u2019s Health"],"prefix":"10.1177","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1094-4673","authenticated-orcid":false,"given":"Anna C.","family":"Quon","sequence":"first","affiliation":[{"name":"College of Nursing, Department of Community, Systems and Mental Health Nursing, Rush University, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7187-1570","authenticated-orcid":false,"given":"Edward J.","family":"Miech","sequence":"additional","affiliation":[{"name":"Department of Medicine, Indiana University School of Medicine, Indianapolis, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9198-3115","authenticated-orcid":false,"given":"Jessica C.","family":"Bishop-Royse","sequence":"additional","affiliation":[{"name":"College of Nursing, Department of Community, Systems and Mental Health Nursing, Rush University, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4768-0042","authenticated-orcid":false,"given":"Tricia J.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Health Systems Management, Rush University, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah H.","family":"Ailey","sequence":"additional","affiliation":[{"name":"College of Nursing, Department of Community, Systems and Mental Health Nursing, Rush University, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,4]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-017-3251-9"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41390-021-01465-y"},{"key":"e_1_3_3_4_2","unstructured":"The Joint Commission. 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