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Racial/ethnic disparities in the identification of children with autism spectrum disorders.

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Title: Racial/ethnic disparities in the identification of children with autism spectrum disorders.
Authors: Mandell DS (AUTHOR), Wiggins LD (AUTHOR), Carpenter LA (AUTHOR), Daniels J (AUTHOR), DiGuiseppi C (AUTHOR), Durkin MS (AUTHOR), Giarelli E (AUTHOR), Morrier MJ (AUTHOR), Nicholas JS (AUTHOR), Pinto-Martin JA (AUTHOR), Shattuck PT (AUTHOR), Thomas KC (AUTHOR), Yeargin-Allsopp M (AUTHOR), Kirby RS (AUTHOR)
Source: American Journal of Public Health. Mar2009, Vol. 99 Issue 3, p493-498. 6p.
Subjects: Racial differences, Racial & ethnic attitudes, Autism spectrum disorders, Black people, Hispanic Americans, White people
Abstract: OBJECTIVES: We sought to examine racial and ethnic disparities in the recognition of autism spectrum disorders (ASDs). METHODS: Within a multisite network, 2568 children aged 8 years were identified as meeting surveillance criteria for ASD through abstraction of evaluation records from multiple sources. Through logistic regression with random effects for site, we estimated the association between race/ethnicity and documented ASD, adjusting for gender, IQ, birthweight, and maternal education. RESULTS: Fifty-eight percent of children had a documented autism spectrum disorder. In adjusted analyses, children who were Black (odds ratio [OR] = 0.79; 95% confidence interval [CI] = 0.64, 0.96), Hispanic (OR = 0.76; CI = 0.56, 0.99), or of other race/ethnicity (OR = 0.65; CI = 0.43, 0.97) were less likely than were White children to have a documented ASD. This disparity persisted for Black children, regardless of IQ, and was concentrated for children of other ethnicities when IQ was lower than 70. CONCLUSIONS: Significant racial/ethnic disparities exist in the recognition of ASD. For some children in some racial/ethnic groups, the presence of intellectual disability may affect professionals' further assessment of developmental delay. Our findings suggest the need for continued professional education related to the heterogeneity of the presentation of ASD. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Racial/ethnic disparities in the identification of children with autism spectrum disorders.
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  Data: <searchLink fieldCode="AR" term="%22Mandell+DS%22">Mandell DS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wiggins+LD%22">Wiggins LD</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Carpenter+LA%22">Carpenter LA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Daniels+J%22">Daniels J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22DiGuiseppi+C%22">DiGuiseppi C</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Durkin+MS%22">Durkin MS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Giarelli+E%22">Giarelli E</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Morrier+MJ%22">Morrier MJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nicholas+JS%22">Nicholas JS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pinto-Martin+JA%22">Pinto-Martin JA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shattuck+PT%22">Shattuck PT</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thomas+KC%22">Thomas KC</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yeargin-Allsopp+M%22">Yeargin-Allsopp M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kirby+RS%22">Kirby RS</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Mar2009, Vol. 99 Issue 3, p493-498. 6p.
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  Data: <searchLink fieldCode="DE" term="%22Racial+differences%22">Racial differences</searchLink><br /><searchLink fieldCode="DE" term="%22Racial+%26+ethnic+attitudes%22">Racial & ethnic attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Autism+spectrum+disorders%22">Autism spectrum disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Black+people%22">Black people</searchLink><br /><searchLink fieldCode="DE" term="%22Hispanic+Americans%22">Hispanic Americans</searchLink><br /><searchLink fieldCode="DE" term="%22White+people%22">White people</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: OBJECTIVES: We sought to examine racial and ethnic disparities in the recognition of autism spectrum disorders (ASDs). METHODS: Within a multisite network, 2568 children aged 8 years were identified as meeting surveillance criteria for ASD through abstraction of evaluation records from multiple sources. Through logistic regression with random effects for site, we estimated the association between race/ethnicity and documented ASD, adjusting for gender, IQ, birthweight, and maternal education. RESULTS: Fifty-eight percent of children had a documented autism spectrum disorder. In adjusted analyses, children who were Black (odds ratio [OR] = 0.79; 95% confidence interval [CI] = 0.64, 0.96), Hispanic (OR = 0.76; CI = 0.56, 0.99), or of other race/ethnicity (OR = 0.65; CI = 0.43, 0.97) were less likely than were White children to have a documented ASD. This disparity persisted for Black children, regardless of IQ, and was concentrated for children of other ethnicities when IQ was lower than 70. CONCLUSIONS: Significant racial/ethnic disparities exist in the recognition of ASD. For some children in some racial/ethnic groups, the presence of intellectual disability may affect professionals' further assessment of developmental delay. Our findings suggest the need for continued professional education related to the heterogeneity of the presentation of ASD. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.2105/AJPH.2007.131243
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      – SubjectFull: Racial differences
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      – SubjectFull: Racial & ethnic attitudes
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      – SubjectFull: Autism spectrum disorders
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      – SubjectFull: Black people
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      – SubjectFull: Hispanic Americans
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