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Autism Prevalence and the Intersectionality of Assigned Sex at Birth, Race, and Ethnicity on Age of Diagnosis.
Goldblum, Jessica E; McFayden, Tyler C; Bristol, Stephanie; Putnam, Orla C; Wylie, Amanda; Harrop, Clare.
Afiliación
  • Goldblum JE; Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, 325 E. Cameron Avenue, Chapel Hill, NC, 27599-327, USA. jessgold@unc.edu.
  • McFayden TC; Carolina Institute for Developmental Disabilities, University of North Carolina at Chapel Hill, Chapel Hill, USA.
  • Bristol S; Division of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, USA.
  • Putnam OC; Division of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, USA.
  • Wylie A; Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, 325 E. Cameron Avenue, Chapel Hill, NC, 27599-327, USA.
  • Harrop C; Division of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, USA.
J Autism Dev Disord ; 2023 Aug 16.
Article en En | MEDLINE | ID: mdl-37584770
PURPOSE: An official autism diagnosis is required to access timely intervention and is associated with better long-term wellbeing and mental health. Certain demographic characteristics, such as being female or a racially or ethnically minoritized youth, have been associated with significant diagnostic lag. However, it remains unclear how assigned sex, race, and ethnicity interact with each other in predicting the prevalence and age of autism diagnosis. METHODS: To examine the interactions between assigned sex, race, and ethnicity, we used data from the National Survey of Children's Health (NSCH; 2016 > 2021). RESULTS: One in 38 children had an autism diagnosis and 3.8 males were diagnosed per 1 female. Hierarchical linear regressions yielded diagnostic delays in some females, particularly those who were non-Hispanic white, Black, and Asian. Ethnic and racial minority children had significantly earlier diagnoses than white and non-Hispanic children when not accounting for sex. CONCLUSION: This study demonstrates slight increases in reported autism prevalence, a diagnostic lag in some autistic females that was strongly associated with ethnicity, and earlier diagnoses in racial and ethnic minority youth, a finding that may be explained by factors associated with phenotypic differences. This study has important implications for the diagnosis of minority autistic youth, particularly females and females who are non-Hispanic, who may experience a greater propensity for diagnostic delays.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Idioma: En Revista: J Autism Dev Disord Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Idioma: En Revista: J Autism Dev Disord Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos