A Scoping Review of Health Disparities in Autism Spectrum Disorder
Open accessAbstract
Individuals with autism spectrum disorder (ASD) experience increased morbidity and decreased life expectancy compared to the general population, and these disparities are likely exacerbated for those individuals who are otherwise disadvantaged. We conducted a review to ascertain what is known about health and health system quality (e.g., high quality care delivery, adequate care access) disparities in ASD. Nine studies met final inclusion criteria. Seven studies identified racial disparities in access to general medical services for children with ASD. No studies examined disparities in health outcomes or included older adults. We present a model of health disparities (Fundamental Causes Model) that guides future research. Additional work should examine health disparities, and their causal pathways, in ASD, particularly for older adults.
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Language barriers are not the only issue that contributes to health inequities, and much has been written about these factors that are collectively known as social determinants of health.
“Language barriers are not the only issue that contributes to health inequities, and much has been written about these factors that are collectively known as social determinants of health [59-62]”
From Technology enabled clinical care (TECC): Protocol for a prospective longitudinal cohort study of smartphone-augmented mental health treatment (2021) · cites this paper as [59]
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- Authors
- Bishop-Fitzpatrick, L., & Kind, A. J. H.
- Affiliations
- University of Wisconsin–Madison (US)
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2017-07-29
- Volume
- 47
- Issue
- 11
- Pages
- 3380-3391
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- PMC
- PMC5693721
- OpenAlex
- W2740425314
- Cited by
- 351
- References
- 58
- Citations by year
- 2026: 45 · 2025: 54 · 2024: 56 · 2023: 51 · 2022: 48 · 2021: 50 · 2020: 25 · 2019: 10 · 2018: 11
- FWCI
- 7.22
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Minority Health and Health Disparities (R01MD010243)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (U54 HD090256, T32HD007489)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
- Keywords
- autism spectrum disorder, health disparities, racial disparities, health care access, health system quality, health care delivery, children with autism, older adults, morbidity, life expectancy
- MeSH terms
- Autism Spectrum Disorder, Adolescent, Adult, Female, Humans, Male, Healthcare Disparities
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