Cited by 57Autism Spectrum Disorder ResearchMigration, Health and TraumaGender, Health, and Social Inequality

Risk as Social Context: Immigration Policy and Autism in California1

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Fountain, Christine, Bearman, Peter·2011·Sociological Forum

Abstract

Motivated by the dramatic increase in autism diagnoses in recent years, research into risk factors has uncovered substantial variation in autism prevalence by race/ethnicity, SES, and geography. Less studied is the connection between autism diagnosis rates and the social and political context. In this article, we link the temporal pattern of autism diagnosis for Hispanic children in California to state and federal anti‐immigrant policy, particularly ballot initiative Proposition 187, limiting access to public services for undocumented immigrants and their families. Using a population‐level data set of 1992–2003 California births linked to 1992–2006 autism case records, we show that the effects of state and federal policies toward immigrants are visible in the rise and fall of autism risk over time. The common epidemiological practice of estimating risk on pooled samples is thereby shown to obscure patterns and mis‐estimate effect sizes. Finally, we illustrate how spatial variation in Hispanic autism rates reflects differential vulnerability to these policies. This study reveals not only the spillover effects of immigration policy on children’s health, but also the hazards of treating individual attributes like ethnicity as risk factors without regard to the social and political environments that give them salience.

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Authors
Fountain, C., & Bearman, P.
Affiliations
Columbia University (US)
Corresponding author
Bearman, Peter
Venue
Sociological Forum
Publisher
Wiley
Published
2011-05-03
Volume
26
Issue
2
Pages
215-240
ISSN
  • 0884-8971 (ISSN-L)
  • 1573-7861
OpenAlex
W2100368433
Cited by
57
References
53
Citations by year
2026: 1 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 5 · 2019: 7 · 2018: 6 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 5 · 2013: 4 · 2012: 6
FWCI
2.44
Type
journal article
Language
en
Open access
Locations
  • Sociological Forum (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Columbia Academic Commons (Columbia University)
Funders
National Institutes of Health (DP1OD003635)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Social Sciences › Sociology and Political Science › Gender, Health, and Social Inequality
Keywords
autism spectrum disorder, immigration policy, Proposition 187, Hispanic children, undocumented immigrants, anti-immigrant policy, access to public services, risk factors, spillover effects, spatial variability, California

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