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Cited by 946Autism Spectrum Disorder ResearchChild Nutrition and Feeding IssuesDown syndrome and intellectual disability research

The DOI matches its Crossref record; 48 of the 48 references it cites were found in a registry or an index.

Racial/Ethnic Disparities in the Identification of Children With Autism Spectrum Disorders

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Mandell, David S., Wiggins, Lisa D., Carpenter, Laura Arnstein, Daniels, Julie, DiGuiseppi, Carolyn, Durkin, Maureen S., Giarelli, Ellen, Morrier, Michael J., Nicholas, Joyce S., Pinto-Martin, Jennifer A., Shattuck, Paul T., Thomas, Kathleen C., Yeargin-Allsopp, Marshalyn, Kirby, Russell S.·2009·American Journal of Public Health
DOI 10.2105/ajph.2007.131243PMC PMC2661453
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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 dispatrities 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.

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Research works printed but not linked: 6

  1. Fombonne E, 2005, J Clin Psychiatry, 66, 3
  2. Institute of Medcine. Unequal Treatment. Washington, DC: National Academies Press; 2002.
  3. Centers for Disease Control and Prevention, 2007, MMWR Morb Mortal Wkly Rep, 56, 1
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  6. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC; American Psychiatric Association; 1994.

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Metadata

Authors
Mandell, D. S., Wiggins, L. D., Carpenter, L. A., Daniels, J., DiGuiseppi, C., Durkin, M. S., Giarelli, E., Morrier, M. J., Nicholas, J. S., Pinto-Martin, J. A., Shattuck, P. T., Thomas, K. C., Yeargin-Allsopp, M., & Kirby, R. S.
Affiliations
  • Centers for Disease Control and Prevention (US)
  • David S. Mandell is with the Departments of Psychiatry and Pediatrics, University of Pennsylvania School of Medicine, Philadelphia. Lisa D. Wiggins and Marshalyn Yeargin-Allsopp are with the National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA. Laura Arnstein Carpenter is with the Division of Genetics and Developmental Pediatrics, Medical University of South Carolina, Charleston. Julie Daniels and Kathleen C. Thomas are with the Cecil G....
ORCID
Venue
American Journal of Public Health
Publisher
American Public Health Association
Published
2009-03
Volume
99
Issue
3
Pages
493-498
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
DOI
10.2105/ajph.2007.131243
PMC
PMC2661453
OpenAlex
W1969090439
Semantic Scholar
59cba7f725dca5ce2740257c42e605de326368e3
Cited by
946
References
48
Citations by year
2026: 109 · 2025: 43 · 2024: 77 · 2023: 58 · 2022: 60 · 2021: 71 · 2020: 72 · 2019: 65 · 2018: 49 · 2017: 67 · 2016: 48 · 2015: 54 · 2014: 42 · 2013: 35 · 2012: 35
FWCI
10.20
Type
journal article
Language
en
Open access
Locations
  • American Journal of Public Health (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
Funders
National Institute of Mental Health (K01MH067628)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
Keywords
autism spectrum disorder, racial and ethnic disparities, underdiagnosis, children, Black children, Hispanic children, intellectual disability, developmental delay, IQ, professional education
MeSH terms
Autistic Disorder, Child, Cross-Sectional Studies, Ethnicity, Female, Humans, Male, Population Surveillance, United States, Confidence Intervals, Logistic Models, Odds Ratio, Risk Assessment, Racial Groups, Health Status Disparities

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