Predictors of employment status among adults with Autism Spectrum Disorder
Abstract
BACKGROUND: In the United States, adults with Autism Spectrum Disorder (ASD) experience high rates of unemployment and underemployment in relation to adults with other disabilities and the general population. Yet there is little research examining their employment experiences and the predictors of employment status. OBJECTIVE: The purpose of this study was to examine the employment characteristics and histories of both employed and unemployed adults with ASD, and the factors that contributed to their employment status. METHODS: This cross-sectional study used an online survey and the Short Effort Reward Imbalance (ERI) Scale to gather data. Multivariate logistic regression analyses were used to examine predictors of employment status and self-reported health. RESULTS: Of the 254 adults with ASD who participated in this study, 61.42% were employed and 38.58% were unemployed. Over half of the participants reported job imbalance on the Short ERI Scale and the vast majority did not receive any job assistance. Participants who disclosed their ASD diagnosis to their employer were more than three times as likely to be employed than those who did not disclose. Education level was also a significant predictor of employment status. CONCLUSIONS: This study suggests disability disclosure and education level are factors that contribute to employment status.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
These atypical social and communication differences may complicate interactions with neurotypical peers, risking employment participation vulnerabilities in this population, which has an unemployment rate four times higher than that of the general population.
“These atypical social and communication differences may complicate their interactions with neurotypical peers [9,10,11], risking employment participation vulnerabilities in this population, which has an unemployment rate four times higher than that of the general population [12].”
From Remote work support needs of employees with autism spectrum disorder in Poland: perspectives of individuals with autism and their coworkers (2022) · cites this paper as [12]
Cites
Adverse health effects of high-effort/low-reward conditions.
Siegrist, J. (1996) · Journal of Occupational Health Psychology · doi:10.1037/1076-8998.1.1.27 · Cited by 5,713 · see citing works
The measurement of effort–reward imbalance at work: European comparisons
Siegrist, J., Starke, D., Chandola, T., Godin, I., Marmot, M. G., Niedhammer, I., & Peter, R. (2003) · Social Science & Medicine · doi:10.1016/s0277-9536(03)00351-4 · Cited by 2,271 · see citing works
Postsecondary education and employment among youth with an autism spectrum disorder
Shattuck, P. T., Narendorf, S. C., Cooper, B., Sterzing, P. R., Wagner, M., & Taylor, J. L. (2012) · PEDIATRICS · doi:10.1542/peds.2011-2864 · Cited by 1,110 · see citing works
Reviewing the effort–reward imbalance model: drawing up the balance of 45 empirical studies
van Vegchel, N., JONGE, J. D., Bosma, H., & Schaufeli, W. B. (2004) · Social Science & Medicine · doi:10.1016/j.socscimed.2004.06.043 · Cited by 929 · see citing works
Taylor, J. L., & Seltzer, M. M. (2011) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-010-1070-3 · Cited by 735 · see citing works
Job strain, effort-reward imbalance and employee well-being: a large-scale cross-sectional study
JONGE, J. D., Bosma, H., Peter, R., & Siegrist, J. (2000) · Social Science & Medicine · doi:10.1016/s0277-9536(99)00388-3 · Cited by 722 · see citing works
Employment and adults with autism spectrum disorders: Challenges and strategies for success
Hendricks, D. (2010) · Journal of Vocational Rehabilitation · doi:10.3233/jvr-2010-0502 · Cited by 610 · see citing works
Shattuck, P. T., Seltzer, M. M., Greenberg, J. S., Orsmond, G. I., Bolt, D. M., Kring, S. R., Lounds, J. J., & Lord, C. (2006) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0307-7 · Cited by 558 · see citing works
Postsecondary Employment Experiences Among Young Adults With an Autism Spectrum Disorder
Roux, A. M., Shattuck, P. T., Cooper, B. P., Anderson, K. A., Wagner, M. M., & Narendorf, S. C. (2013) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2013.05.019 · Cited by 489 · see citing works
Emanuel Miller lecture: Confusions and controversies about Asperger syndrome
Frith, U. (2004) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2004.00262.x · Cited by 439 · see citing works
Employment activities and experiences of adults with high-functioning autism and Asperger’s disorder
Baldwin, S., Costley, D., & Warren, A. (2014) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-014-2112-z · Cited by 414 · see citing works
Underemployment: Consequences for the Health and Well‐Being of Workers
Friedland, D. S., & Price, R. H. (2003) · American Journal of Community Psychology · doi:10.1023/a:1025638705649 · Cited by 357 · see citing works
Can Children with Autism Recover? If So, How?
Helt, M., Kelley, E., Kinsbourne, M., Pandey, J., Boorstein, H., Herbert, M., & Fein, D. (2008) · Neuropsychology Review · doi:10.1007/s11065-008-9075-9 · Cited by 353 · see citing works
Employment and adults with Asperger syndrome
Hurlbutt, K., & Chalmers, L. (2004) · Focus on Autism and Other Developmental Disabilities · doi:10.1177/10883576040190040301 · Cited by 325 · see citing works
Robertson, S. M. (2009) · Disability Studies Quarterly · doi:10.18061/dsq.v30i1.1069 · Cited by 305 · see citing works
Chen, J. L., Leader, G., Sung, C., & Leahy, M. (2015) · Review Journal of Autism and Developmental Disorders · doi:10.1007/s40489-014-0041-6 · Cited by 282 · see citing works
Müller, E., Schuler, A. L., Burton, B. A., & Yates, G. B. (2003) · Journal of Vocational Rehabilitation · doi:10.3233/jvr-2003-00193 · Cited by 280 · see citing works
Niedhammer, I., Tek, M.-L., Starke, D., & Siegrist, J. (2003) · Social Science & Medicine · doi:10.1016/s0277-9536(03)00346-0 · Cited by 240 · see citing works
Outcomes in Adults With Asperger Syndrome
Barnhill, G. P. (2007) · Focus on Autism and Other Developmental Disabilities · doi:10.1177/10883576070220020301 · Cited by 168 · see citing works
Do you know I have Asperger's syndrome? Risks of a non-obvious disability
Portway, S. M., & Johnson, B. A. (2005) · Health Risk & Society · doi:10.1080/09500830500042086 · Cited by 155 · see citing works
Niedhammer, I., Chastang, J., David, S., Barouhiel, L., & Barrandon, G. (2006) · International Journal of Occupational and Environmental Health · doi:10.1179/oeh.2006.12.2.111 · Cited by 152 · see citing works
Holwerda, A., van der Klink, J. J. L., Groothoff, J. W., & Brouwer, S. (2012) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-011-9347-8 · Cited by 145 · see citing works
Predictors of Employment and Postsecondary Education of Youth With Autism
Migliore, A., Timmons, J. C., Butterworth, J., & Lugas, J. (2012) · Rehabilitation Counseling Bulletin · doi:10.1177/0034355212438943 · Cited by 143 · see citing works
How valid is a short measure of effort–reward imbalance at work? A replication study from Sweden
Leineweber, C., Wege, N., Westerlund, H., Theorell, T., Wahrendorf, M., & Siegrist, J. (2010) · Occupational and Environmental Medicine · doi:10.1136/oem.2009.050930 · Cited by 116 · see citing works
Competitive Employment for People With Autism
Schaller, J. L., & Yang, N. K. (2005) · Rehabilitation Counseling Bulletin · doi:10.1177/00343552050490010201 · Cited by 107 · see citing works
Becoming a member of the work force: Perceptions of adults with Asperger Syndrome
Krieger, B., Kinébanian, A., Prodinger, B., & Heigl, F. (2012) · Work · doi:10.3233/wor-2012-1392 · Cited by 93 · see citing works
Staff Nurse Empowerment and Effort-Reward Imbalance
Kluska, K., Laschinger, H. K. S., & Kerr, M. (2004) · Nursing leadership · doi:10.12927/cjnl.2004.16247 · Cited by 69 · see citing works
Disclosure on the Spectrum: Understanding Disclosure Among Employees on the Autism Spectrum
Johnson, T. D., & Joshi, A. (2014) · Industrial and Organizational Psychology · doi:10.1111/iops.12149 · Cited by 54 · see citing works
Intervention research to benefit people with autism: How old are the participants?
Edwards, T. L., Watkins, E. E., Lotfizadeh, A. D., & Poling, A. D. (2012) · Research in Autism · doi:10.1016/j.rasd.2011.11.002 · Cited by 53 · see citing works
Li, J., Loerbroks, A., Jarczok, M. N., Schöllgen, I., Bosch, J. A., Mauss, D., Siegrist, J., & Fischer, J. E. (2012) · American Journal of Industrial Medicine · doi:10.1002/ajim.22018 · Cited by 48 · see citing works
In a Discussion on Invisible Disabilities, Let Us Not Lose Sight of Employees on the Autism Spectrum
Neely, B. H., & Hunter, S. T. (2014) · Industrial and Organizational Psychology · doi:10.1111/iops.12148 · Cited by 25 · see citing works
Romoser, M. F. (2000) · Focus on Autism and Other Developmental Disabilities · doi:10.1177/108835760001500416 · Cited by 21 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Factors impacting employment for people with autism spectrum disorder: A scoping review
Scott, M., Milbourn, B., Falkmer, M., Black, M., Bӧlte, S., Halladay, A., Lerner, M., Taylor, J. L., & Girdler, S. (2019) · Autism · doi:10.1177/1362361318787789 · Cited by 278 · see citing works
Disclosure and workplace accommodations for people with autism: a systematic review
Lindsay, S., Osten, V., Rezai, M., & Bui, S. (2021) · Disability and Rehabilitation · doi:10.1080/09638288.2019.1635658 · Cited by 176 · see citing works
Autism and employment: what works
Hayward, S. M., McVilly, K. R., & Stokes, M. A. (2019) · Research in Autism Spectrum Disorders · doi:10.1016/j.rasd.2019.01.006 · Cited by 135 · see citing works
Barriers and Facilitators to Employment for Adults With Autism: A Scoping Review
Harmuth, E., Silletta, E., Bailey, A., Adams, T., Beck, C., & Barbic, S. P. (2018) · Annals of International Occupational Therapy · doi:10.3928/24761222-20180212-01 · Cited by 127 · see citing works
Autistic adults’ views of their communication skills and needs
Cummins, C., Pellicano, E., & Crane, L. (2020) · International Journal of Language & Communication Disorders · doi:10.1111/1460-6984.12552 · Cited by 125 · see citing works
Davies, J., Heasman, B., Livesey, A., Walker, A., Pellicano, E., & Remington, A. (2023) · Autism · doi:10.1177/13623613221145377 · Cited by 105 · see citing works
Pryke-Hobbes, A., Davies, J., Heasman, B., Livesey, A., Walker, A., Pellicano, E., & Remington, A. (2023) · PLoS ONE · doi:10.1371/journal.pone.0290001 · Cited by 95 · see citing works
What Is Important in Measuring Quality of Life? Reflections by Autistic Adults in Four Countries
McConachie, H., Wilson, C., Mason, D., Garland, D., Parr, J. R., Rattazzi, A., Rodgers, J., Skevington, S., Uljarevic, M., & Magiati, I. (2020) · Autism in Adulthood · doi:10.1089/aut.2019.0008 · Cited by 85 · see citing works
Tomczak, M. T. (2021) · Journal of Disability Policy Studies · doi:10.1177/1044207320919945 · Cited by 59 · see citing works
Sources and impact of occupational demands for autistic employees
Hayward, S. M., McVilly, K. R., & Stokes, M. A. (2020) · Research in Autism Spectrum Disorders · doi:10.1016/j.rasd.2020.101571 · Cited by 57 · see citing works
Cheriyan, C., Shevchuk-Hill, S., Riccio, A., Vincent, J., Kapp, S. K., Cage, E., Dwyer, P., Kofner, B., Attwood, H., & Gillespie-Lynch, K. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.719827 · Cited by 53 · see citing works
Martin, V., Flanagan, T. D., Vogus, T. J., & Chênevert, D. (2023) · Disability and Rehabilitation · doi:10.1080/09638288.2022.2074550 · Cited by 45 · see citing works
Tomczak, M. T., Mpofu, E., & Hutson, N. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191710982 · Cited by 42 · see citing works
Dual perspectives in autism spectrum disorders and employment: toward a better fit in the workplace
Diener, M. L., Wright, C. A., Taylor, C., D’Astous, V., & Lasrich, L. (2020) · Work · doi:10.3233/wor-203268 · Cited by 37 · see citing works
Davies, J., Romualdez, A. M., Malyan, D., Heasman, B., Livesey, A., Walker, A., Pellicano, E., & Remington, A. (2024) · Autism in Adulthood · doi:10.1089/aut.2022.0087 · Cited by 36 · see citing works
Tomczak, M. T., Wójcikowski, M., Listewnik, P., Pankiewicz, B., Majchrowicz, D., & Jędrzejewska-Szczerska, M. (2018) · Sensors · doi:10.3390/s18103530 · Cited by 29 · see citing works
Improving autistic experiences in the workplace: key factors and actionable steps
Nishith, S., O’Brien, A. M., Li, C., Bungert, L., Oddis, K., Riddle, J., & Gabrieli, J. D. E. (2025) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-025-07036-y · Cited by 9 · see citing works
- Authors
- Ohl, A., Grice Sheff, M., Small, S., Nguyen, J., Paskor, K., & Zanjirian, A.
- Affiliations
- Clarkson University (US)
- Minnesota Department of Health, Maternal & Child Health Section, MN, USA
- Holy Name Medical Center (US)
- New York University Langone Orthopedic Hospital (US)
- New York City Department of Education (US)
- Venue
- Work
- Publisher
- SAGE Publications
- Published
- 2017-03-14
- Volume
- 56
- Issue
- 2
- Pages
- 345-355
- ISSN
- 1051-9815 (ISSN-L)
- 1875-9270
- OpenAlex
- W2589101104
- Cited by
- 174
- References
- 32
- Citations by year
- 2026: 18 · 2025: 22 · 2024: 29 · 2023: 20 · 2022: 24 · 2021: 19 · 2020: 19 · 2019: 13 · 2018: 7 · 2017: 3
- FWCI
- 26.33
- Type
- journal article
- Language
- en
- Update notices
- correction (2026-04-21)
- Open access
- closed
- Locations
- Work (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Safety Research › Disability Education and Employment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Health Professions › General Health Professions › Employment and Welfare Studies
- Keywords
- autism spectrum disorder, employment status, unemployment, underemployment, effort-reward imbalance, disability disclosure, educational attainment, self-reported health, adults with disabilities
- MeSH terms
- Autism Spectrum Disorder, Adolescent, Adult, Aged, Cross-Sectional Studies, Employment, Female, Persons with Disabilities, Humans, Male, Middle Aged, Surveys and Questionnaires, United States, Chi-Square Distribution, Logistic Models
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review