Effects of Intersectionality along the Pathway to Diagnosis for Autistic Children with and without Co-Occurring Attention Deficit Hyperactivity Disorder in a Nationally-Representative Sample

Autor/inn/en	Miller, Haylie L.; Thomi, Morgan; Patterson, Rita M.; Nandy, Karabi
Titel	Effects of Intersectionality along the Pathway to Diagnosis for Autistic Children with and without Co-Occurring Attention Deficit Hyperactivity Disorder in a Nationally-Representative Sample
Quelle	In: Journal of Autism and Developmental Disorders, 53 (2023) 9, S.3542-3557 (16 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Miller, Haylie L.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0162-3257
DOI	10.1007/s10803-022-05604-0
Schlagwörter	Autism Spectrum Disorders; Attention Deficit Hyperactivity Disorder; Comorbidity; Behavior Problems; Socioeconomic Influences; Symptoms (Individual Disorders); Children; Adolescents; Racial Differences; Ethnicity; Gender Differences; Predictor Variables; Age Differences; Clinical Diagnosis + Suchen Sie Ihr Suchwort? Autism; Autismus; Sozioökonomischer Faktor; Psychiatrische Symptomatik; Child; Kind; Kinder; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Rassenunterschied; Ethnizität; Geschlechterkonflikt; Prädiktor; Age; Difference; Age difference; Altersunterschied
Abstract	Children with complex behavioral profiles (e.g., ASD + ADHD) may experience delays in obtaining a final diagnosis. Low-resource or underrepresented groups may be at even greater risk for delayed diagnosis. We assessed the effect of sociodemographic factors, symptom complexity and co-occurring conditions, and identifier of first symptoms on diagnostic trajectories among children aged 3-17 years diagnosed with ASD (n = 52) or ASD + ADHD (n = 352) from a nationally-representative sample. Race/ethnicity and gender disparities were evident in both groups. Race, symptom complexity, and co-occurring conditions predicted age of final diagnosis and wait time between first concern and final diagnosis, both of which were staggeringly high. Results suggest a complex influence of sociodemographic factors on the diagnostic pathway, and risk of health disparities as a function of intersectionality. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01