Title |
Underdiagnosis and Referral Bias of Autism in Ethnic Minorities
|
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Published in |
Journal of Autism and Developmental Disorders, July 2008
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DOI | 10.1007/s10803-008-0611-5 |
Pubmed ID | |
Authors |
Sander Begeer, Saloua El Bouk, Wafaa Boussaid, Mark Meerum Terwogt, Hans M. Koot |
Abstract |
This study examined (1) the distribution of ethnic minorities among children referred to autism institutions and (2) referral bias in pediatric assessment of autism in ethnic minorities. It showed that compared to the known community prevalence, ethnic minorities were under-represented among 712 children referred to autism institutions. In addition, pediatricians (n = 81) more often referred to autism when judging clinical vignettes of European majority cases (Dutch) than vignettes including non-European minority cases (Moroccan or Turkish). However, when asked explicitly for ratings of the probability of autism, the effect of ethnic background on autism diagnosis disappeared. We conclude that the use of structured ratings may decrease the likelihood of ethnic bias in diagnostic decisions of autism. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Netherlands | 13 | 38% |
Belgium | 1 | 3% |
Unknown | 20 | 59% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 33 | 97% |
Practitioners (doctors, other healthcare professionals) | 1 | 3% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | <1% |
Israel | 1 | <1% |
Sweden | 1 | <1% |
Canada | 1 | <1% |
Unknown | 258 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 48 | 18% |
Student > Master | 48 | 18% |
Student > Doctoral Student | 28 | 11% |
Student > Bachelor | 28 | 11% |
Researcher | 20 | 8% |
Other | 48 | 18% |
Unknown | 42 | 16% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 88 | 34% |
Social Sciences | 34 | 13% |
Medicine and Dentistry | 32 | 12% |
Nursing and Health Professions | 17 | 6% |
Agricultural and Biological Sciences | 12 | 5% |
Other | 26 | 10% |
Unknown | 53 | 20% |