Autism spectrum disorder reporting in lower socioeconomic neighborhoods

Aisha S. Dickerson, Mohammad H. Rahbar, Deborah A. Pearson, Russell S. Kirby, Amanda V. Bakian, Deborah A. Bilder, Rebecca A. Harrington, Sydney Pettygrove, Walter M. Zahorodny, Lemuel A. Moyé, Maureen Durkin, Martha Slay Wingate

Research output: Research - peer-reviewArticle

  • 1 Citations

Abstract

Utilizing surveillance data from five sites participating in the Autism and Developmental Disabilities Monitoring Network, we investigated contributions of surveillance subject and census tract population sociodemographic characteristics on variation in autism spectrum disorder ascertainment and prevalence estimates from 2000 to 2008 using ordinal hierarchical models for 2489 tracts. Multivariable analyses showed a significant increase in ascertainment of autism spectrum disorder cases through both school and health sources, the optimal ascertainment scenario, for cases with college-educated mothers (adjusted odds ratio = 1.06, 95% confidence interval = 1.02-1.09). Results from our examination of sociodemographic factors of tract populations from which cases were drawn also showed that after controlling for other covariates, statistical significance remained for associations between optimal ascertainment and percentage of Hispanic residents (adjusted odds ratio = 0.93, 95% confidence interval = 0.88-0.99) and percentage of residents with at least a bachelor's degree (adjusted odds ratio = 1.06, 95% confidence interval = 1.01-1.11). We identified sociodemographic factors associated with autism spectrum disorder prevalence estimates including race, ethnicity, education, and income. Determining which specific factors influence disparities is complicated; however, it appears that even in the presence of education, racial and ethnic disparities are still apparent. These results suggest disparities in access to autism spectrum disorder assessments and special education for autism spectrum disorder among ethnic groups may impact subsequent surveillance.

LanguageEnglish (US)
Pages470-480
Number of pages11
JournalAutism
Volume21
Issue number4
DOIs
StatePublished - May 1 2017

Fingerprint

Autism Spectrum Disorder
Odds Ratio
Confidence Intervals
Education
Special Education
Developmental Disabilities
School Health Services
Censuses
Population Characteristics
Autistic Disorder
Hispanic Americans
Ethnic Groups
Mothers
Population

Keywords

  • autism spectrum disorders
  • diagnosis
  • disparities
  • prevalence
  • school-age children

ASJC Scopus subject areas

  • Developmental and Educational Psychology

Cite this

Dickerson, A. S., Rahbar, M. H., Pearson, D. A., Kirby, R. S., Bakian, A. V., Bilder, D. A., ... Slay Wingate, M. (2017). Autism spectrum disorder reporting in lower socioeconomic neighborhoods. Autism, 21(4), 470-480. DOI: 10.1177/1362361316650091

Autism spectrum disorder reporting in lower socioeconomic neighborhoods. / Dickerson, Aisha S.; Rahbar, Mohammad H.; Pearson, Deborah A.; Kirby, Russell S.; Bakian, Amanda V.; Bilder, Deborah A.; Harrington, Rebecca A.; Pettygrove, Sydney; Zahorodny, Walter M.; Moyé, Lemuel A.; Durkin, Maureen; Slay Wingate, Martha.

In: Autism, Vol. 21, No. 4, 01.05.2017, p. 470-480.

Research output: Research - peer-reviewArticle

Dickerson, AS, Rahbar, MH, Pearson, DA, Kirby, RS, Bakian, AV, Bilder, DA, Harrington, RA, Pettygrove, S, Zahorodny, WM, Moyé, LA, Durkin, M & Slay Wingate, M 2017, 'Autism spectrum disorder reporting in lower socioeconomic neighborhoods' Autism, vol 21, no. 4, pp. 470-480. DOI: 10.1177/1362361316650091
Dickerson AS, Rahbar MH, Pearson DA, Kirby RS, Bakian AV, Bilder DA et al. Autism spectrum disorder reporting in lower socioeconomic neighborhoods. Autism. 2017 May 1;21(4):470-480. Available from, DOI: 10.1177/1362361316650091
Dickerson, Aisha S. ; Rahbar, Mohammad H. ; Pearson, Deborah A. ; Kirby, Russell S. ; Bakian, Amanda V. ; Bilder, Deborah A. ; Harrington, Rebecca A. ; Pettygrove, Sydney ; Zahorodny, Walter M. ; Moyé, Lemuel A. ; Durkin, Maureen ; Slay Wingate, Martha. / Autism spectrum disorder reporting in lower socioeconomic neighborhoods. In: Autism. 2017 ; Vol. 21, No. 4. pp. 470-480
@article{370ba74a31d84a44a82249e93f6869e5,
title = "Autism spectrum disorder reporting in lower socioeconomic neighborhoods",
abstract = "Utilizing surveillance data from five sites participating in the Autism and Developmental Disabilities Monitoring Network, we investigated contributions of surveillance subject and census tract population sociodemographic characteristics on variation in autism spectrum disorder ascertainment and prevalence estimates from 2000 to 2008 using ordinal hierarchical models for 2489 tracts. Multivariable analyses showed a significant increase in ascertainment of autism spectrum disorder cases through both school and health sources, the optimal ascertainment scenario, for cases with college-educated mothers (adjusted odds ratio = 1.06, 95% confidence interval = 1.02-1.09). Results from our examination of sociodemographic factors of tract populations from which cases were drawn also showed that after controlling for other covariates, statistical significance remained for associations between optimal ascertainment and percentage of Hispanic residents (adjusted odds ratio = 0.93, 95% confidence interval = 0.88-0.99) and percentage of residents with at least a bachelor's degree (adjusted odds ratio = 1.06, 95% confidence interval = 1.01-1.11). We identified sociodemographic factors associated with autism spectrum disorder prevalence estimates including race, ethnicity, education, and income. Determining which specific factors influence disparities is complicated; however, it appears that even in the presence of education, racial and ethnic disparities are still apparent. These results suggest disparities in access to autism spectrum disorder assessments and special education for autism spectrum disorder among ethnic groups may impact subsequent surveillance.",
keywords = "autism spectrum disorders, diagnosis, disparities, prevalence, school-age children",
author = "Dickerson, {Aisha S.} and Rahbar, {Mohammad H.} and Pearson, {Deborah A.} and Kirby, {Russell S.} and Bakian, {Amanda V.} and Bilder, {Deborah A.} and Harrington, {Rebecca A.} and Sydney Pettygrove and Zahorodny, {Walter M.} and Moyé, {Lemuel A.} and Maureen Durkin and {Slay Wingate}, Martha",
year = "2017",
month = "5",
doi = "10.1177/1362361316650091",
volume = "21",
pages = "470--480",
journal = "Autism",
issn = "1362-3613",
publisher = "SAGE Publications Ltd",
number = "4",

}

TY - JOUR

T1 - Autism spectrum disorder reporting in lower socioeconomic neighborhoods

AU - Dickerson,Aisha S.

AU - Rahbar,Mohammad H.

AU - Pearson,Deborah A.

AU - Kirby,Russell S.

AU - Bakian,Amanda V.

AU - Bilder,Deborah A.

AU - Harrington,Rebecca A.

AU - Pettygrove,Sydney

AU - Zahorodny,Walter M.

AU - Moyé,Lemuel A.

AU - Durkin,Maureen

AU - Slay Wingate,Martha

PY - 2017/5/1

Y1 - 2017/5/1

N2 - Utilizing surveillance data from five sites participating in the Autism and Developmental Disabilities Monitoring Network, we investigated contributions of surveillance subject and census tract population sociodemographic characteristics on variation in autism spectrum disorder ascertainment and prevalence estimates from 2000 to 2008 using ordinal hierarchical models for 2489 tracts. Multivariable analyses showed a significant increase in ascertainment of autism spectrum disorder cases through both school and health sources, the optimal ascertainment scenario, for cases with college-educated mothers (adjusted odds ratio = 1.06, 95% confidence interval = 1.02-1.09). Results from our examination of sociodemographic factors of tract populations from which cases were drawn also showed that after controlling for other covariates, statistical significance remained for associations between optimal ascertainment and percentage of Hispanic residents (adjusted odds ratio = 0.93, 95% confidence interval = 0.88-0.99) and percentage of residents with at least a bachelor's degree (adjusted odds ratio = 1.06, 95% confidence interval = 1.01-1.11). We identified sociodemographic factors associated with autism spectrum disorder prevalence estimates including race, ethnicity, education, and income. Determining which specific factors influence disparities is complicated; however, it appears that even in the presence of education, racial and ethnic disparities are still apparent. These results suggest disparities in access to autism spectrum disorder assessments and special education for autism spectrum disorder among ethnic groups may impact subsequent surveillance.

AB - Utilizing surveillance data from five sites participating in the Autism and Developmental Disabilities Monitoring Network, we investigated contributions of surveillance subject and census tract population sociodemographic characteristics on variation in autism spectrum disorder ascertainment and prevalence estimates from 2000 to 2008 using ordinal hierarchical models for 2489 tracts. Multivariable analyses showed a significant increase in ascertainment of autism spectrum disorder cases through both school and health sources, the optimal ascertainment scenario, for cases with college-educated mothers (adjusted odds ratio = 1.06, 95% confidence interval = 1.02-1.09). Results from our examination of sociodemographic factors of tract populations from which cases were drawn also showed that after controlling for other covariates, statistical significance remained for associations between optimal ascertainment and percentage of Hispanic residents (adjusted odds ratio = 0.93, 95% confidence interval = 0.88-0.99) and percentage of residents with at least a bachelor's degree (adjusted odds ratio = 1.06, 95% confidence interval = 1.01-1.11). We identified sociodemographic factors associated with autism spectrum disorder prevalence estimates including race, ethnicity, education, and income. Determining which specific factors influence disparities is complicated; however, it appears that even in the presence of education, racial and ethnic disparities are still apparent. These results suggest disparities in access to autism spectrum disorder assessments and special education for autism spectrum disorder among ethnic groups may impact subsequent surveillance.

KW - autism spectrum disorders

KW - diagnosis

KW - disparities

KW - prevalence

KW - school-age children

UR - http://www.scopus.com/inward/record.url?scp=85018772535&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85018772535&partnerID=8YFLogxK

U2 - 10.1177/1362361316650091

DO - 10.1177/1362361316650091

M3 - Article

VL - 21

SP - 470

EP - 480

JO - Autism

T2 - Autism

JF - Autism

SN - 1362-3613

IS - 4

ER -