Eastern Michigan University, 900 Oakwood St, Ypsilanti, MI, 48197, USA.
Texas State University, 601 University Dr, San Marcos, TX, 78666, USA.
J Racial Ethn Health Disparities. 2017 Apr;4(2):156-164. doi: 10.1007/s40615-016-0213-4. Epub 2016 Mar 11.
Although the diagnosis of autism spectrum disorder (ASD) is rising, Hispanic children are diagnosed at a disproportionately lower rate compared to other ethnic and racial groups. Lack of ASD knowledge in the Hispanic community may contribute to this disparity. The study objective was to determine whether sociocultural and environmental factors linked to ASD diagnostic disparities were related to Hispanic parents' ASD knowledge. A 60-item survey assessing demographic information, acculturation, religiosity, social support, and ASD knowledge was administered to 64 Hispanic patients (84 % female; 76 % uninsured; 82 % Catholic) visiting a southwest clinic. Socioeconomic status (SES), social support, language of questionnaire, spiritual attribution of child diagnosis, and religious importance predicted ASD knowledge, accounting for 43 % of variance. Results contribute to understanding how sociocultural and environmental factors influence ASD knowledge within at-risk Hispanic individuals, which can be used to improve information dissemination and ultimately reduce disparity in ASD services.
尽管自闭症谱系障碍 (ASD) 的诊断率在不断上升,但与其他族裔和种族群体相比,西班牙裔儿童的诊断率却不成比例地低。西班牙裔社区缺乏 ASD 知识可能是造成这种差异的原因之一。本研究的目的是确定与 ASD 诊断差异相关的社会文化和环境因素是否与西班牙裔父母的 ASD 知识有关。我们向西南地区诊所的 64 名西班牙裔患者(84%为女性;76%无保险;82%为天主教徒)发放了一份评估人口统计学信息、文化适应、宗教信仰、社会支持和 ASD 知识的 60 项调查问卷。社会经济地位(SES)、社会支持、问卷使用的语言、儿童诊断的精神归因以及宗教重要性预测了 ASD 知识,占方差的 43%。研究结果有助于了解社会文化和环境因素如何影响高危西班牙裔个体的 ASD 知识,这可以用来改善信息传播,最终减少 ASD 服务方面的差异。