Rush University, Chicago, IL, USA.
University of Wisconsin-Madison, USA.
OTJR (Thorofare N J). 2024 Jul;44(3):385-395. doi: 10.1177/15394492231225199. Epub 2024 Jan 28.
Historically marginalized racial and ethnic groups are underrepresented in autism research broadly; however, patterns of inclusion in occupational therapy research are unknown.In this secondary data analysis, we examined race and ethnicity reporting across articles included in a systematic review of evidence related to occupational therapy practice with autistic individuals <18 years (2013-2021).Two team members reached >90% interrater coding agreement in race and ethnicity reporting across articles in ADLs/IADLs, education/work, play, sleep, and social participation in clinics, homes/communities, and schools.Intervention outcomes of ADL/IADLs (66.7%) and play (66.7%) had low rates of reporting, while social participation in schools (100%) and education/work (100%) had higher rates of reporting. Sample diversity was greatest among research in schools and most limited in clinic-based settings.Systemic racism that limits individuals' participation in occupational therapy research perpetuates racial and ethnic health inequities among autistic children and adolescents.
从历史上看，在自闭症研究中，少数族裔和种族群体代表性不足；然而，职业治疗研究中的纳入模式尚不清楚。在这项二次数据分析中，我们研究了一项关于自闭症个体职业治疗实践证据的系统评价中纳入的文章中种族和族裔的报告情况<18 岁（2013-2021 年）。两名团队成员在 ADLs/IADLs、教育/工作、游戏、睡眠和在诊所、家庭/社区和学校的社会参与方面，对文章中的种族和族裔报告达成了>90%的评分者间一致。ADL/IADL（66.7%）和游戏（66.7%）的干预结果报告率较低，而学校的社会参与（100%）和教育/工作（100%）的报告率较高。学校的研究中样本多样性最大，而诊所环境中的样本多样性最有限。限制个人参与职业治疗研究的系统性种族主义导致自闭症儿童和青少年的种族和族裔健康不平等现象持续存在。
