Yon-Hernández Jo A, Gonzales Catherine, Bothra Surina, Kecskemeti Kali, Iosif Ana-Maria, Takarae Yukari, Ruder Steve, McGurk Susan R, Mueser Kim T, Solomon Marjorie
Department of Psychiatry and Behavioral Sciences, MIND Institute, University of California, Davis, 2825 50th Street, Sacramento, CA, 95817, USA.
Public Health Sciences, University of California Davis, Davis, CA, USA.
J Autism Dev Disord. 2025 Aug 7. doi: 10.1007/s10803-025-07001-9.
Autistic youth often encounter significant barriers in securing employment, including difficulties with job acquisition, limited workplace support, and reduced access to structured employment services. This study examined early employment experiences in cognitively able autistic and non-autistic youth, with a focus on job characteristics and the associated factors of employment status. Participants included 99 individuals (51 autistic, 48 non-autistic) aged 18-23. Open-ended responses were coded to characterize first job experiences, including job setting, duration, hours worked, support received, sector, and job acquisition method. Group differences were assessed using chi-square tests. Logistic regression was used to examine the predictors of employment outcomes, including IQ, executive functioning, adaptive functioning, and education level. Results revealed notable differences between groups, with 67% of autistic participants having had a first work experience compared to 86% of non-autistic participants. When unpaid experiences (such as WorkAbility/internships) were excluded, this gap widened to 50% versus 78%. Autistic participants were significantly less likely to obtain jobs through competitive hiring and were more likely to work in sales/retail-related roles, whereas non-autistic participants exhibited greater job diversity and career-oriented positions. Personal connections were critical to job acquisition for autistic individuals, although structured employment programs were also a key pathway. Executive functioning difficulties were significantly associated with lower employment likelihood. Early employment disparities persist among autistic youth, particularly in access to competitive and career-track jobs. Interventions that support executive functioning, expand structured employment options, and leverage family and social networks may enhance employment success during the transition to adulthood.
自闭症青年在获得就业机会方面常常遇到重大障碍,包括求职困难、工作场所支持有限以及获得结构化就业服务的机会减少。本研究调查了认知能力正常的自闭症青年和非自闭症青年的早期就业经历,重点关注工作特征以及就业状况的相关因素。参与者包括99名年龄在18至23岁之间的个体(51名自闭症患者,48名非自闭症患者)。对开放式回答进行编码,以描述首次工作经历,包括工作环境、持续时间、工作时长、获得的支持、行业以及求职方式。使用卡方检验评估组间差异。采用逻辑回归分析来检验就业结果的预测因素,包括智商、执行功能、适应功能和教育水平。结果显示两组之间存在显著差异,67%的自闭症参与者有过首次工作经历,而非自闭症参与者这一比例为86%。排除无薪经历(如工作能力培训/实习)后,这一差距扩大到50%对78%。自闭症参与者通过竞争性招聘获得工作的可能性显著较低,且更有可能从事销售/零售相关工作,而非自闭症参与者的工作种类更多且倾向于职业导向型岗位。人际关系对自闭症个体获得工作至关重要,尽管结构化就业项目也是一条关键途径。执行功能困难与就业可能性较低显著相关。自闭症青年中早期就业差距依然存在,尤其是在获得竞争性和职业发展型工作方面。支持执行功能、扩大结构化就业选择并利用家庭和社会网络的干预措施可能会提高向成年过渡期间的就业成功率。