ERIC Number: EJ822620
Record Type: Journal
Publication Date: 2009-Jan
Abstractor: As Provided
Underdiagnosis and Referral Bias of Autism in Ethnic Minorities
Begeer, Sander; El Bouk, Saloua; Boussaid, Wafaa; Terwogt, Mark Meerum; Koot, Hans M.
Journal of Autism and Developmental Disorders, v39 n1 p142-148 Jan 2009
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.
Descriptors: Ethnicity, Autism, Pediatrics, Probability, Referral, Minority Groups, Clinical Diagnosis, Minority Group Children, Institutionalized Persons, Incidence, Disproportionate Representation, Foreign Countries
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A
Identifiers - Location: Morocco; Netherlands; Turkey