Exploring Racial and Ethnic Differences in Parent-Reported Strengths in Children with Autism Spectrum Disorder

doi:10.1007/s40615-023-01639-w

Comparative Study

. 2024 Jun;11(3):1643-1650.

doi: 10.1007/s40615-023-01639-w. Epub 2023 Jun 1.

Exploring Racial and Ethnic Differences in Parent-Reported Strengths in Children with Autism Spectrum Disorder

Kelsey Johnson¹, Alexis Deavenport-Saman², Mary Rose Mamey³, Thusa Sabapathy⁴, Sheree M Schrager^{3

5}, Douglas L Vanderbilt⁶

Affiliations

¹ Department of Pediatrics, Children's Hospital Los Angeles, 4650 Sunset Boulevard, MS#68, Los Angeles, CA, 90027, USA. kejohnson@chla.usc.edu.
² Department of Pediatrics, USC University Center for Excellence in Developmental Disabilities, Children's Hospital Los Angeles, 4650 Sunset Boulevard, #76, Los Angeles, CA, 90027, USA.
³ Children's Hospital Los Angeles, Los Angeles, USA.
⁴ The Center for Autism & Neurodevelopmental Disorders, University of California, Irvine, 2500 Red Hill Ave #100, Santa Ana, CA, 92705, USA.
⁵ Graduate Studies and Research, California State University Dominguez Hills, 1000 E. Victoria Street, Carson, CA, 90747, USA.
⁶ Department of Pediatrics, Division of Developmental Behavioral-Pediatrics, Children's Hospital Los Angeles, 4650 Sunset Boulevard, Mailstop #146, Los Angeles, CA, 90027, USA.

PMID: 37261713
DOI: 10.1007/s40615-023-01639-w

Comparative Study

Exploring Racial and Ethnic Differences in Parent-Reported Strengths in Children with Autism Spectrum Disorder

Kelsey Johnson et al. J Racial Ethn Health Disparities. 2024 Jun.

. 2024 Jun;11(3):1643-1650.

doi: 10.1007/s40615-023-01639-w. Epub 2023 Jun 1.

Authors

Kelsey Johnson¹, Alexis Deavenport-Saman², Mary Rose Mamey³, Thusa Sabapathy⁴, Sheree M Schrager^{3

5}, Douglas L Vanderbilt⁶

Affiliations

¹ Department of Pediatrics, Children's Hospital Los Angeles, 4650 Sunset Boulevard, MS#68, Los Angeles, CA, 90027, USA. kejohnson@chla.usc.edu.
² Department of Pediatrics, USC University Center for Excellence in Developmental Disabilities, Children's Hospital Los Angeles, 4650 Sunset Boulevard, #76, Los Angeles, CA, 90027, USA.
³ Children's Hospital Los Angeles, Los Angeles, USA.
⁴ The Center for Autism & Neurodevelopmental Disorders, University of California, Irvine, 2500 Red Hill Ave #100, Santa Ana, CA, 92705, USA.
⁵ Graduate Studies and Research, California State University Dominguez Hills, 1000 E. Victoria Street, Carson, CA, 90747, USA.
⁶ Department of Pediatrics, Division of Developmental Behavioral-Pediatrics, Children's Hospital Los Angeles, 4650 Sunset Boulevard, Mailstop #146, Los Angeles, CA, 90027, USA.

PMID: 37261713
DOI: 10.1007/s40615-023-01639-w

Abstract

Background: Several studies have demonstrated racial/ethnic differences in parental concerns in children with autism spectrum disorder (ASD). However, no studies have investigated racial/ethnic differences in parent-reported strengths. The purpose of this study was to explore racial/ethnic differences in parent-reported strengths in children with ASD.

Design and methods: This was a retrospective cross-sectional study investigating the relationship between parent-reported strengths and race/ethnicity at the time of an ASD diagnosis. Parent-reported strengths were qualitatively clustered into themes, and theme frequencies were quantitatively examined for relationships to race/ethnicity.

Results: Parents of Caucasian children reported a mean of 5.00 (SD = 2.17) total strengths compared to 3.75 (SD = 2.32) among Hispanic/Latinx children, 3.36 (SD = 1.43) among Asian/PI children, and 3.91 (SD = 2.05) among children from other races/ethnicities. Bivariate linear regression analyses indicated that Asian/PI, Hispanic, and other child race/ethnicity, compared to Caucasian child race/ethnicity, were associated with significantly fewer parent-reported total strengths. Asian/PI and Hispanic child race/ethnicity were associated with significantly fewer personality strengths, while maternal education was associated with a greater number of personality strengths.

Conclusion: This study found racial and ethnic differences in parent-reported strengths in children with ASD. Further, higher levels of maternal education influenced total, personality, and behavioral strengths. Receipt of a greater number of child services was also associated with a greater number of behavioral strengths.

Keywords: Autism spectrum disorder; Children; Ethnicity differences; Parent-reported strengths; Race differences.

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References

1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.
1. Maenner MJ, Warren Z, Williams AR, et al. Prevalence and characteristics of autism spectrum disorder among children aged 8 years - autism and developmental disabilities monitoring network, 11 Sites, United States, 2020. MMWR Surveill Summ. 2023;72(2):1–14. Published 2023 Mar 24. https://doi.org/10.15585/mmwr.ss7202a1
1. Shaw KA, Maenner MJ, Bakian AV, et al. Early identification of autism spectrum disorder among children aged 4 years - autism and developmental disabilities monitoring network, 11 Sites, United States, 2018. MMWR Surveill Summ. 2021;70(10):1–14. Published 2021 Dec 3. https://doi.org/10.15585/mmwr.ss7010a1
1. Jo H, Schieve LA, Rice CE, et al. Age at autism spectrum disorder (ASD) diagnosis by race, ethnicity, and primary household language among children with special health care needs, United States, 2009–2010. Matern Child Health J. 2015;19(8):1687–97. https://doi.org/10.1007/s10995-015-1683-4 . - DOI - PubMed - PMC
1. Donohue MR, Childs AW, Richards M, Robins DL. Race influences parent report of concerns about symptoms of autism spectrum disorder. Autism. 2019;23(1):100–11. https://doi.org/10.1177/1362361317722030 . - DOI - PubMed

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[1] American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.

[2] American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.

[3] Maenner MJ, Warren Z, Williams AR, et al. Prevalence and characteristics of autism spectrum disorder among children aged 8 years - autism and developmental disabilities monitoring network, 11 Sites, United States, 2020. MMWR Surveill Summ. 2023;72(2):1–14. Published 2023 Mar 24. https://doi.org/10.15585/mmwr.ss7202a1

[4] Maenner MJ, Warren Z, Williams AR, et al. Prevalence and characteristics of autism spectrum disorder among children aged 8 years - autism and developmental disabilities monitoring network, 11 Sites, United States, 2020. MMWR Surveill Summ. 2023;72(2):1–14. Published 2023 Mar 24. https://doi.org/10.15585/mmwr.ss7202a1

[5] Shaw KA, Maenner MJ, Bakian AV, et al. Early identification of autism spectrum disorder among children aged 4 years - autism and developmental disabilities monitoring network, 11 Sites, United States, 2018. MMWR Surveill Summ. 2021;70(10):1–14. Published 2021 Dec 3. https://doi.org/10.15585/mmwr.ss7010a1

[6] Shaw KA, Maenner MJ, Bakian AV, et al. Early identification of autism spectrum disorder among children aged 4 years - autism and developmental disabilities monitoring network, 11 Sites, United States, 2018. MMWR Surveill Summ. 2021;70(10):1–14. Published 2021 Dec 3. https://doi.org/10.15585/mmwr.ss7010a1

[7] Jo H, Schieve LA, Rice CE, et al. Age at autism spectrum disorder (ASD) diagnosis by race, ethnicity, and primary household language among children with special health care needs, United States, 2009–2010. Matern Child Health J. 2015;19(8):1687–97. https://doi.org/10.1007/s10995-015-1683-4 . - DOI - PubMed - PMC

[8] Jo H, Schieve LA, Rice CE, et al. Age at autism spectrum disorder (ASD) diagnosis by race, ethnicity, and primary household language among children with special health care needs, United States, 2009–2010. Matern Child Health J. 2015;19(8):1687–97. https://doi.org/10.1007/s10995-015-1683-4 . - DOI - PubMed - PMC

[9] Donohue MR, Childs AW, Richards M, Robins DL. Race influences parent report of concerns about symptoms of autism spectrum disorder. Autism. 2019;23(1):100–11. https://doi.org/10.1177/1362361317722030 . - DOI - PubMed

[10] Donohue MR, Childs AW, Richards M, Robins DL. Race influences parent report of concerns about symptoms of autism spectrum disorder. Autism. 2019;23(1):100–11. https://doi.org/10.1177/1362361317722030 . - DOI - PubMed

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Exploring Racial and Ethnic Differences in Parent-Reported Strengths in Children with Autism Spectrum Disorder

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Exploring Racial and Ethnic Differences in Parent-Reported Strengths in Children with Autism Spectrum Disorder

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