Disparities in diagnoses received prior to a diagnosis of autism spectrum disorder
Disparities in diagnoses received prior to a diagnosis of autism spectrum disorder
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DOI：
10.1007/s10803-006-0314-8
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发表时间：
2007-10-01
影响因子：
3.9
通讯作者：
Pinto-Martin, Jennifer A.
中科院分区：
文献类型：
--
作者：
Mandell, David S.;Ittenbach, Richard F.;Pinto-Martin, Jennifer A.
这项研究估计了在自闭症诊断之前分配的诊断中的种族差异。在406名符合医疗补助条件的儿童中，非洲裔美国人在第一次专科护理就诊时接受自闭症诊断的可能性比白色儿童低2.6倍。在第一次就诊时没有得到自闭症诊断的儿童中，ADHD是最常见的诊断。非裔美国儿童被诊断为适应障碍的可能性是白色儿童的5.1倍，而被诊断为行为障碍的可能性是ADHD的2.4倍。不同种族的诊断模式的差异表明，父母对症状的描述，临床医生的解释和期望，或症状表现可能存在差异。
This study estimated differences by ethnicity in the diagnoses assigned prior to the diagnosis of autism. In this sample of 406 Medicaid-eligible children, African-Americans were 2.6 times less likely than white children to receive an autism diagnosis on their first specialty care visit. Among children who did not receive an autism diagnosis on their first visit, ADHD was the most common diagnosis. African-American children were 5.1 times more likely than white children to receive a diagnosis of adjustment disorder than of ADHD, and 2.4 times more likely to receive a diagnosis of conduct disorder than of ADHD. Differences in diagnostic patterns by ethnicity suggest possible variations in parents' descriptions of symptoms, clinician interpretations and expectations, or symptom presentation.