“Stigma,” Survival, and Intergenerational Cultural Influences: Latina Autistic Contributions Through Community-Engaged Research

This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.

About the autistic author marker

Angell, A., Floríndez, D. C., Franklin, M. D., Taylor, E., Lopez, J., Cogger, J. M., Guzman, M., & Rodriguez, A. R. (2025). “Stigma,” Survival, and Intergenerational Cultural Influences: Latina Autistic Contributions Through Community-Engaged Research. OTJR: Occupational Therapy Journal of Research, 46(2), 213-221. https://doi.org/10.1177/15394492251395704

Publication date: 11 Dec 2025 Added to AutiHub: 30 Sep 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
8
Publication authors identified as autistic
1 / 8 (12.5%)

Abstract

Amid calls for inclusion of autistic people in research, we present findings from our community-engaged study on the experiences of families of autistic girls, who experience disparities in autism identification, and show how the Autistic Lived Experience Collaborators (ALEC) in the Disparity Reduction and Equity in Autism Services (DREAmS) Lab influenced our findings. In Part 1 of our multimethod study, 21 caregivers completed interviews and survey questions. In Part 2, 10 Hispanic/Latino caregivers from Part 1 completed 1 to 3 interviews. Analysis used descriptive statistics and a narrative thematic approach. We also drew from analysis meeting notes. Girls from Spanish-speaking families had later ages of autism identification, which informed our qualitative themes: Survival Explains Stigma, a view of Hispanic/Latino culture that clarified the “stigma” that impacted the diagnostic process; and Intergenerational Influences on staying safe, which could include masking autistic traits. ALEC quotes show their contributions. Our community-engaged approach contributed to our findings and a more complex view of culture.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 2 Oct 2026 01:01.

Cited references
31
With a DOI
27
Without a DOI, from raw bibliography text
4
4 / 31 (12.9%) cited references include at least one author identified as autistic.
References with data to complete
1 / 31 (3.2%)
References with detected author names
30 / 31 (96.8%)
Without detected author names
1
Without a structured title
1
Without a stable identifier
4
References with raw author names still to review
1
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
139
From DOI or external metadata
139
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
1
53 / 139 (38.1%) names are linked to an author already present in AutiHub. 86 / 139 (61.9%) names are not yet linked.
Names linked to a person identified as autistic
18 / 139 (12.9%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 18 / 53 (34.0%). Distinct people identified as autistic: 17 / 129 (13.2%).
  1. Virginia Braun , Victoria Clarke (2006). Using thematic analysis in psychology . Qualitative Research in Psychology, 3(2), 77-101. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  2. Amber Angell , Gelya Frank , Olga Solomon (2016). Latino Families’ Experiences With Autism Services . OTJR: Occupational Therapy Journal of Research, 36(4), 195-203. SAGE Publications.
    Crossref OpenAlex OpenCitations
  3. Amber Angell , Olga Solomon (2014). The social life of health records: Understanding families' experiences of autism . Social Science & Medicine, 117, 50-57. Elsevier BV.
    Crossref OpenAlex OpenCitations
  4. Brenda L. Beagan (2015). Approaches to culture and diversity: A critical synthesis of occupational therapy literature . Canadian Journal of Occupational Therapy, 82(5), 272-282. SAGE Publications.
    Crossref OpenAlex OpenCitations
  5. Amber Angell , Olga Solomon (2017). ‘If I was a different ethnicity, would she treat me the same?’: Latino parents’ experiences obtaining autism services . Disability & Society, 32(8), 1142-1164. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  6. Daniela N Moreira , Amber Angell (2020). Exploring Autism Disparities Among Latina Girls . UF Journal of Undergraduate Research, 22. University of Florida George A Smathers Libraries.
    Crossref OpenAlex OpenCitations
  7. B Carpenter , Francesca Happé , Jo Egerton (2019). Girls and Autism . Routledge.
    Crossref OpenAlex OpenCitations
  8. Joy Hammel , Robin Jones , Janet Smith , Jon Sanford , Cathy Bodine , Mark Johnson (2008). Environmental barriers and supports to the health, function, and participation of people with developmental and intellectual disabilities: Report from the State of the Science in Aging with Developmental Disabilities Conference . Disability and Health Journal, 1(3), 143-149. Elsevier BV.
    Crossref OpenAlex OpenCitations
  9. Zhengyi Gu , Géraldine Dawson , Matthew Engelhard (2023). Sex differences in the age of childhood autism diagnosis and the impact of co‐occurring conditions . Autism Research, 16(12), 2391-2402. Wiley.
    Type: Article DOI: 10.1002/aur.3043 OpenAlex: https://openalex.org/W4388111632
    Crossref OpenAlex OpenCitations
  10. Daniela Castro , Synneve Dahlin-Ivanoff , Lena Mårtensson (2014). Occupational therapy and culture: a literature review . Scandinavian Journal of Occupational Therapy, 21(6), 401-414. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  11. Joy Hammel , Katherine McDonald , Lex Frieden (2016). Getting to Inclusion: People With Developmental Disabilities and the Americans With Disabilities Act Participatory Action Research Consortium . Inclusion, 4(1), 6-15. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  12. Jessica M. Kramer (2007). Using a Participatory Action Approach to Identify Habits and Routines to Support Self-Advocacy . OTJR: Occupational Therapy Journal of Research, 27(1_suppl), 84S-85S. SAGE Publications.
    Crossref OpenAlex OpenCitations
  13. Jennifer S. Singh , Garrett Bunyak (2019). Autism Disparities: A Systematic Review and Meta-Ethnography of Qualitative Research . Qualitative Health Research, 29(6), 796-808. SAGE Publications.
    Crossref OpenAlex OpenCitations
  14. Sue Fletcher-Watson , Fabio Apicella , Bonnie Auyeung , Stepanka Beranova , Frederique Bonnet-Brilhault , Ricardo Canal-Bedia et al. (2017). Attitudes of the autism community to early autism research . Autism, 21(1), 61-74. SAGE Publications.
    Crossref OpenAlex OpenCitations
  15. James Charlton (1998). Nothing About Us Without UsDisability Oppression and Empowerment . University of California Press.
    Crossref OpenAlex OpenCitations
  16. Brittany M. St. John , Emily Hickey , Edward Kastern , Chad Russell , Tina Russell , Ashley Mathy et al. (2022). Opening the door to university health research: recommendations for increasing accessibility for individuals with intellectual disability . International Journal for Equity in Health, 21(1), 130-130. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  17. Allison B. Ratto , J. Steven Reznick , Lauren Turner-Brown (2016). Cultural Effects on the Diagnosis of Autism Spectrum Disorder Among Latinos . Focus on Autism and Other Developmental Disabilities, 31(4), 275-283. SAGE Publications.
    Crossref OpenAlex OpenCitations
  18. Yolanda Suarez-Balcazar , Amy Early , Ashley Maldonado , Claudia P. Garcia , Dalmina Arias , Amalia Zeidman et al. (2018). Community-based participatory research to promote healthy lifestyles among Latino immigrant families with youth with disabilities . Scandinavian Journal of Occupational Therapy, 25(5), 396-406. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  19. Monica L Gordillo , Andrea Chu , Kristin Long (2020). Mothers’ Adjustment to Autism: Exploring the Roles of Autism Knowledge and Culture . Journal of Pediatric Psychology, 45(8), 877-886. Oxford University Press (OUP).
    Crossref OpenAlex OpenCitations
  20. Temple Lovelace , Mary P. Comis , JoVonne M. Tabb , Olajumoke E. Oshokoya (2022). Missing from the Narrative: A Seven-Decade Scoping Review of the Inclusion of Black Autistic Women and Girls in Autism Research . Behavior Analysis in Practice, 15(4), 1093-1105. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  21. Judith Gould (2017). Towards understanding the under-recognition of girls and women on the autism spectrum . Autism, 21(6), 703-705. SAGE Publications.
    Crossref OpenAlex OpenCitations
  22. Laura Hull , K.V. Petrides , Will Mandy (2020). The Female Autism Phenotype and Camouflaging: a Narrative Review . Review Journal of Autism and Developmental Disorders, 7(4), 306-317. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  23. Ariel Schwartz , Jessica Kramer , Ellen Cohn , Katherine McDonald (2019). A Cyclical Model of Engagement of People With Intellectual Disabilities (ID) in Participatory Action Research (PAR) . American Journal of Occupational Therapy, 73(1_suppl). SAGE Publications.
    Crossref OpenAlex OpenCitations
  24. Israel B. A. (2005). Methods in community-based participatory research for health . Methods in community-based participatory research for health.
    Type: Other
    Crossref
  25. Letts L. (2007). Guidelines for critical review form: Qualitative studies . Guidelines for critical review form: Qualitative studies, 1.
    Type: Other
    Crossref
  26. Reissman C. K. (1993). Narrative analysis . Narrative analysis.
    Type: Other
    Crossref
  27. Ritas C. (2003). Speaking truth creating power: A guide to policy work for Community-Based Participatory Research Practitioners (Community-Campus Partnerships for Health). Hunter College Center on AIDS Drugs and Community Health. https://sph.unc.edu/wp-content/uploads/sites/112/2013/07/speaking_truth.pdf .
    Type: Other
    Crossref