Revenu des ménages parmi les familles ayant des enfants et des jeunes autistes au Canada : étude de cohorte appariée transversale

Titre original en anglais : Household income among families with autistic children and youths in Canada: a cross-sectional matched cohort study

Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.

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Collins, E., Al-Jaishi, A., Farrow, A., Amankwah, N., Georgiades, S., Salt, M., Holmes, K., & Edjoc, R. (2025). Household income among families with autistic children and youths in Canada: a cross-sectional matched cohort study. BMJ Open, 15(11), e096019. https://doi.org/10.1136/bmjopen-2024-096019

Date de publication: 01/11/2025 Ajout dans AutiHub: 29/09/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
8
Auteur·ices de la publication identifié·es comme autistes
1 / 8 (12,5 %)
  1. Erin Collins
  2. Ahmed Al-Jaishi
  3. Amy Farrow
  4. Nana Amankwah
  1. Stelios Georgiades
  2. Mackenzie Salt *
  3. Kieran Holmes
  4. Rojiemiahd Edjoc

Résumé

Objectif Dans le contexte canadien, nous avons cherché à examiner la relation entre les ménages ayant des enfants/jeunes autistes et le revenu des ménages. Plan de l'étude Nous avons utilisé les données de l'Enquête canadienne sur la santé des enfants et des jeunes (ECSEJ) de 2019 afin d'analyser les ménages ayant un enfant/jeune âgé de 1 à 17 ans. Un appariement par score de propension a été utilisé pour associer les dossiers d'enfants/jeunes ayant un diagnostic d'autisme déclaré à ceux d'enfants/jeunes n'en ayant pas. Nous avons utilisé une régression linéaire pour les résultats continus (p. ex., le revenu total des ménages) et une régression de Poisson pour les résultats binaires (p. ex., un faible revenu des ménages). Toutes les analyses ont été ajustées pour tenir compte de la corrélation entre les paires appariées. Principal critère de jugement Revenu annuel total de tous les membres du ménage. Critères de jugement secondaires Faible revenu des ménages; statut de parent seul ou de revenu unique; et présence d'au moins un parent ne travaillant pas ou absent du travail au cours de la semaine précédente. Résultats Parmi un total de 39 951 dossiers de l'ECSEJ, nous avons identifié une cohorte de 815 enfants/jeunes autistes. Les caractéristiques de la cohorte appariée étaient bien équilibrées. Les ménages ayant un enfant/jeune autiste avaient un revenu annuel moyen des ménages inférieur (différence moyenne : 16 489 $ CA; IC à 95 % : de 6 384 $ CA à 27 149 $ CA) à celui des ménages appariés sans enfant/jeune autiste. Les ménages ayant un enfant/jeune autiste étaient également 26 % plus susceptibles d'être classés comme ayant un faible revenu des ménages (risque relatif [RR] 1,26; IC à 95 % : de 1,17 à 1,35) et 20 % plus susceptibles de dépendre d'un revenu unique (RR 1,20; IC à 95 % : de 1,10 à 1,33) que les ménages sans enfant/jeune autiste. Conclusions Comparativement aux ménages sans enfant/jeune autiste, ceux ayant un enfant/jeune autiste font souvent face à davantage de difficultés économiques, notamment un revenu des ménages inférieur et un risque accru d'insécurité alimentaire. Les ménages ayant un enfant/jeune autiste sont plus susceptibles de dépendre d'un revenu unique.

Objective Within the Canadian context, we sought to examine the relationship between households with autistic children/youths and household income. Design We used data from the 2019 Canadian Health Survey on Children and Youth (CHSCY) to analyse households with a child/youth aged 1–17. Propensity-score matching was used to pair records for children/youths with a reported autism diagnosis to those without. We used linear regression for continuous outcomes (eg, total household income) and Poisson regression for binary outcomes (eg, low household income). All analyses were adjusted for the correlation between matched pairs. Primary outcome measure Total annual income of all household members. Secondary outcome measures Low household income; single-parent or single-income status; and whether at least one parent was not working or absent from work during the past week. Results Among a total of 39 951 CHSCY records, we identified a cohort of 815 autistic children/youths. The characteristics of the matched cohort were well-balanced. Households with an autistic child/youth had a mean annual household income that was lower (mean difference: $C16 489; 95% CI $C6384 to $C27 149) compared with matched households without an autistic child/youth. Households with an autistic child/youth were also 26% more likely to be classified as having a low household income (Relative risk (RR) 1.26; 95% CI 1.17 to 1.35) and 20% more likely to rely on a single income (RR 1.20; 95% CI 1.10 to 1.33) compared with households without an autistic child/youth. Conclusions Compared with households without an autistic child/youth, those with an autistic child/youth often face more economic challenges, including lower household income and greater risk of food insecurity. Households with an autistic child/youth are more likely to rely on a single income.

Bibliographie citée par cette référence

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Vue d’ensemble de la bibliographie citée

Ces indicateurs décrivent la bibliographie citée par cette publication. Un nom d’auteurice est compté chaque fois qu’il apparaît dans une référence citée : une même personne peut donc être comptée plusieurs fois. Les noms qui ne sont pas encore associés à un·e auteurice déjà présent·e dans AutiHub sont traités comme inconnus, pas comme non autistes. Dernier calcul : 02/10/2026 13:58.

Références citées
64
Avec un DOI
49
Sans DOI, à partir du texte brut de la bibliographie
15
0 / 64 (0,0 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
14 / 64 (21,9 %)
Références avec noms d’auteurices détectés
50 / 64 (78,1 %)
Sans nom d’auteurice détecté
14
Sans titre structuré
14
Sans identifiant stable
15
Références avec noms bruts d’auteurices restant à vérifier
14
Références avec problème de récupération des métadonnées externes
0
Ces indicateurs portent sur les références citées affichées sur cette page, après fusion des doublons techniques. Une référence sans DOI peut quand même soutenir les statistiques d’auteurices lorsqu’un titre et des noms d’auteurices sont disponibles.
Noms d’auteurices détectés dans la bibliographie citée
223
À partir du DOI ou de métadonnées externes
223
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
16
54 / 223 (24,2 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 169 / 223 (75,8 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
0 / 223 (0,0 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 0 / 54 (0,0 %). Personnes distinctes identifiées comme autistes : 0 / 206 (0,0 %).
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