Disparites raciales et socioeconomiques dans les questions des prestataires de services en autisme sur les ACEs

Titre original en anglais : Racial and Socioeconomic Disparities in Autism Providers’ ACEs Inquiries

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Walker, K., Gates, J. A., Boateng, S., Gerber, A. H., Gurba, A., Moskowitz, L., Lerner, M. D., & the UCAS Consortium (2025). Racial and Socioeconomic Disparities in Autism Providers’ ACEs Inquiries. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-025-06948-z

Date de publication: 08/07/2025 Ajout dans AutiHub: 05/07/2026 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. Kristin Walker
  2. Jacquelyn A. Gates
  3. Sydney Boateng
  4. Alan H. Gerber
  1. Ava Gurba *
  2. Lauren Moskowitz
  3. Matthew D Lerner
  4. the UCAS Consortium

Résumé

Les personnes autistes connaissent des Experiences defavorables durant l'enfance (ACEs), notamment la negligence, les mauvais traitements et le stress financier, a des taux superieurs a la moyenne. Cependant, on sait peu de choses sur les facteurs influencant la question de savoir si les prestataires communautaires en autisme posent des questions sur les ACEs dans leur pratique. Les disparites entre groupes raciaux, ethniques et de statut socioeconomique (SES) persistent dans les soins de sante et peuvent exister dans les questions des prestataires sur les ACEs. La question de savoir si les prestataires communautaires en autisme posent des questions sur les ACEs differemment selon les groupes raciaux, ethniques et de SES n'a pas ete etudiee. Il est crucial de comprendre les variations potentielles des taux de questionnement, car le fait de poser des questions peut conduire a l'identification des ACEs et a la prestation de services. Afin de determiner si les questions des prestataires communautaires sur les ACEs different, nous avons interroge des prestataires (N = 567) servant des personnes autistes agees de 7 a 22 ans. Une regression logistique utilisant des equations d'estimation generalisees a estime l'association entre les groupes raciaux, ethniques et de SES que les prestataires ont declare servir et la frequence des questions sur les ACEs. La prise en compte des questions globales (c'est-a-dire si les prestataires avaient deja pose des questions) masquait des ecarts significatifs dans les questions specifiques (c'est-a-dire une variation dans huit questions sur les ACEs selon les groupes servis). Les modeles de questions specifiques ont revele que les prestataires servant des personnes noires, amerindiennes, de SES eleve et de SES faible ont declare des probabilites plus elevees de poser des questions sur divers ACEs. En revanche, les prestataires servant des personnes asiatiques ont declare poser moins de questions sur certains ACEs. Les caracteristiques specifiques de la population servie par les prestataires peuvent influencer leurs questions sur les ACEs. Des recherches supplementaires sont necessaires pour reveler les facteurs sous-jacents aux lacunes dans les questions sur les ACEs entre les groupes et reduire ces disparites.

Autistic individuals experience Adverse Childhood Experiences (ACEs), including neglect, abuse, and financial stress, at above-average rates. However, little is known regarding the factors influencing whether autism community-based providers conduct ACEs inquiries in their practice. Racial, ethnic, and socioeconomic status (SES) group disparities persist in healthcare and may exist in providers' ACEs inquiries. Whether autism community-based providers inquire about ACEs differently between racial, ethnic, and SES groups has not been studied. Understanding potential variations in inquiry rates is crucial, as inquiring can lead to the identification of ACEs and service provision. To investigate whether community providers' ACEs inquiries differ, we surveyed providers (N = 567) serving autistic individuals ages 7-22 years. Logistic regression using generalized estimating equations estimated the association between racial, ethnic, and SES groups providers reported serving and frequency of ACEs inquiries. Considering overall inquiries (i.e., if providers ever inquired) obscured significant specific inquiry discrepancies (i.e., variation in eight ACEs inquiries by groups served). Specific inquiries models revealed that providers serving Black, Native American, high, and low SES individuals reported higher odds of inquiring about various ACEs. In contrast, providers serving Asian individuals reported inquiring less about particular ACEs. The specific characteristics of the population served by providers may influence their ACEs inquiries. Further investigations are needed to reveal factors underlying gaps in ACEs inquiries across groups and narrow such disparities.

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Vue d’ensemble de l’inclusion dans la bibliographie

Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:30.

Références citées
65
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
4 / 65 (6,2 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
13 / 304 (4,3 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 13 / 54 (24,1 %). Auteurices cité·es distinct·es identifié·es comme autistes : 12 / 275 (4,4 %).
Occurrences citées rattachées à la base AutiHub
54 / 304 (17,8 %)
Auteurices cité·es distinct·es rattaché·es : 40 / 275 (14,5 %)
Occurrences rattachées, non identifiées comme autistes
41 / 54 (75,9 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 41 / 304 (13,5 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 28 / 40 (70,0 %).
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