Pediatrician identification of Latino children at risk for autism spectrum disorder

Katharine Zuckerman, Kimber Mattox, Karen Donelan, Oyundari Batbayar, Anita Baghaee, Christina Bethell

Research output: Contribution to journalArticle

81 Citations (Scopus)

Abstract

BACKGROUND AND OBJECTIVES: Latino-white disparities in age at autism spectrum disorder (ASD) diagnosis may be modified by primary care pediatrician (PCP) practices and beliefs. The objectives of this study were to assess ASD and developmental screening practices, attitudes toward ASD identification in Latino children, and barriers to ASD identification for Latino children, in a sample of 267 California PCPs. METHODS: In mail-based PCP survey, we assessed rates of bilingual general developmental and ASD screening, perceptions of parent ASD knowledge in Latino and white families, reports of difficulty assessing for ASDs in Latino and white children, and perceptions of barriers to early ASD identification for Latinos. RESULTS: Although 81% of PCPs offered some form of developmental screening, 29% of PCPs offered Spanish ASD screening per American Academy of Pediatrics guidelines, and only 10% offered both Spanish general developmental and Spanish ASD screening per American Academy of Pediatrics guidelines. Most PCPs thought that Latino (English and Spanish primary family language) parents were less knowledgeable about ASDs than white parents. PCPs had more difficulty assessing ASD risk for Latino children with Spanish primary family language than for white children, even when the PCP conducted recommended ASD screening or had >25% Latino patients. The most frequent barrier to ASD identification in Latinos was access to developmental specialists. CONCLUSIONS: Multiple factors in the primary care setting may contribute to delayed ASD identification for Latinos. Promoting languageappropriate screening, disseminating culturally appropriate ASD materials to Latino families, improving the specialist workforce, and providing PCP support in screening and referral of Latino children may be important ways to reduce racial and ethnic differences in care.

Original languageEnglish (US)
Pages (from-to)445-453
Number of pages9
JournalPediatrics
Volume132
Issue number3
DOIs
StatePublished - Sep 2013

Fingerprint

Hispanic Americans
Primary Health Care
Pediatricians
Autism Spectrum Disorder
At-risk children
Autism Spectrum Disorders
Latinos
Parents
Guidelines
Pediatrics
Child Language
Postal Service
Screening
Language
Referral and Consultation

Keywords

  • Autism spectrum disorder
  • Child development
  • Developmental disabilities
  • Developmental screening
  • Health care disparities
  • Hispanic Americans
  • Pediatrics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Arts and Humanities (miscellaneous)

Cite this

Zuckerman, K., Mattox, K., Donelan, K., Batbayar, O., Baghaee, A., & Bethell, C. (2013). Pediatrician identification of Latino children at risk for autism spectrum disorder. Pediatrics, 132(3), 445-453. https://doi.org/10.1542/peds.2013-0383

Pediatrician identification of Latino children at risk for autism spectrum disorder. / Zuckerman, Katharine; Mattox, Kimber; Donelan, Karen; Batbayar, Oyundari; Baghaee, Anita; Bethell, Christina.

In: Pediatrics, Vol. 132, No. 3, 09.2013, p. 445-453.

Research output: Contribution to journalArticle

Zuckerman, K, Mattox, K, Donelan, K, Batbayar, O, Baghaee, A & Bethell, C 2013, 'Pediatrician identification of Latino children at risk for autism spectrum disorder', Pediatrics, vol. 132, no. 3, pp. 445-453. https://doi.org/10.1542/peds.2013-0383
Zuckerman, Katharine ; Mattox, Kimber ; Donelan, Karen ; Batbayar, Oyundari ; Baghaee, Anita ; Bethell, Christina. / Pediatrician identification of Latino children at risk for autism spectrum disorder. In: Pediatrics. 2013 ; Vol. 132, No. 3. pp. 445-453.
@article{b5e1b3a748fa4e0f8046942562bdf85e,
title = "Pediatrician identification of Latino children at risk for autism spectrum disorder",
abstract = "BACKGROUND AND OBJECTIVES: Latino-white disparities in age at autism spectrum disorder (ASD) diagnosis may be modified by primary care pediatrician (PCP) practices and beliefs. The objectives of this study were to assess ASD and developmental screening practices, attitudes toward ASD identification in Latino children, and barriers to ASD identification for Latino children, in a sample of 267 California PCPs. METHODS: In mail-based PCP survey, we assessed rates of bilingual general developmental and ASD screening, perceptions of parent ASD knowledge in Latino and white families, reports of difficulty assessing for ASDs in Latino and white children, and perceptions of barriers to early ASD identification for Latinos. RESULTS: Although 81{\%} of PCPs offered some form of developmental screening, 29{\%} of PCPs offered Spanish ASD screening per American Academy of Pediatrics guidelines, and only 10{\%} offered both Spanish general developmental and Spanish ASD screening per American Academy of Pediatrics guidelines. Most PCPs thought that Latino (English and Spanish primary family language) parents were less knowledgeable about ASDs than white parents. PCPs had more difficulty assessing ASD risk for Latino children with Spanish primary family language than for white children, even when the PCP conducted recommended ASD screening or had >25{\%} Latino patients. The most frequent barrier to ASD identification in Latinos was access to developmental specialists. CONCLUSIONS: Multiple factors in the primary care setting may contribute to delayed ASD identification for Latinos. Promoting languageappropriate screening, disseminating culturally appropriate ASD materials to Latino families, improving the specialist workforce, and providing PCP support in screening and referral of Latino children may be important ways to reduce racial and ethnic differences in care.",
keywords = "Autism spectrum disorder, Child development, Developmental disabilities, Developmental screening, Health care disparities, Hispanic Americans, Pediatrics",
author = "Katharine Zuckerman and Kimber Mattox and Karen Donelan and Oyundari Batbayar and Anita Baghaee and Christina Bethell",
year = "2013",
month = "9",
doi = "10.1542/peds.2013-0383",
language = "English (US)",
volume = "132",
pages = "445--453",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "3",

}

TY - JOUR

T1 - Pediatrician identification of Latino children at risk for autism spectrum disorder

AU - Zuckerman, Katharine

AU - Mattox, Kimber

AU - Donelan, Karen

AU - Batbayar, Oyundari

AU - Baghaee, Anita

AU - Bethell, Christina

PY - 2013/9

Y1 - 2013/9

N2 - BACKGROUND AND OBJECTIVES: Latino-white disparities in age at autism spectrum disorder (ASD) diagnosis may be modified by primary care pediatrician (PCP) practices and beliefs. The objectives of this study were to assess ASD and developmental screening practices, attitudes toward ASD identification in Latino children, and barriers to ASD identification for Latino children, in a sample of 267 California PCPs. METHODS: In mail-based PCP survey, we assessed rates of bilingual general developmental and ASD screening, perceptions of parent ASD knowledge in Latino and white families, reports of difficulty assessing for ASDs in Latino and white children, and perceptions of barriers to early ASD identification for Latinos. RESULTS: Although 81% of PCPs offered some form of developmental screening, 29% of PCPs offered Spanish ASD screening per American Academy of Pediatrics guidelines, and only 10% offered both Spanish general developmental and Spanish ASD screening per American Academy of Pediatrics guidelines. Most PCPs thought that Latino (English and Spanish primary family language) parents were less knowledgeable about ASDs than white parents. PCPs had more difficulty assessing ASD risk for Latino children with Spanish primary family language than for white children, even when the PCP conducted recommended ASD screening or had >25% Latino patients. The most frequent barrier to ASD identification in Latinos was access to developmental specialists. CONCLUSIONS: Multiple factors in the primary care setting may contribute to delayed ASD identification for Latinos. Promoting languageappropriate screening, disseminating culturally appropriate ASD materials to Latino families, improving the specialist workforce, and providing PCP support in screening and referral of Latino children may be important ways to reduce racial and ethnic differences in care.

AB - BACKGROUND AND OBJECTIVES: Latino-white disparities in age at autism spectrum disorder (ASD) diagnosis may be modified by primary care pediatrician (PCP) practices and beliefs. The objectives of this study were to assess ASD and developmental screening practices, attitudes toward ASD identification in Latino children, and barriers to ASD identification for Latino children, in a sample of 267 California PCPs. METHODS: In mail-based PCP survey, we assessed rates of bilingual general developmental and ASD screening, perceptions of parent ASD knowledge in Latino and white families, reports of difficulty assessing for ASDs in Latino and white children, and perceptions of barriers to early ASD identification for Latinos. RESULTS: Although 81% of PCPs offered some form of developmental screening, 29% of PCPs offered Spanish ASD screening per American Academy of Pediatrics guidelines, and only 10% offered both Spanish general developmental and Spanish ASD screening per American Academy of Pediatrics guidelines. Most PCPs thought that Latino (English and Spanish primary family language) parents were less knowledgeable about ASDs than white parents. PCPs had more difficulty assessing ASD risk for Latino children with Spanish primary family language than for white children, even when the PCP conducted recommended ASD screening or had >25% Latino patients. The most frequent barrier to ASD identification in Latinos was access to developmental specialists. CONCLUSIONS: Multiple factors in the primary care setting may contribute to delayed ASD identification for Latinos. Promoting languageappropriate screening, disseminating culturally appropriate ASD materials to Latino families, improving the specialist workforce, and providing PCP support in screening and referral of Latino children may be important ways to reduce racial and ethnic differences in care.

KW - Autism spectrum disorder

KW - Child development

KW - Developmental disabilities

KW - Developmental screening

KW - Health care disparities

KW - Hispanic Americans

KW - Pediatrics

UR - http://www.scopus.com/inward/record.url?scp=84884580290&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84884580290&partnerID=8YFLogxK

U2 - 10.1542/peds.2013-0383

DO - 10.1542/peds.2013-0383

M3 - Article

C2 - 23958770

AN - SCOPUS:84884580290

VL - 132

SP - 445

EP - 453

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 3

ER -