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Published, Version of Record (VoR)Open Access via Drexel Libraries Read and Publish Program 2025CC BY V4.0, Open
Journal article
Racial and Socioeconomic Disparities in Autism Providers’ ACEs Inquiries
Journal of autism and developmental disorders
08 Jul 2025
PMID: 40627091
Featured in Collection : Research Supported by Drexel Libraries' OA Programs
Abstract
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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Details
- Title
- Racial and Socioeconomic Disparities in Autism Providers’ ACEs Inquiries
- Creators
- Kristin Walker - Stony Brook UniversityJacquelyn A. Gates - Stony Brook UniversitySydney Boateng - Stony Brook UniversityAlan H. Gerber - Stony Brook UniversityAva Nicole Gurba - Drexel University, A.J. Drexel Autism InstituteLauren J. Moskowitz - St. John's UniversityMatthew Lerner (Corresponding Author) - Drexel University, A.J. Drexel Autism Institute
- Publication Details
- Journal of autism and developmental disorders
- Publisher
- Springer Nature
- Number of pages
- 16
- Grant note
- Adelphi University Center for Health InnovationEunice Kennedy Shriver National Institute of Child Health and Human Development: K23HD07472 National Institute of Mental Health: K01MH093477, R01MH110585 Simons Foundation (SFARI): 381283 Pershing Charitable TrustBrian Wright Memorial Autism Fund
This work was supported by Adelphi University Center for Health Innovation, Pershing Charitable Trust, the Brian Wright Memorial Autism Fund, and by funding from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23HD07472 [PI: Kerns]), National Institute of Mental Health (K01MH093477 [PI: Drahota], R01MH110585 [PI: Lerner]), and the Simons Foundation (SFARI# 381283; PI: Lerner).
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:001524584300001
- Scopus ID
- 2-s2.0-105013766725
- Other Identifier
- 991022062263204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychology, Developmental