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Sociodemographic barriers to early detection of autism: screening and evaluation using the M-CHAT, M-CHAT-R, and Follow-Up
Journal article   Open access   Peer reviewed

Sociodemographic barriers to early detection of autism: screening and evaluation using the M-CHAT, M-CHAT-R, and Follow-Up

Meena K Khowaja, Ann P Hazzard and Diana L Robins
Journal of autism and developmental disorders, v 45(6), pp 1797-1808
Jun 2015
PMID: 25488122
url
https://doi.org/10.1007/s10803-014-2339-8View
Published, Version of Record (VoR) Open

Abstract

disparities screening race socioeconomic status maternal education autism
Parents ( n = 11,845) completed the Modified Checklist for Autism in Toddlers (or its latest revision) at pediatric visits. Using sociodemographic predictors of maternal education and race, binary logistic regressions were utilized to examine differences in autism screening, diagnostic evaluation participation rates and outcomes, and reasons for non-participation. Families of lower maternal education and racial minorities exhibited inflated initial screen positive rates and lower participation at Follow-Up, although not at evaluation. Economic challenges, such as invalid phone numbers, were identified as barriers to reaching these families. Families of higher education and White race were more likely to decline participation in evaluation. Results suggest the need for increased public education about childhood development to enhance awareness, reduce stigma, and streamline screening.

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106 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Psychology, Developmental
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