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Primary Care Clinician and Child Characteristics Impacting Autism Surveillance

Early detection of autism provides access to early intervention and subsequently fewer lifelong challenges. However, disparities in screening have been associated with socioeconomic status (SES) and race, and disparities in surveillance have been associated with clinician knowledge and beliefs about...

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Autores principales: Williams, Lashae N., Wieckowski, Andrea Trubanova, Dieckhaus, Mary F. S., Dai, Yael G., Zhang, Fengqing, Dumont-Mathieu, Thyde, Barton, Marianne, Fein, Deborah, Robins, Diana L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9855901/
https://www.ncbi.nlm.nih.gov/pubmed/36672000
http://dx.doi.org/10.3390/brainsci13010018
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author Williams, Lashae N.
Wieckowski, Andrea Trubanova
Dieckhaus, Mary F. S.
Dai, Yael G.
Zhang, Fengqing
Dumont-Mathieu, Thyde
Barton, Marianne
Fein, Deborah
Robins, Diana L.
author_facet Williams, Lashae N.
Wieckowski, Andrea Trubanova
Dieckhaus, Mary F. S.
Dai, Yael G.
Zhang, Fengqing
Dumont-Mathieu, Thyde
Barton, Marianne
Fein, Deborah
Robins, Diana L.
author_sort Williams, Lashae N.
collection PubMed
description Early detection of autism provides access to early intervention and subsequently fewer lifelong challenges. However, disparities in screening have been associated with socioeconomic status (SES) and race, and disparities in surveillance have been associated with clinician knowledge and beliefs about autism identification. The present study examines associations between demographic variables and clinician beliefs, and agreement between screening results and clinician surveillance. Surveillance included activities used by the primary care clinicians (PCCs) to assess risk for autism. PCCs reported their beliefs about autism screening and identification, their sex, race, years in practice, and racial distribution of their patient population. Children’s demographic information was also collected. PCCs identified children as having, or not having, an increased likelihood of autism, and parents of children completed an autism screener. Agreement between screening and surveillance results were examined across PCC, practice, and child demographics. Higher confidence in autism knowledge and screening resources, female PCC sex, and majority White practice patient demographics all predicted agreement between screening and surveillance. Female child sex and higher maternal education also predicted agreement between screening and surveillance. These findings highlight the importance of PCC screening beliefs and child and PCC demographics on the autism identification process.
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spelling pubmed-98559012023-01-21 Primary Care Clinician and Child Characteristics Impacting Autism Surveillance Williams, Lashae N. Wieckowski, Andrea Trubanova Dieckhaus, Mary F. S. Dai, Yael G. Zhang, Fengqing Dumont-Mathieu, Thyde Barton, Marianne Fein, Deborah Robins, Diana L. Brain Sci Article Early detection of autism provides access to early intervention and subsequently fewer lifelong challenges. However, disparities in screening have been associated with socioeconomic status (SES) and race, and disparities in surveillance have been associated with clinician knowledge and beliefs about autism identification. The present study examines associations between demographic variables and clinician beliefs, and agreement between screening results and clinician surveillance. Surveillance included activities used by the primary care clinicians (PCCs) to assess risk for autism. PCCs reported their beliefs about autism screening and identification, their sex, race, years in practice, and racial distribution of their patient population. Children’s demographic information was also collected. PCCs identified children as having, or not having, an increased likelihood of autism, and parents of children completed an autism screener. Agreement between screening and surveillance results were examined across PCC, practice, and child demographics. Higher confidence in autism knowledge and screening resources, female PCC sex, and majority White practice patient demographics all predicted agreement between screening and surveillance. Female child sex and higher maternal education also predicted agreement between screening and surveillance. These findings highlight the importance of PCC screening beliefs and child and PCC demographics on the autism identification process. MDPI 2022-12-22 /pmc/articles/PMC9855901/ /pubmed/36672000 http://dx.doi.org/10.3390/brainsci13010018 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Williams, Lashae N.
Wieckowski, Andrea Trubanova
Dieckhaus, Mary F. S.
Dai, Yael G.
Zhang, Fengqing
Dumont-Mathieu, Thyde
Barton, Marianne
Fein, Deborah
Robins, Diana L.
Primary Care Clinician and Child Characteristics Impacting Autism Surveillance
title Primary Care Clinician and Child Characteristics Impacting Autism Surveillance
title_full Primary Care Clinician and Child Characteristics Impacting Autism Surveillance
title_fullStr Primary Care Clinician and Child Characteristics Impacting Autism Surveillance
title_full_unstemmed Primary Care Clinician and Child Characteristics Impacting Autism Surveillance
title_short Primary Care Clinician and Child Characteristics Impacting Autism Surveillance
title_sort primary care clinician and child characteristics impacting autism surveillance
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9855901/
https://www.ncbi.nlm.nih.gov/pubmed/36672000
http://dx.doi.org/10.3390/brainsci13010018
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