ArticleEvidence-based practice in child and adolescent mental health2022
Delays in autism diagnosis for U.S. Spanish-speaking families: The contribution of appointment availability.
Article in Evidence-based practice in child and adolescent mental health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Bridging diagnostic safety and mental health: a systematic review highlighting inequities in autism spectrum disorder diagnosis.BMJ quality & safety · 2026Pooled it
- Experiences and Needs of Leaders Supporting Multilingual ABA Staff: A Qualitative Exploration.Journal of autism and developmental disorders · 2026Article
- Disparities in Receipt of Early Intervention Services by Toddlers with Autism Diagnoses: an Intersectional Latent Class Analysis of Demographic Factors.Journal of autism and developmental disorders · 2026Article
- Bridging Languages, Broadening Access: Examining an Observation-Based Autism Assessment with a Latinx Sample.Journal of autism and developmental disorders · 2026Article
- Structural, Institutional, and Interpersonal Racism: Calling for Equity in Autism Research and Practice.Journal of racial and ethnic health disparities · 2026Review
- Article
- Autism Prevalence and the Intersectionality of Assigned Sex at Birth, Race, and Ethnicity on Age of Diagnosis.Journal of autism and developmental disorders · 2024Article
- Door-to-door Video-Enhanced Prevalence Study of Tourette Disorder Among African Americans.Evidence-based practice in child and adolescent mental health · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
Promoting equity in health services requires an understanding of the mechanisms that produce disparities. Utilizing a sequential, mixed-methods, explanatory study design, we analyzed child-, family-, and organizational-level factors and their association with wait times for an ASD diagnostic evaluation among 353 families scheduled for English and Spanish language appointments (27% Spanish language). A subset of parents and caregivers participated in English and Spanish language focus groups to provide their perspectives on the diagnostic process. Spanish language was associated with greater completion of, and time to evaluations than English language. The only variable found to mediate associations with time-to-evaluation was appointment availability - an organizational factor. Qualitative results elucidate potential explanations for greater Spanish language evaluation completion (e.g., fewer community-based diagnostic options). Results serve as a case study to support the utility and importance of analyzing the influence of organizational-level factors on delays and disparities for childhood health and mental health services. We discuss our findings in relation to strategies that can be widely applied to support equitable services access for childhood diagnostic and intervention services.
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