Evidence map›Paper›PMID 41193206›Full record

ArticleBMJ open2025

Household income among families with autistic children and youths in Canada: a cross-sectional matched cohort study.

Erin Collins, Ahmed Al-Jaishi, Amy Farrow, Nana Amankwah, Stelios Georgiades, Mackenzie Salt, Kieran Holmes, Rojiemiahd Edjoc

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Erin Collins *Western University Schulich School of Medicine and Dentistry, London, Ontario, Canada ecoll098@uottawa.ca.ORCID http://orcid.org/0000-0002-4209-1786
Ahmed Al-Jaishi *Western University Schulich School of Medicine and Dentistry, London, Ontario, Canada.ORCID http://orcid.org/0000-0003-0376-2214
Amy FarrowCentre for Surveillance and Applied Research, Health Promotion and Chronic Disease Prevention (HPCDP) Branch, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Nana AmankwahCentre for Surveillance and Applied Research, Health Promotion and Chronic Disease Prevention (HPCDP) Branch, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Stelios GeorgiadesOfford Centre for Child Studies, McMaster University, Hamilton, Ontario, Canada.
Mackenzie SaltOfford Centre for Child Studies, McMaster University, Hamilton, Ontario, Canada.ORCID http://orcid.org/0000-0001-9704-8155
Kieran HolmesCentre for Surveillance and Applied Research, Health Promotion and Chronic Disease Prevention (HPCDP) Branch, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Rojiemiahd EdjocSchool of Epidemiology and Public Health, University of Ottawa Faculty of Medicine, Ottawa, Ontario, Canada.ORCID http://orcid.org/0009-0005-8488-8661

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWithin the Canadian context, we sought to examine the relationship between households with autistic children/youths and household income.

designWe used data from the 2019 Canadian Health Survey on Children and Youth (CHSCY) to analyse households with a child/youth aged 1-17. Propensity-score matching was used to pair records for children/youths with a reported autism diagnosis to those without. We used linear regression for continuous outcomes (eg, total household income) and Poisson regression for binary outcomes (eg, low household income). All analyses were adjusted for the correlation between matched pairs. PRIMARY OUTCOME MEASURE: Total annual income of all household members. SECONDARY OUTCOME MEASURES: Low household income; single-parent or single-income status; and whether at least one parent was not working or absent from work during the past week.

resultsAmong a total of 39 951 CHSCY records, we identified a cohort of 815 autistic children/youths. The characteristics of the matched cohort were well-balanced. Households with an autistic child/youth had a mean annual household income that was lower (mean difference: $C16 489; 95% CI $C6384 to $C27 149) compared with matched households without an autistic child/youth. Households with an autistic child/youth were also 26% more likely to be classified as having a low household income (Relative risk (RR) 1.26; 95% CI 1.17 to 1.35) and 20% more likely to rely on a single income (RR 1.20; 95% CI 1.10 to 1.33) compared with households without an autistic child/youth.

conclusionsCompared with households without an autistic child/youth, those with an autistic child/youth often face more economic challenges, including lower household income and greater risk of food insecurity. Households with an autistic child/youth are more likely to rely on a single income.

Indexed as

Autistic DisorderIncomeAdolescentCanadaChildChild, PreschoolCohort StudiesCross-Sectional StudiesFamily CharacteristicsFemaleHealth SurveysHumansInfantMalePovertyPropensity ScoreCommunity child healthCross-Sectional StudiesEPIDEMIOLOGIC STUDIESPUBLIC HEALTH

Identifiers

PMID41193206
PMCPMC12587909

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.