@article{f85f2c4ab1ed4fa3b2de17eba85403bf,
title = "Clinical Profiles of Black and White Children Referred for Autism Diagnosis",
abstract = "Black children with autism are diagnosed at an older age. Whether or not late detection is paralleled by differing clinical presentation is not known. We evaluated symptom profiles of 245 Black and 488 sex- and age-matched White non-Hispanic participants (82.8% male; mean age: 4.2 years) referred for ASD diagnosis. Both groups showed similar overall levels of autistic symptoms. Black children had significantly but slightly lower scores on cognitive tests and on the Vineland communication domain than White children. Groups were comparable on internalizing and externalizing co-occurring problems. Given the largely similar clinical profiles, clinical differences in initial presentation may not be a primary reason for Black/White disparities in diagnostic and services use. Limitations of a cross-sectional referred sample are acknowledged.",
keywords = "Adaptive behavior, African-American, Autism, Behavioral problem, Emotional problem, Intellectual functioning, Race",
author = "Eric Fombonne and Zuckerman, {Katharine E.}",
note = "Funding Information: OHSU was a funded ATN site from 2008 to 2014. We thank other ATN sites that contributed data to these analyses and families who participated in the Registry. A preliminary version of this paper was presented as a poster in May 2014 at the International Meeting for Autism Research (IMFAR), Atlanta, Georgia. This Network activity was supported by Autism Speaks and cooperative agreement UA3 MC11054 through the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Research Program to the Massachusetts General Hospital. This work was conducted through the Autism Speaks Autism Treatment Network. This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, the U.S. Government, or Autism Speaks. This work was conducted through the Autism Speaks Autism Treatment Network serving as the Autism Intervention Research Network on Physical Health. Publisher Copyright: {\textcopyright} 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.",
year = "2022",
month = mar,
doi = "10.1007/s10803-021-05019-3",
language = "English (US)",
volume = "52",
pages = "1120--1130",
journal = "Journal of Autism and Developmental Disorders",
issn = "0162-3257",
publisher = "Springer New York",
number = "3",
}