在自闭症青少年的职业治疗研究中报告种族和种族
Lauren M Little1, Anna Avery2, Scott Tomchek3
1Rush University, Chicago, IL, USA.
OTJR : occupation, participation and health
|January 28, 2024
概括
自闭症研究中的种族和民族多样性是有限的. 职业治疗研究显示差异,临床研究的多样性最小,使自闭症儿童的健康不平等延续.
科学领域:
- 儿科职业治疗的研究.
- 自闭症研究的研究.
- 卫生公平性健康公平性
背景情况:
- 历史上被边缘化的种族和民族群体在自闭症研究中代表性不足.
- 对于自闭症儿童的职业治疗研究的纳入模式尚不清楚.
研究的目的:
- 检查18岁以下自闭症个体的职业治疗研究中的种族和种族报告.
- 识别不同研究环境和干预结果的样本多样性的差异.
主要方法:
- 来自系统性审查 (2013-2021) 的文章的二次数据分析.
- 两个程序员在ADL/IADL,教育/工作,游戏,睡眠和社会参与方面的种族/种族报告达成了90%以上的协议.
- 分析研究环境,包括诊所,家庭/社区和学校.
主要成果:
- 在ADL/IADL患者 (66.7%) 和游戏患者 (66.7%) 中,干预结果报告率较低.
- 学校 (100%) 和教育/工作 (100%) 的社会参与报告率很高.
- 样本多样性在基于学校的研究中最高,在基于诊所的环境中最低.
结论:
- 系统性种族主义限制了参与职业治疗研究的机会.
- 这些局限性使自闭症儿童和青少年之间的种族和种族健康不平等持续存在.
- 解决研究差异对于改善自闭症护理中的健康公平至关重要.
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