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AJPH First Look, published online ahead of print Dec 17, 2009
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February 2010, Vol 100, No. 2 | American Journal of Public Health 270-272
© 2010 American Public Health Association
DOI: 10.2105/AJPH.2008.150565

RESEARCH AND PRACTICE

Explaining Low Rates of Autism Among Hispanic Schoolchildren in Texas

Raymond F. Palmer, PhD, Tatjana Walker, RD, David Mandell, ScD, Bryan Bayles, PhD and Claudia S. Miller, MD, MS

At the time of the study, Raymond F. Palmer, Tatjana Walker, Bryan Bayles, and Claudia S. Miller were with the Department of Family and Community Medicine, University of Texas Health Science Center, San Antonio. David Mandell is with the University of Pennsylvania Center for Mental Health Policy and Services Research, Philadelphia.

Correspondence: Correspondence can be sent to Dr. Ray Palmer, Dept of Family and Community Medicine, 7703 Floyd Curl Dr, San Antonio TX, mail code 7794 78229-3900 (e-mail: palmer{at}uthscsa.edu). Reprints can be ordered at http://www.ajph.org by clicking the "Reprints/Eprints" link.

In data from the Texas Educational Agency and the Health Resources and Services Administration, we found fewer autism diagnoses in school districts with higher percentages of Hispanic children. Our results are consistent with previous reports of autism rates 2 to 3 times as high among non-Hispanic Whites as among Hispanics. Socioeconomic factors failed to explain lower autism prevalence among Hispanic schoolchildren in Texas. These findings raise questions: Is autism underdiagnosed among Hispanics? Are there protective factors associated with Hispanic ethnicity?




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