A mixed-methods study examining the ripple effect of inclusive employment on reducing stigma toward autistic people in South Korea.
Hyesung Park, JiHoi Na, So Yoon Kim and 1 others
PMID 41461385WHAT IT FOUND
Community members with more types of contact with an inclusive employment company reported lower autism stigma, especially with extensive contact.
Qualitative participants said sustained contact, strengths, similarities, and informed contact changed their perceptions.
Key findings
01More types of contact with Autistar were associated with lower combined stigma, lower general social stigma, and lower personal stigma.
02The extensive contact group reported significantly lower stigma than both the no contact group and the some contact group, while the no contact and some contact groups did not differ significantly.
03Participants described sustained contact, similarities, strengths, informed contact, and sometimes first meaningful interactions as things that changed perceptions; they also expressed reservations about close or family-like relationships.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Participants may have self-selected because they already had favorable attitudes toward autistic people or Autistar. Responses may have been shaped by social desirability, with participants overstating acceptance. The quantitative sample was 138 participants, and the authors said this limited evaluation of the social distance scale. The quantitative data were cross-sectional, so the study cannot show that contact reduced stigma rather than less-stigmatized people seeking contact. Contact measures combined organizational exposure, such as seeing products or media, with direct interaction with autistic employees, so the active ingredient is unclear. The study examined one company in South Korea, so the findings may not apply to other employment models or countries.
Declared interests
Funding came from the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea. S.H.L. and H.S.P. served as non-executive board member and board member of Autistar, the company studied, and contributed to designing the quantitative instrument, drafting interview questions, and interpreting responses of autistic employees.
The easy way to misread this
Do not read the lower stigma among people with extensive contact as proof that inclusive employment reduces stigma. The quantitative data were cross-sectional, so it is unclear whether contact reduced stigma or people with lower stigma sought more contact.
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