Perceived community disability stigma in multicultural, low-income populations: Measure development and validation.
Monica M Abdul-Chani, Christopher P Moreno, Julie A Reeder and 2 others
PMID 34062480WHAT IT FOUND
Parents of children with autism reported significantly higher perceived community stigma than parents of low-income children without known disabilities.
Stigma perceptions varied by language and familiarity, suggesting clinicians should assess these factors when addressing family concerns about community attitudes.
Key findings
01Parents of children with autism reported significantly higher perceived community stigma than parents of low-income children without known disabilities for most items.
02In the low-income sample, parents who knew a person with a disability or had higher education reported greater perceived community stigma.
03Latino parents with English proficiency reported lower perceived community stigma than other groups in multivariable analysis.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The WIC sample did not include developmental assessments, so some parents may have been unaware of their child's disability status. The study relied on self-reported perceptions of stigma rather than measuring actual community attitudes. Oral survey administration may have introduced reporting bias, potentially underestimating stigma in some groups. The sample was limited to Oregon and specific autism treatment network sites, which may not represent all populations. Racial and ethnic categories were broad, grouping diverse backgrounds into limited categories like 'Other'.
Declared interests
The authors declared no conflicts of interest. The study used data from the Autism Speaks Autism Treatment Network and the Oregon WIC program.
The easy way to misread this
Do not interpret low stigma scores in the WIC sample as evidence that community stigma is absent. These parents may have lacked awareness of disability in their own children or the community, whereas parents of children with autism reported higher stigma likely due to greater exposure to discriminatory attitudes.