New Study Reveals Autistic Girls Often Missed in Diagnosis Due to Systemic Biases
A large-scale study published in the BMJ has found that autistic girls are significantly less likely to receive a diagnosis than their male counterparts, with boys being diagnosed on average nearly three years earlier. The study, which tracked over 2.7 million people born in Sweden between 1985 and 2020, suggests that women and girls may be just as likely to have autism as men but are often underdiagnosed or receive diagnoses late.
According to the research, girls were diagnosed with autism on average nearly three years later than boys, with a median age of diagnosis being 15.9 for girls versus 13.1 for boys. The study found that this gap narrowed significantly after the age of 20, as women's diagnosis rates increased rapidly during adolescence.
Experts point to systemic biases in diagnosis and inadequate support services as major contributors to this disparity. "The male to female ratio for autism spectrum disorder has decreased over time and with increasing age at diagnosis," observed the study authors. This suggests that previous assumptions about autism being more prevalent among men may be incorrect, and that women and girls have been overlooked due to a lack of understanding or outdated stereotypes.
Autism charities and advocates are calling for greater awareness and action to tackle gender stereotypes and ensure that autistic women and girls receive equal access to diagnosis and support. "It is crucial researchers and diagnostic services continue to build understanding of the different presentations of autism in girls and women," said Jolanta Lasota, chief executive of Ambitious about Autism.
The study's findings highlight the need for more nuanced approaches to diagnosis and support, taking into account the varied experiences and needs of autistic individuals. As Dr. Conor Davidson noted, "Psychiatrists must be aware of the possibility of autism when assessing patients with mental health problems, particularly women whose autism may not have been picked up in childhood."
The study's lead author, Dr. Caroline Fyfe, emphasized the importance of investigating why female individuals receive diagnoses later than male counterparts. "Our findings suggest that the gender difference in autism prevalence is much lower than previously thought, due to women and girls being underdiagnosed or diagnosed late," she said.
Overall, the study's results underscore the need for greater understanding, awareness, and support for autistic women and girls, who often face barriers to diagnosis and access to services. By challenging outdated stereotypes and biases, we can work towards a more inclusive and equitable approach to autism diagnosis and care.
A large-scale study published in the BMJ has found that autistic girls are significantly less likely to receive a diagnosis than their male counterparts, with boys being diagnosed on average nearly three years earlier. The study, which tracked over 2.7 million people born in Sweden between 1985 and 2020, suggests that women and girls may be just as likely to have autism as men but are often underdiagnosed or receive diagnoses late.
According to the research, girls were diagnosed with autism on average nearly three years later than boys, with a median age of diagnosis being 15.9 for girls versus 13.1 for boys. The study found that this gap narrowed significantly after the age of 20, as women's diagnosis rates increased rapidly during adolescence.
Experts point to systemic biases in diagnosis and inadequate support services as major contributors to this disparity. "The male to female ratio for autism spectrum disorder has decreased over time and with increasing age at diagnosis," observed the study authors. This suggests that previous assumptions about autism being more prevalent among men may be incorrect, and that women and girls have been overlooked due to a lack of understanding or outdated stereotypes.
Autism charities and advocates are calling for greater awareness and action to tackle gender stereotypes and ensure that autistic women and girls receive equal access to diagnosis and support. "It is crucial researchers and diagnostic services continue to build understanding of the different presentations of autism in girls and women," said Jolanta Lasota, chief executive of Ambitious about Autism.
The study's findings highlight the need for more nuanced approaches to diagnosis and support, taking into account the varied experiences and needs of autistic individuals. As Dr. Conor Davidson noted, "Psychiatrists must be aware of the possibility of autism when assessing patients with mental health problems, particularly women whose autism may not have been picked up in childhood."
The study's lead author, Dr. Caroline Fyfe, emphasized the importance of investigating why female individuals receive diagnoses later than male counterparts. "Our findings suggest that the gender difference in autism prevalence is much lower than previously thought, due to women and girls being underdiagnosed or diagnosed late," she said.
Overall, the study's results underscore the need for greater understanding, awareness, and support for autistic women and girls, who often face barriers to diagnosis and access to services. By challenging outdated stereotypes and biases, we can work towards a more inclusive and equitable approach to autism diagnosis and care.