Pilgrimage for an autism diagnosis: A study of Venezuelan parents' experiences.

IF 2.5 3区 医学 Q1 ANTHROPOLOGY Transcultural Psychiatry Pub Date : 2024-02-01 Epub Date: 2023-11-15 DOI:10.1177/13634615231211482
Cecilia Montiel-Nava, Irina Vargas, Zoila Gonzalez-Avila, María Cecilia Montenegro, Ana C Ramírez
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Abstract

It cannot be assumed that the experience of having an autistic child is the same across countries since demographic and systemic factors are as diverse as the manifestation of ASD symptomatology. This study explores the lived experiences of 20 Venezuelan parents after receiving an autism diagnosis for their child. Applied thematic analysis was used to analyze parental attitudes, challenges in identifying their child's delay, access to diagnostic services, beliefs towards autism, professional evaluations, family support, and perceptions toward health and educational services for autistic children. Venezuelan parents reported a generalized lack of autism awareness, an unsupportive school system, and judgment from their extended family. Despite the universal health coverage in the country, Venezuelan parents commented on the scarcity of services, as well as the lengthy and costly processes to receive an ASD diagnosis. The results support previous research findings showing that socioeconomic factors influence how parents experience the process of obtaining an autism diagnosis for their children. For most Venezuelan parents, it might imply a long journey in which limited resources and knowledge about autism will determine its route and length. For parents, cultural values and spiritual and religious beliefs will serve as both coping mechanisms and barriers to accessing services.

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自闭症诊断的朝圣之旅:对委内瑞拉父母经历的研究。
由于人口统计和系统因素与ASD症状表现一样多样,因此不能假设各国的自闭症儿童经历是相同的。本研究探讨了20位委内瑞拉父母在孩子被诊断为自闭症后的生活经历。应用专题分析用于分析父母的态度、确定其子女发育迟缓的挑战、获得诊断服务的机会、对自闭症的看法、专业评估、家庭支持以及对自闭症儿童保健和教育服务的看法。委内瑞拉的父母报告普遍缺乏对自闭症的认识,学校系统缺乏支持,以及来自大家庭的评判。尽管该国实现了全民健康覆盖,但委内瑞拉的家长们评论说,服务匮乏,而且接受自闭症谱系障碍诊断的过程漫长而昂贵。这一结果支持了先前的研究结果,即社会经济因素影响父母如何为孩子获得自闭症诊断的过程。对于大多数委内瑞拉父母来说,这可能意味着一段漫长的旅程,其中有限的资源和有关自闭症的知识将决定其路线和长度。对父母来说,文化价值观以及精神和宗教信仰既是应对机制,也是获得服务的障碍。
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来源期刊
CiteScore
5.10
自引率
12.00%
发文量
93
期刊介绍: Transcultural Psychiatry is a fully peer reviewed international journal that publishes original research and review articles on cultural psychiatry and mental health. Cultural psychiatry is concerned with the social and cultural determinants of psychopathology and psychosocial treatments of the range of mental and behavioural problems in individuals, families and human groups. In addition to the clinical research methods of psychiatry, it draws from the disciplines of psychiatric epidemiology, medical anthropology and cross-cultural psychology.
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