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Choices and Control in Daily Life and Services Among Adults With Autism Using Services in the United States: The Role of Race and Ethnicity

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Authors
Song, Wei
Bromberg, Jennifer
Rast, Jessica
Date of Publication
December, 2025
Publication Type
Journal Article
Focus Area
Population Health
License
Paid Access
DOI Entry
doi.org/10.1080/19447515.2025.2578150
Source
Taylor & Francis Online
Citation (AMA)

ABSTRACT

This study explores how adults with autism exercise choice and control. Using the 2018–2019 National Core Indicator–In-Person Survey, it compares choices in life and everyday decisions between adults with autism and those with other developmental disabilities (DD) receiving services and examines differences across race/ethnicity within adults with autism. Results showed that adults with autism had fewer life choices than adults with other DD. Hispanic adults with autism had less choice in daily schedules, free time, and spending money than non-Hispanic Whites. Non-Hispanic Black adults with autism also showed less choice in daily schedules and free time but reported having enough choices in these areas. The study highlights disparities among racial and ethnic minorities, underscoring the need for culturally sensitive and inclusive support strategies.