Titre : | Gender differences in the detection of neurodevelopmental disorders: a cross-sectional and exploratory study in Seine-Saint-Denis, France |
Auteurs : | Juliette Vialet |
Type de document : | Mémoire |
Année de publication : | 2023 |
Description : | 61p. |
Langues: | Anglais |
Classement : | MPH23/ (Master EHESP International master of public health - MPH) |
Mots-clés : | Trouble du spectre de l’autisme (TSA) ; Hyperactivité ; Dépistage ; Trouble développement ; Genre ; PMI ; France ; Revue de littérature |
Résumé : |
Introduction. Autism spectrum disorder (ASD) and attention deficit/hyperactivity disorder (ADHD) are neurodevelopmental disorders significantly more diagnosed in males. It is now suspected that cases in girls are under-detected. In France, the Protection Maternelle et Infantile (PMI) belongs to the first line of professionals for the early detection of neurodevelopmental disorders, particularly during health assessments in preschool. The aim of this study is to explore how child gender is accounted for in the detection of ASD and ADHD by PMI professionals.
Methods. A review of the scientific literature was carried out (Pubmed and Scopus) followed by semi-structured interviews (n=21) conducted with pediatric nurses, childcare assistants, psychologists, psychomotricity therapists and PMI doctors in Seine-Saint-Denis. The interviews aimed at understanding their perceptions, attitudes and practices regarding the identification of ASD and ADHD. The role of the child's gender was explored. The interview guide and analysis grid were informed by the review of the literature. Results. The interviews revealed very low levels of familiarity with the topic of ASD in females. Most participants had never heard of it before the interview. A lack of training and experience working with autistic girls was identified as the main explanation. ADHD ended up being a secondary topic, as children seen in PMI were considered too young. Conclusion. Our results strongly suggest that child gender is currently not accounted for by PMI professionals in the detection of ASD. By largely being ignored, gender-specific issues remain widely absent from most participants’ representation of ASD. Recommendations are provided to improve the detection of ASD in girls. |
Diplôme : | Master MPH of public health |
Plan de classement simplifié : | Master of Public Health - master international de Santé Public (MPH) |
En ligne : | https://documentation.ehesp.fr/memoires/2023/mph/juliette_vialet.pdf |
Exemplaires (1)
Code-barres | Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|---|
096532 | MPH23/0018 | Mémoire | Rennes | Salle des Glénan | Empruntable Disponible |