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Gender differences in autism prevalence: origins of bias and its current scientific relevance

AI Summary
  • Historical male-centred diagnostic bias has rendered women and gender-diverse individuals largely invisible within autism identification and research.
  • Bias persists today, manifesting clinically and socially with epistemological consequences and undermining mental health equity for marginalised autistic people.
  • The paper advocates pathways towards more equitable, inclusive diagnostic frameworks, research practices, and care to improve identification and mental health outcomes.
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Front Psychiatry. 2026 Jul 10;17:1739570. doi: 10.3389/fpsyt.2026.1739570. eCollection 2026.

ABSTRACT

The diagnosis of Autism Spectrum Disorder has historically been biased toward a male-centered model, rendering women and gender-diverse individuals largely invisible. This commentary reviews the origins of such bias, its contemporary manifestations, and the clinical, social, epistemological, and mental health equity implications it entails. Pathways toward a more equitable and inclusive model are proposed.

PMID:42500319 | PMC:PMC13398204 | DOI:10.3389/fpsyt.2026.1739570

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