Abstract

Raising a child with Autism Spectrum Disorder (ASD) can often be a difficult and stressful process for families and caregivers. Though research on ASDs in Africa is burgeoning, very little is known about autism in francophone West Africa. Furthermore, no known ASD studies have explored parental experiences in particular from a cross-cultural perspective. This research used Interpretative Phenomenological Analysis to analyze in-depth, semi-structured interviews with seven Senegalese and seven American families to investigate parental experiences within the Senegalese community with further illustration by cross-cultural comparison. Comparative analysis of data across the two countries was undertaken to identify cultural variables previously unreported, especially those that may affect Senegalese family experience. Analysis of interviews revealed thematic differences in social and community support. Although access to effective treatment services was low among Senegalese families compared to the American families, traditional Senegalese household structures and community relations were hypothesized to serve as protective factors against the high social isolation and resulting logistical struggles reported in the U.S. sample. Further targeted research within the Senegalese environment is recommended, particularly to explore social stigma and its possible effects on families with autism, causal beliefs and treatment practices, and parental mental health and wellbeing.

Highlights

  • The prevalence of autism spectrum disorder (ASD) has been rising in many countries according to the World Health Organization (WHO, 2017) and it has been recognized as a significant concern for global mental health (WHO, 2013)

  • This study aimed to compare themes related to parental caregiving for children with autism between a Sub-Saharan African culture (Senegal) and a Western culture using qualitative group comparison alongside interpretative phenomenological analysis to (1) develop hypotheses towards the role of environmental and/or cultural variables affecting the experiences of parents of children with ASD and (2) illuminate the specificities of the Senegalese environment. (Heys et al, 2016; Wetherston et al, 2017), and (5) accessibility of resources and services (Daniels et al, 2017; Minhas et al, 2015; Zeleke, Hughes, & Chitiyo, 2018)

  • This study identified cultural and contextual variables that may affect parental experience of caring for a child with autism in Senegal and the US

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Summary

Introduction

The prevalence of autism spectrum disorder (ASD) has been rising in many countries according to the World Health Organization (WHO, 2017) and it has been recognized as a significant concern for global mental health (WHO, 2013). Most research on ASD, has been conducted in high-income regions such as North America, with a dearth of research within lowand middle-income regions, notably Sub-Saharan Africa (Elsabbagh et al, 2012; Hahler & Elsabbagh, 2015; Khan et al, 2012). Comparatively little research on ASD has been conducted that examines the influences of culture and societal context. Within Africa, in particular, little is known about autism, as many countries are not yet represented in the literature and there is an urgent need for education, awareness, and services (Abubakar, Ssewanyana, de Vries, & Newton, 2016; Franz, Chambers, von Isenburg, & de Vries, 2017). Within clinical and research practice, cultural research on ASD can describe family structures and sources of Transcultural Psychiatry 58(3)

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