Professional Documents
Culture Documents
DOI 10.1007/s10803-012-1734-2
ORIGINAL PAPER
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J Autism Dev Disord (2013) 43:18321842 1833
the US vocational rehabilitation system between the years These two groups did not differ significantly in maladap-
2002 and 2006 and reported that about 3942 % of adults tive behaviors or functional independence. Family income
with autism were employed. Taylor and Seltzer (2011) and comorbid psychiatric disorders were not significant
studied post-high school employment and educational factors in this study.
activities in adults with autism (n = 66) (aged Few studies have investigated predictors of participation
1925 years) and reported that 6 % of adults with autism in employment for individuals with autism. Benz et al.
were competitively employed and 12 % of adults with (2000) investigated predictive factors of positive postsec-
autism participated in supported employment. Although the ondary outcomes (e.g., engagement in employment or
percentage of participation in employment in individuals continuing education) of students with disabilities (including
with autism vary across studies, several studies have six individuals with autism) exiting high school during the
reported a low percentage (\50 %) of participation in 19971998 school year and found that having two or more
employment in these individuals. jobs and having completed four or more transition goals
while in high school were predictive of positive postsec-
Factors/Predictors Related to Participation ondary outcomes. Lawer et al. (2009) investigated predictive
in Employment factors for participation in competitive employment for
individuals with disabilities ages 1865 (including 1,707
Previous studies have reported factors associated with individuals with autism) using the US Department of Edu-
participation in employment for individuals with autism cation, Office of Special Education, and Rehabilitative Ser-
and other disabilities. For example, Burt et al. (1991) vices data. They found that being older, being male, having
reported that the factors related to successful employment more education, and receiving greater service expenditures
of four adults with autism (aged 2129 years) included predicted competitive employment. Schaller and Yang
family support (e.g., financial incentives, daily praise, (2005) investigated predictive factors of competitive
maintenance of program contingencies), characteristics of employment and supported employment for individuals with
the individual, job characteristics, and employer support autism (aged 1564 years) using the RSA-911 database for
(e.g., modification of jobs and schedules, behavior sup- 2001. They found that for competitive employment, indi-
port). Keel, Mesibov, and Woods (1997) reported the vidual characteristics (e.g., being older, 1015 years of
effects of the TEACCH supported employment program. education, not having a secondary disability), and employ-
They stated that utilizing individual strengths and interests, ment support services (e.g., job finding, job placement,
identifying appropriate jobs, and providing long-term maintenance) were the significant predictors. For supported
support were the components in the TEACCH program that employment, being White and job placement were the sig-
have successfully placed people with autism in community nificant predictors. Migliore et al. (2012) investigated pre-
jobs. Mawhood and Howlin (1999) reported the outcome of dictors of participation in integrated employment and
a supported employment program for high-functioning postsecondary education of adults with autism (aged
adults with autism or Asperger syndrome. This supported 1626 years) using the RSA2011 database fiscal year 2008.
employment program identified suitable jobs and provided For participation in integrated employment, receiving job
work preparation for their participants. This program also placement, participation in postsecondary education,
educated employers and work colleagues on how to deal receiving miscellaneous training, no college services, being
with or avoid problems. Compared to the participants in the male, receiving job search, and not being a Medicaid/
control group, the number of participants who had partic- Medicare recipient were the predictors. Overall, the findings
ipated in paid employment in this supported employment from previous studies seem to indicate that family charac-
program was significantly higher. Taylor and Seltzer teristics, student characteristics, and transition planning
(2011) examined the relationships among employment services variables are predictive of participation in
(e.g., competitive employment, supported employment) employment for individuals with autism.
and postsecondary educational activities and intellectual Adults with autism want to obtain jobs, but they face
disability, family income, autism symptoms, maladaptive significant difficulties in obtaining jobs (Hurlbutt and
behaviors, functional independence, and comorbid psy- Chalmers 2004). It has been suggested that when students
chiatric disorders in adults with autism (aged 1925 years) with autism are well prepared for transition from high
and found that adults with autism without intellectual dis- school to adulthood, the odds for them to participate in
ability were more likely to participate in competitive employment are likely to be increased (Hendricks 2010).
employment than adults with autism with intellectual dis- To prepare students with autism well for postsecondary
ability. Adults with autism who participated in competitive employment, there is a critical need to investigate the
employment had fewer autism symptoms than did adults factors that are associated with participation in employ-
with autism who participated in supported employment. ment for high school leavers with autism. Yet, current
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1834 J Autism Dev Disord (2013) 43:18321842
research specifically focusing on transition from high school data. This variable consisted of responses to questions that
into employment for students with autism is very limited asked if a high school leaver had ever had a paid job (e.g.,
(Hendricks 2010). Although the factors associated with full-time job, part-time job) since leaving high school.
participation in employment for students with disabilities
have been reported previously, there is a lack of research that The Independent Variables
specifically focuses on high school leavers with autism,
concerns family, student, and school factors, and uses a Previous research suggests that family characteristics,
nationally representative data set to determine the factors. student characteristics, and transition planning services
Thus, the purpose of the present study is to identify the factors are associated with participation in employment for
factors associated with participation in employment for high students with disabilities (e.g., Benz et al. 2000; Lawer
school leavers with autism (i.e., if a high school leaver with et al. 2009; Migliore et al. 2012; Schaller and Yang 2005).
autism has ever had a paid job since leaving high school) Thus, the variables related to family characteristics, student
using a nationally representative data set [i.e., the National characteristics, and transition planning services in the
Longitudinal Transition Study-2 (NLTS2) data]. NLTS2 data were selected as the independent variables for
this study. These variables were selected from Waves 14
parent/youth phone interview and/or mail survey data and
Method Wave 12 school program survey data.
A description of the dependent variable and independent
Data Source and Sample variables can be found in Table 1.
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J Autism Dev Disord (2013) 43:18321842 1835
Dependent variable
Participation in employment 1 = yes, 0 = no Waves 2 to Wave
4 parent/youth
survey
Independent variables
Family characteristics
Annual household income 1 = low (\$25,000), 2 = medium ($25,001$50,000), Wave 14 parent/
3 = high ([50,001) youth survey
Parental education 1 = some high school or less; 2 = some college; Wave 14 parent/
3 = bachelors degree or higher youth survey
Parent met with teachers to set their childs post- 1 = yes, 0 = no Wave 14 parent/
graduation goals youth survey
Parent attended their childs IEP meeting 1 = yes, 0 = no Wave 14 parent/
youth survey
Parent expected their child would participate in 1 = yes, 0 = no Wave 14 parent/
postsecondary employment youth survey
Student Characteristics
Gender 1 = male, 0 = female Wave 14 parent/
youth survey
Ethnicity 1 = white, 0 = nonwhite Wave 14 parent/
youth survey
Social skills 1 = low, 2 = medium, 3 = high Wave 14 parent/
youth survey
Self-care skills 1 = low, 2 = medium, 3 = high Wave 14 parent/
youth survey
With verbal skills 1 = yes, 0 = no Wave 14 parent/
youth survey
With intellectual disability 1 = yes, 0 = no Wave 14 parent/
youth survey
Graduated from high school 1 = yes, 0 = no Wave 14 parent/
youth survey
High school academic performance 1 = below average (i.e., mostly Cs and Ds, Ds and Fs), Wave 14 parent/
2 = average (i.e., mostly Bs and Cs), 3 = above average youth survey
(i.e., mostly As and Bs)
Participated in vocational education 1 = yes, 0 = no Wave 14 parent/
youth survey
Had a paid job during high school 1 = yes, 0 = no Wave 14 parent/
youth survey
Had received career counseling during high school 1 = yes, 0 = no Wave 14 parent/
youth survey
Participated in postsecondary education (e.g., a 2-year/ 1 = yes, 0 = no Wave 14 parent/
community college, vocational/technical business youth survey
school, a 4-year college)
Transition Planning Services
School planned for what the student will do after high 1 = yes, 0 = no Wave 12 school
school program survey
School contacted postsecondary vocational training 1 = yes, 0 = no Wave 12 school
programs or potential employers program survey
multicollinearity (Cohen et al. 2003). Third, the variables regression analysis (p \ .01). A cutoff criterion of .01 was
significantly differentiated the subjects who participated in set for the potential significant variables. To construct the
postsecondary employment and those who did not were final model, a stepwise, non-automatic elimination method
then entered into a weighted multivariate logistic was used. If the Wald test p value for a variable was [.01,
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1836 J Autism Dev Disord (2013) 43:18321842
the variable was removed from the final model, one vari- all 16 independent variables were then entered into a
able at a time. This procedure was repeated until the final weighted multivariate logistic regression analysis.
model contained no non-significant variables.
Factors Associated with Participation in Employment
Results
The weighted multivariate logistic regression analysis found
8 significant variables (see Table 3). The significant factors
Among the high school leavers with autism in this study
associated with participation in employment included annual
(weighted n = 4,167), 56 % (weighted n = 2,333) of these
household income, parental education, gender, social skills,
individuals had participated in employment since leaving
whether the child had intellectual disability, whether the
high school and 44 % (weighted n = 1,834) of these
child graduated from high school, whether the child received
individuals had not. The mean age of high school leavers
career counseling during high school, and whether the
with autism who participated in employment was
childs school contacted postsecondary vocational training
21 1.0 years and the mean age of high school leavers
programs or potential employers.
with autism who did not participate in employment was
Compared to high school leavers with autism from low
also 21 1.3 years. High school leavers with autism who
income families, students with autism from high income
participated in employment worked across 29 different
families are more likely to participate in employment [odds
types of jobs. The top five types of jobs were material
ratio (OR): 17.37; 99 % CI 9.4032.10]. Compared to high
recording, scheduling, dispatching, and distribution
school leavers with autism whose parents have a high
(36.3 %), information and record clerks (12.9 %), building
school degree or lower, high school leavers with autism
cleaning and pest control workers (8.5 %), retail sales
whose parents have a bachelors degree or higher are more
workers (5.2 %), and workers in other production occu-
likely to participate in employment (OR: 2.73; 99 % CI
pations (5.1 %). The mean hourly wage for high school
1.923.88). Compared to female high school leavers with
leavers with autism who participated in employment was
autism, male high school leavers with autism are less likely
$ 7.90 (range = $ 2.00$30.00, SD = 22.00).
to participate in employment (OR: .34; 99 % CI .25.47).
Compared to high school leavers with autism who have
Determining Variables for the Regression Model
low social skills, high school leavers with autism who have
high social skills are more likely to participate in
The family characteristics, student characteristics, and
employment (OR: 5.40; 99 % CI 3.328.78). Compared to
transition planning services by high school leavers who
high school leavers with autism with intellectual disability,
participated in postsecondary employment and those who
high school leavers with autism without intellectual dis-
did not are presented in Table 2.
ability are more likely to participate in employment (OR:
Chi square tests found that high school leavers with aut-
5.60; 99 % CI 2.5012.54). Compared to high school lea-
ism who participated in employment differed significantly
vers who do not graduate from high school, high school
from those who did not on 16 variables, including annual
leavers who graduate from high school are more likely
household income, parental education, whether parent
to participate in employment (OR: 7.50; 99 % CI
attended their childs IEP meeting, whether parent expected
5.5110.22). Compared to high school leavers who do not
their child would participate in postsecondary employment,
receive career counseling during high school, high school
the childs gender, the childs social skills, the childs self-
leavers who receive career counseling during high school
care skills, whether the child had verbal skill, whether the
are more likely to participate in employment (OR: 5.70;
child had intellectual disability, whether the child graduated
99 % CI 3.658.89). Compared to high school leavers
from high school, the childs high school academic perfor-
whose schools do not contact postsecondary vocational
mance, whether the child had a paid job during high school,
training programs or potential employers, high school
whether the child received career counseling during high
leavers whose schools do are less likely to participate in
school, whether the child had participated in postsecondary
employment (OR: .40; 99 % CI .32.51).
education since leaving high school, whether the childs
school planned for what the child will do after high school,
and whether the childs school contacted vocational training
programs or potential employers. Discussion
Multicollinerarity among the 16 potential predictors was
checked. No multicollinerarity was evident since the VIF Social communication difficulties and restricted and
for these variables ranged between 1.14 and 2.68 (\10) and repetitive patterns of behavior in individuals with autism
tolerance values ranged between .38 and .88 ([.10). Thus, may affect their opportunities to obtain paid jobs. Several
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J Autism Dev Disord (2013) 43:18321842 1837
Table 2 Family characteristics, student characteristics, and transition planning services by students who participated in postsecondary
employment and those who did not
Variable Participation in employment Significance tests
No Yes
n % n %
Family characteristics
Annual household income*** V2(2) = 779.67,
p \ .0001
Low ($25,000 and under) 347 92.6 28 7.4
Medium ($25,001$50,000) 558 69.9 240 30.1
High (Over $50,000) 930 31.1 2,065 69.0
Parental education*** V2(2) = 406.52,
p \ .0001
High school or less 472 66.3 240 33.8
Some college 567 60.6 368 39.4
Bachelors degree or higher 795 31.6 1,724 68.4
Parent met with teachers to set their childs post-graduation goals X2(1) = 4.30,
p = .038
No 382 47.3 427 52.7
Yes 1,452 43.2 1,906 56.8
Parent attended their childs IEP meeting*** V2(1) = 54.24,
p \ .0001
No 42 100.0 0 0
Yes 1,792 43.4 2,333 56.6
Parent expected their child would participate in postsecondary employment*** V2(1) = 635.79,
p \ .0001
No 446 100.0 0 0
Yes 1,388 37.3 2,333 62.7
Student characteristics
Gender*** V2(1) = 26.82,
p \ .0001
Male 1,612 45.7 1,914 54.3
Female 222 34.7 419 65.3
Ethnicity V2(1) = 5.73,
p = .017
White 1,589 44.8 1,959 55.2
Nonwhite 245 39.6 374 60.4
Social skills*** V2(2) = 37.17,
p \ .0001
Low 906 45.7 1,078 54.3
Medium 865 44.7 1,070 55.3
High 63 25.5 185 74.5
Self-care skills*** V2(2) = 55.65,
p \ .0001
Low 35 100 0 0
Medium 448 48.1 484 51.9
High 1,350 42.2 1,849 57.8
With verbal skill*** V2(1) = 115.36,
p \ .0001
No 89 100 0 0
Yes 1,745 42.8 2,333 57.2
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Table 2 continued
Variable Participation in employment Significance tests
No Yes
n % n %
studies (e.g., Cimera and Cowan 2009; Howlin et al. 2004; those who did not. The high percentage of participation in
Taylor and Seltzer 2011) have reported a low percentage employment found in this study is the same as that reported
(\50 %) of participation in employment in individuals by Eaves and Ho (2008). Why did this study and the study
with autism. Surprisingly, this study found a relatively high by Eaves and Ho (2008) report a higher percentage of
percentage of participation in employment (56 %) in high participation in employment than other studies? Different
school leavers with autism; the number of high school sample sizes, participants, employment definitions, and
leavers with autism who had ever participated in employ- study methods may account for the different employment
ment since leaving high school was higher than that of percentages reported by different studies.
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The finding that more than half of the high school adults with autism can be predicted by their characteristics.
leavers with autism participated in employment is an Given that to determine the predictors of mean hourly wage
encouraging one because this indicates that high school of adults with autism is beyond the scope of this study,
leavers with autism are employable and the odds of par- future studies might want to investigate these predictors.
ticipation in employment for this population are larger than The result of this study showed that high school leavers
the odds of not participating in employment for this pop- with autism worked in 29 different paid jobs (e.g., material
ulation. However, even though high school leavers with recording, record clerks, building cleaning and pest control
autism were employable, their mean hourly wage was only workers, retail sales, workers in other production occupa-
$7.90, which was lower than the 2007 minimum national tions). Other studies also reported individuals with autism
mean hourly wage (i.e., $8.03) reported by the Department worked in a wide range of jobs (e.g., Howlin et al. 2004;
of Labor (Bureau of Labor Statistics Department of Labor Migliore et al. 2012). The findings from this study and others
2007). Because the hourly wage data was mainly from the indicate that parents and professionals who assist individuals
Wave 4 data and Wave 4 NLTS2 data was collected in with autism in finding paid jobs need not be constrained by
2007, the 2007 Bureau of Labor Statistics data were used. the stereotyped thinking that suggests that individuals with
Although the majority of high school leavers with autism autism can do only certain types of jobs due to their deficits.
were paid less than the national minimum hourly wage, Instead, they may consider the interests and strengths of
some high school leavers (6 %) earned $30.00 per hour individuals with autism and explore possible job opportu-
which was in the top 20 % percent of the year 2007 nities that match their interests and strengths.
national mean hourly wage. The studies by Migliore et al. Although this study found more than half of the high
(2012) and Cimera and Cowan (2009) also reported some school leavers with autism participated in employment,
individuals with autism earned higher mean hourly wage. there were 44 % of high school leavers who did not par-
The finding of this study and previous studies may give ticipate in employment. To promote participation in
some hope to the individuals with autism who have been employment in high school leavers with autism, there is a
struggling with finding appropriate paid jobs and their need to understand the factors significantly associated with
parents and it may promote parents and professionals who participation in employment. This study found family
work with individuals with autism to seek better employ- characteristics, student characteristics, and transition
ment opportunities for individuals with autism. Migliore planning services were the significant factors.
et al. (2012) reported that participation in postsecondary
education was positively correlated with higher earnings Family Characteristics
and receiving on-the-job supports, job readiness training,
and SSI/SSDI benefits were negatively correlated with Annual household income and parental education were the
higher earnings. It seems that the mean hourly wage of factors significantly associated with participation in
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postsecondary employment for high school leavers with Graduating from high school has a positive influence on
autism. Among these two variables, the impact of house- employment opportunities for students with disabilities
hold income on the odds of participation in employment for (Gaumer Erickson et al. 2007). This study found that
high school leavers with autism was greater than the impact graduating from high school has the greatest impact on the
of parental education. In fact, annual household income odds of participation in employment among student char-
had the greatest impact on the odds of participation in acteristics factors. The odds of participation in employment
employment. High school leavers with autism from low are 7.50 times larger if a high school leaver with autism
income families are less likely to participate in employ- graduating from high school compared with not graduating
ment compared to those from medium and high income from high school, holding other variables constant. This
families. The odds of participation in employment are finding suggests the importance for parents and educators
17.37 times larger if a high school leaver with autism is working with students with autism to assist them to grad-
from a high income family compared with low income uate from high school. Different states have different
family, holding other variables constant. This finding graduation requirements and diploma options for students
suggests that the professionals who work with individuals with disabilities (Gaumer Erickson et al. 2007). Parents of
with autism should be aware of the needs of the individuals students with autism may not be aware of these different
with autism from low income families and provide extra requirements and options. Thus, in order to promote a
support to meet the needs of these students. Because these higher graduation rate in high school leavers with autism,
students may not have the resources, job opportunities, and parents of students with autism should be informed about
other supports that the students from high income families graduation requirements and diploma options. Educators
may have, the inadequate resources and supports available should work closely with parents to design educational
to students with autism from low income families may plans that are likely to assist their students in earning a high
unfortunately lead to a low employment rate in this pop- school diploma. However, for those high school leavers
ulation. Thus, we want to call for more resources and with autism who do not graduate from high school, post-
supports (e.g., transportation, vocational training, job secondary vocational training programs and other relevant
coach, job finding) to be provided to individuals with career resources should be made available to these indi-
autism from low income families. viduals to promote their employment outcomes.
Social skills are associated with participation in
Student Characteristics employment for individuals with and without disabilities
(Bullis et al. 1993; Ferris et al. 2001). The finding of this
Being without intellectual disability, having a high school study that high social skill is a significant factor associated
diploma, having high social skills, receiving career coun- with participation in employment for high school leavers
seling during high school, and being a female were the with autism adds evidence to the previously reported
factors significantly associated with participation in post- relationship between social skills and employment. This
secondary employment for high school leavers with autism. study found that the odds of participation in employment
The odds of participation in employment are 5.60 times are 5.40 times larger if a high school leaver with autism has
larger if a high school leaver with autism without intel- high social skills compared with low social skills, holding
lectual disability as opposed to with intellectual disability, other variables constant. This finding suggests the impor-
holding other variables constant. This study and the study tance of teaching social skills to students with autism in
by Taylor and Seltzer (2011) showed the negative effect of promoting their employment outcomes.
intellectual disability on employment for individuals with Receiving career counseling is another critical factor
autism. Although individuals with autism who have intel- that has an impact on the odds of participation in
lectual disability are less likely to participate in employ- employment for high school leavers with autism. The odds
ment than individuals with autism who do not have of participation in employment are 5.70 times larger if a
intellectual disability, this study found that some high high school leaver has received career counseling during
school leavers with autism who had intellectual disability high school compared with no career counseling. This
did participate in employment. This finding shows that high finding suggests that career counseling services should be
school leavers with autism with intellectual disability are available to students with autism and these students should
also employable although it may be more difficult for them be encouraged to receive career counseling.
to find jobs. In order to promote a higher employment rate Gender is a factor significantly associated with partici-
in high school leavers with autism who have intellectual pation in employment for high school leavers with autism.
disability, future studies should investigate why some high The odds of participation in employment are .34 times
school leavers with autism with intellectual disability are smaller for male high school leavers with autism than
able to participate in employment. female high school leavers with autism, holding all other
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variables constant; female high school leavers with autism participation in full-time jobs was too small in the data
are more likely to participate in employment than male used in this study so we were not able to perform this
high school leavers with autism. This finding seems to analysis. Fifth, it would be important to differentiate the
contradict the finding of the study by Migliore et al. (2012). role of various factors that are associated with participation
However, it should be noted that the age of participants and in employment for high school leavers with Asperger
the outcome variable were different in this study and in the syndrome relative to those with autistic disorder. However,
study by Migliore et al. Given that there are only a limited there is no information about individuals with a diagnosis
number of studies on gender differences in employment of Asperger syndrome in the NLTS2 data. Finally, it would
outcomes for individuals with autism, we want to call for have been of interest to include more transition planning
more studies to investigate this issue. services variables in this study. However, there were too
much missing data on the transition planning services
Transition Planning Services variables that were not included in this study.
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