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A Systematic Literature Review of Racial Disproportionality in Autism in the U.S
Hyejung Kim1, Muhammet Furkan Karakaya2, Mandy Skinner2
1Binghamton University, Binghamton, NY, 13902, USA. hyejungk@binghamton.edu.
Racial disparities in autism prevalence in the US have shifted, with Black and Asian groups showing mixed results and Hispanic and Native American groups consistently underrepresented. These patterns suggest systemic inequalities in autism identification and classification.
Area of Science:
- Neurodevelopmental Disorders
- Public Health
- Health Disparities
Background:
- The Autism and Developmental Disabilities Monitoring Network has observed recent shifts in racial disparities within autism prevalence.
- Understanding the historical trajectory of racial disproportionality in autism diagnosis is crucial for addressing health inequities.
Purpose of the Study:
- To examine the historical shift in racial disproportionality in US autism prevalence.
- To analyze publication trends, national/state-level patterns, and contributing factors of racial disparities in autism.
Main Methods:
- A literature review was conducted using the PRISMA framework.
- Synthesized 24 empirical studies focusing on racial disproportionality in autism and its changes over time.
- Examined national patterns and spatiotemporal variations in autism prevalence across racial groups.
Main Results:
- Black and Asian racial groups exhibited similar national patterns with mixed prevalence results around 2000; Asian groups were overrepresented by 2007.
- Hispanic and Native American groups have been consistently underrepresented in autism diagnoses.
- Significant spatiotemporal variations indicate potential inequalities within the current autism identification and classification systems.
Conclusions:
- Racial disproportionality in autism is influenced by factors including varying state definitions, resource distribution, cultural symptom recognition, and professional-family mismatches.
- Existing disparities highlight underlying issues within the current diagnostic system.
- Further research is needed to ensure equitable educational opportunities irrespective of disability and race/ethnicity.
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