Structural Racism and Autism.

* Abbreviations:\n ASD — : autism spectrum disorder\n AA — : African American\n\nSignificant racial inequities exist in access to services for youth with autism spectrum disorder (ASD). Multiracial children are diagnosed with ASD later than their white counterparts, report difficulty accessing treatment services, and ultimately experience worse health outcomes. Empirical data on the mechanisms of inequities are generally lacking, although traditional contributors (structural racism, prejudice, education, income) are certainly at play.\n\nIn this month’s issue of Pediatrics , Constantino et al1 found that among a large cohort of African American (AA) children, there was on average a 3-year delay between first parental developmental concern and ASD diagnosis. Moreover, nearly half of parents reported visiting multiple providers before receiving an ASD diagnosis, and 31.3% stated lack of available professionals contributed to this delay.\n\nGiven the pervasive history of racism and exclusion that exists across the United States, particularly in medical care and research, we first applaud the overall goal of Constantino’s work to increase representation of AA children in ASD research. Next, we want to leverage this opportunity as a call to action for the field of ASD services. Specifically, how can these data be used to … \n\nAddress correspondence to Sarabeth Broder-Fingert, MD, MPH, Department of Pediatrics, Boston Medical Center, 801 Albany St, Boston, MA 02118. E-mail: sarabeth.broder-fingert{at}bmc.org