Narrative ReviewJournal of developmental and behavioral pediatrics : JDBP

Racial, Ethnic, and Sociodemographic Disparities in Diagnosis of Children with Autism Spectrum Disorder.

Brandon S Aylward, Diana E Gal-Szabo, Sharief Taraman

PMID 34510108

WHAT IT FOUND

The paper reviews why children of color and low-income families face delays in autism diagnosis, citing barriers like provider bias, lack of specialists, and culturally insensitive screening tools.

It calls for systemic changes and better provider training but offers no new clinical evidence or tested interventions.

What this paper is

This is a narrative review and call to action regarding racial and socioeconomic disparities in autism diagnosis. It synthesizes existing literature to argue for systemic changes in screening, provider training, and access to care. It does not present original data, a specific clinical trial result, or a new diagnostic tool evaluation that a therapist could apply directly to patient care on Monday.

What it does not show

The paper is a review and editorial piece, not an original study, so it does not provide new empirical data on the effectiveness of specific therapeutic or diagnostic interventions.

Declared interests

Several authors have financial ties to Cognoa, a company that develops digital health tools for autism, including consulting fees and stock options. One author is an employee of Cognoa.

The easy way to misread this

Do not interpret this paper as evidence that specific telehealth or AI tools mentioned in the text have been proven effective in this study. The paper reviews existing literature and proposes these as potential solutions, but it does not test them.

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The study

Certainty of evidence
Low

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    Brandon S Aylward, Diana E Gal-Szabo, Sharief Taraman Racial, Ethnic, and Sociodemographic Disparities in Diagnosis of Children with Autism Spectrum Disorder. Journal of developmental and behavioral pediatrics : JDBP.

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