Health professionals who care for children will find a thoughtful and hands-on resource to address racism and race-related issues in their practices in this essay collection. Leading experts from across disciplines frame the issues and provide practical information on prevention, intervention, and anticipatory guidance. Each chapter is grounded in the recommendations outlined in the American Academy of Pediatrics (AAP) policy statement “The Impact of Racism on Child and Adolescent Health.” The AAP is committed to reducing the ongoing costs and burden of racism to children, the health care system, and society—this book is an important contribution to that effort and ongoing conversation. Available for purchase at https://www.aap.org/Untangling-the-Thread-of-Racism-A-Primer-for-Pediatric-Health-Professionals-Paperback
11: Neurodevelopmental Disorders and the Impact of Racism
Adiaha Spinks-Franklin, MD, MPH, Shruti Mittal, MD, Silvia Pereira-Smith, MD, Nathaniel Beers, MD, MPA, "Neurodevelopmental Disorders and the Impact of Racism", Untangling the Thread of Racism: A Primer for Pediatric Health Professionals, American Academy of Pediatrics, Maria Trent, MD, MPH, FSAHM, FAAP, Danielle G. Dooley, MD, MPhil, FAAP, Jacqueline Dougé, MD, MPH, FAAP
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The impact of racism has led to significant disparities in the diagnosis and management of neurodevelopmental disorders (NDDs) in Black, Indigenous, and People of Color (BIPOC) youth. Many NDD diagnoses, such as attention-deficit/hyperactivity disorder, learning disorders, and autism spectrum disorder, are overdiagnosed, misdiagnosed, or under-identified in BIPOC youth compared with other medical conditions (eg, asthma, diabetes). These disparities influence the types and quality of services received, leading to long-term adverse effects.
Keywords: neurodevelopmental disorders, overdiagnosis, under-identification