Evidence map›Paper›PMID 39821775›Full record

ReviewJournal of racial and ethnic health disparities2026

Structural, Institutional, and Interpersonal Racism: Calling for Equity in Autism Research and Practice.

Jennifer S Singh, Susan Brasher, Jennifer Sarrett, Brian Barger, Karen Guerra, Laura J Dilly, I Leslie Rubin, Jennifer L Stapel-Wax, Teal Benevides, Samuel Fernandez-Carriba

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Systematic Review: The Psychosocial Impacts of Autism-Related Genetic Testing.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
    Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jennifer S SinghSchool of History and Sociology, Georgia Institute of Technology, Atlanta, GA, 30332, USA. jennifer.singh@hsoc.gatech.edu.ORCID 0000-0001-8622-3093
Susan BrasherEmory University, Nell Hodgson Woodruff School of Nursing, Atlanta, GA, USA.ORCID 0000-0002-5833-093X
Jennifer SarrettEmory University, Center for the Study of Human Health, Atlanta, GA, USA.ORCID 0000-0001-7460-426X
Brian BargerGeorgia State University, Population Health Sciences, Atlanta, GA, USA.ORCID 0000-0001-9403-1331
Karen GuerraMarcus Autism Center, Atlanta, GA, USA.ORCID 0000-0002-7154-3905
Laura J DillyMarcus Autism Center, Atlanta, GA, USA.ORCID 0000-0003-0962-6993
I Leslie RubinDepartment of Pediatrics, Morehouse School of Medicine, Atlanta, GA, USA.ORCID 0000-0002-6901-9426
Jennifer L Stapel-WaxMarcus Autism Center, Atlanta, GA, USA.ORCID 0000-0002-2111-5435
Teal BenevidesAugusta University, Institute of Public and Preventive Health, Augusta, GA, USA.ORCID 0000-0003-1395-2628
Samuel Fernandez-CarribaDepartment of Pediatrics, Emory University School of Medicine, Atlanta, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disparities in autism research and practices based on race and ethnicity are evident across many outcomes and life course stages. However, most of the research has focused on outlining differences and not the underlying systemic inequities driving these disparities. In this conceptual paper, we aim to shift the focus by outlining mechanisms of structural racism within the institutions of science, healthcare, and residential segregation and educational systems in the United States (U.S.). We argue that these and other forms of institutional racism constitute structural racism that are influencing the racial and ethnic disparities we see in autism services and care. For each of these institutions, we identify institutional racism related to autism and offer an example of how it shapes interpersonal racism and adverse outcomes, including misdiagnosis, delayed diagnosis, unequal access to educational services, and differential treatment in clinical encounters. We then provide anti-racism approaches in autism research and practice for each of these institutions that addresses institutional and interpersonal racism shaping autism inequities among racial and ethnic minorities. We conclude with a call to action to clinicians, researchers, and others to prioritize and disrupt the impacts of structural, institutional, and interpersonal racism through targeted anti-racism approaches.

Indexed as

Autistic DisorderHealthcare DisparitiesRacismEthnicityHumansUnited StatesAnti-racismAutism inequitiesInstitutional racismInterpersonal racismStructural racism

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.