Although more than one in 10 youth with Autism Spectrum Disorder (ASD) is admitted to a psychiatric facility before they reach adulthood, the inpatient population is underrepresented in research. Furthermore, Black youth are more likely to be psychiatrically hospitalized, compared to their White counterparts. Yet, prior research has been inconsistent in potential racial differences in ASD symptoms and severity. This study examined differences in the symptom presentation of psychiatrically hospitalized Black and White youth with ASD. Researchers collected data as part of a larger study of youth admitted to one of six US specialized inpatient psychiatric units between 2013 and 2017. We used bivariate and multivariate models to analyze the data. The study included 654 youth diagnosed with ASD, with an average age of 13 years. While bivariate analyses found that Black youth had lower written language and daily living skills and more impaired social affect and inappropriate speech, multivariate regression models suggested that overall ability level and age may be driving these differences. Specifically, the only variables that significantly predicted adaptive functioning (written language, daily living) and behavioral profiles (social affect, inappropriate speech) were verbal ability, IQ, and age. Race was not a significant predictor in any of the models. Cultural diversity and competency are vital to the identification and treatment of ASD clinical care. Thus, understanding the role race may play in early detection and accurate diagnosis is important to improving ASD identification, diagnosis, and treatment. Autism Res 2020, 13: 532–538. © 2020 International Society for Autism Research, Wiley Periodicals, Inc.

中文翻译：

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患有自闭症谱系障碍 (ASD) 的住院青少年样本中的种族差异。


尽管超过十分之一的患有自闭症谱系障碍 (ASD) 的青少年在成年之前就被送入精神病院，但住院患者在研究中的代表性不足。此外，与白人青年相比，黑人青年更有可能接受精神病治疗。然而，先前的研究对于自闭症谱系障碍症状和严重程度的潜在种族差异并不一致。这项研究调查了患有自闭症谱系障碍 (ASD) 的精神病住院黑人和白人青年的症状表现差异。研究人员收集了数据，作为一项针对 2013 年至 2017 年间入住美国六家精神病专科住院病房之一的青少年的更大规模研究的一部分。我们使用双变量和多变量模型来分析数据。该研究纳入了 654 名被诊断患有自闭症谱系障碍 (ASD) 的青少年，平均年龄为 13 岁。虽然双变量分析发现黑人青年的书面语言和日常生活技能较低，社会影响和不当言论更受损，但多元回归模型表明整体能力水平和年龄可能导致这些差异。具体来说，显着预测适应性功能（书面语言、日常生活）和行为特征（社交影响、不当言语）的唯一变量是言语能力、智商和年龄。在任何模型中，种族都不是重要的预测因素。文化多样性和能力对于 ASD 临床护理的识别和治疗至关重要。因此，了解种族在早期检测和准确诊断中可能发挥的作用对于改善 ASD 识别、诊断和治疗非常重要。自闭症研究2020，13：532–538 。 © 2020 国际自闭症研究协会，Wiley periodicals, Inc.