Significant racial and ethnic disparities in health care and service access exist. In the present article, we reviewed qualitative studies investigating the racism-related experiences of Black caregivers of children with autism spectrum disorder (ASD) in the U.S. health care system. Specifically, we examined institutional racism (i.e., systemic racism) and individual racism directed toward Black families when they seek diagnoses and services for their children with ASD. Additionally, we summarized culturally responsive and context-specific practice guidelines to work collaboratively with Black caregivers of children with ASD for applied behavior analysis practitioners.

在医疗保健和服务获取方面存在显着的种族和族裔差异。在本文中，我们回顾了调查美国医疗保健系统中自闭症谱系障碍 (ASD) 儿童的黑人看护者与种族主义相关经历的定性研究。具体来说，我们检查了针对黑人家庭的机构种族主义（即系统性种族主义）和个人种族主义，这些黑人家庭在为患有 ASD 的孩子寻求诊断和服务时。此外，我们总结了文化响应和特定环境的实践指南，以便与 ASD 儿童的黑人看护者合作，供应用行为分析从业者使用。