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Hi #pediatricians, our work on #disparities in #disability id. was just cited by the @AmerAcadPeds in their #policy statement on the impact of #racism on children's health. Our most recent study was cited. If helpful, here is a thread of our work to date. #RacismAndHealth (1)
@AmerAcadPeds Here is the abstract and link the the study cited in the @AmerAcadPeds policy statement. journals.sagepub.com/doi/pdf/10.310…. We find that children of color are less likely to be identified as having disabilities than similarly situated students who are White in U.S. schools (2)
@AmerAcadPeds Here is an example finding. Of U.S. 4th grade students displaying clinically significant reading difficulties, 74% of White students are receiving special education. The contrasting percentages for Black, Hispanic, and American Indian students? 44%, 43%, and 48%, respectively (3)
@AmerAcadPeds Students of color have been less likely to receive services for disabilities than similarly achieving students who are White while attending U.S. schools since at least 2003. (4) #RacismAndHealth
@AmerAcadPeds In this best-evidence synthesis, we find consistent evidence to indicate that Black students are less likely than otherwise similar White students to receive special education services for identified disabilities. #pediatrics #RacismAndHealth (5). journals.sagepub.com/doi/abs/10.117…
@AmerAcadPeds In this additional best-evidence synthesis, we also find evidence of disability under-identification for Hispanic, Asian, and Native American students. (6) journals.sagepub.com/doi/abs/10.117…
@AmerAcadPeds We have also investigated under-identification for specific disability conditions by school entry. We find that children who are Black are less likely to receive services for speech/language impairments--a risk factor for LD--at 24, 48, and 60 months (7) jshd.pubs.asha.org/doi/abs/10.104…
@AmerAcadPeds We find that under-identification for speech/language impairments has continued to be evident in the U.S. over the past 12 years, and may be increasing for some groups. (8) #RacismAndHealth journals.sagepub.com/doi/abs/10.117…
@AmerAcadPeds Here we find that children who are Black are also less likely to be identified as having #ADHD than otherwise similar White children by school entry. (9) #RacismAndHealth onlinelibrary.wiley.com/doi/abs/10.111…
@AmerAcadPeds We find that these racial disparities in ADHD diagnosis continue throughout elementary and middle school. Among those students who are diagnosed with #ADHD, students of color are less likely to be using evidence-based treatment. (10) #RacismAndHealth pediatrics.aappublications.org/content/132/1/…
@AmerAcadPeds We observe similar disparities in #disability identification throughout elementary and middle school for other specific conditions.(11) journals.sagepub.com/doi/abs/10.310…
@AmerAcadPeds We also observed under-identification in this longitudinal study. We found that school racial segregation may also be related to these disparities. (12) #RacismAndHealth journals.sagepub.com/doi/abs/10.117…
@AmerAcadPeds Under-identification, as observed for the specific conditions of S/LI and #ADHD, is also evident generally, with children of color less likely to receive early intervention services than otherwise similar children who are White by 48 months of age. (13) journals.sagepub.com/doi/abs/10.310…
@AmerAcadPeds Based on these findings, we suggest the need for greater use of culturally responsive practices, better dissemination of scientifically based information about #disabilities to historically marginalized communities, and the use of universal screening (14). washingtonpost.com/news/answer-sh…
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