Intersectionality of Race, Autism, and Anxiety in Marginalized Youth

Abstract

The prevalence of anxiety in marginalized (i.e., non-White) populations has been largely overlooked in literature. Autistic research and its focus on comorbidities with anxiety are mostly focused on White youth and their families (Malone et al., 2022). These gaps in literature are often due to an overrepresentation of White individuals in studies and a lack of wide scale Non-White studies. This may be due to systematic disparities that marginalized populations often face. Research geared towards non-White populations is vital in creating a better understanding of their life experiences and how to treat their diagnoses. This study aimed to evaluate the prevalence of anxiety in non-White adolescents relative to White adolescents, and to examine the intersectionality with autistic diagnoses and experiences of discrimination. The Anxiety Scale for Children- ASD (ASC-ASD; Rodgers et al., 2016) scale was used to assess anxiety and the Everyday Discrimination Scale (Williams et al., 1997) was used to capture experiences of discrimination. Participants were 30 adolescents (12 Non-Hispanic White, 20 non-White), aged 11-14 years, and their parents. Results of an independent samples t-test indicated that marginalized autistic youth reported higher levels of anxiety in comparison to their non-White counterparts (p = 0.08). When evaluating whether experiences of discrimination moderated relations between race and anxiety, we found that the effect of discrimination varies by race, although not statistically significant (p = .13). Further, being a member of a marginalized group was associated with a 19.18-point increase in anxiety (holding experiences of discrimination constant).