LAUSR

Key Points Question Among children and youths with developmental disabilities referred for speech therapy, does the interpretation of study results change when the reference category is Hispanic rather than White? Findings In this cross-sectional study with 66 402 speech therapy referrals, Hispanic, Black, and Pacific Islander children and youths as well as those from other minoritized racial and ethnic groups had lower odds of speech therapy referrals when White children and youths were the reference group. When using Hispanic as a reference, racial advantage for those who identified as White and Asian became more apparent, while racial disadvantage for those who identified as Black remained. Meaning These results suggest that using multiple reference groups to interpret race disparities may result in greater sensitivity to health equity.