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Racial disproportionality has been discussed over five decades as the numbers may infer potential inequity in our medical and educational systems. Though, the patterns of under- or overrepresentation of minoritized students with autism were found to be mixed. Thus, this systemic literature review synthesizes 24 empirical studies that document racial disproportionality in autism, especially in the US context. Studies show that national patterns were similar for two racial groups, Black and Asian, as they were once overrepresented and then underrepresented around the 2000s. In addition, Hispanic and Native American groups were always reported to be underrepresented. However, there were great spatiotemporal variations indicating that the differences in numbers can reflect inequities in the current screening and referral process.