Adultification is the term used to define how Black children are viewed as older than they are. Systemic racism has forced Black children into social, emotional, and physical adult roles before they are adults, contributing to adultification. Pediatric and family health care providers must be knowledgable of the harms of adultification bias and that the factor of intersectionality, for example, children who are Black and female, or Black with a disability, enhances bias. Recognition of adultification by health care providers may improve the health and wellness of Black children.