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Racism and pediatric health outcomes
- Source :
- Current Problems in Pediatric and Adolescent Health Care. 51:101087
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Racism- a system operating at the intrapersonal, interpersonal, institutional, and structural levels- is a serious threat to the health and wellbeing of children and adolescents. This narrative review highlights racism as a social determinant of health, and describes how racism breeds disparate pediatric health outcomes in infant health, asthma, Type 1 diabetes, mental health, and pediatric surgical conditions. Key examples include the association of residential racial segregation and the alarming infant mortality rate among Black infants as well as the role of redlining and discriminatory housing practices on asthma morbidity among Black children and adolescents. Furthermore, inequitable care practices such as (1) racial and ethnic disparities in insulin pump usage in patients with Type 1 diabetes, (2) lower rates pharmacotherapy initiation in racialized children with mental health disorders, and (3) decreased pain medication management and confirmatory imaging in Black children with acute appendicitis, highlight the role of interpersonal racism in propagating poor health outcomes. An urgent call to action is needed to address pediatric health inequities and ensure all children can live healthy lives. Key strategies must tackle racism at the individual, institutional, and structural levels and include building a diverse workforce, prioritizing research to describe the impact of racism on pediatric health outcomes, initiating improvement efforts to close equity gaps, building community partnerships, co-designing solutions alongside patients and families, and advocating for policy change to address the social conditions that impact children and adolescents of color.
- Subjects :
- Gerontology
Adolescent
media_common.quotation_subject
Ethnic group
Health Inequities
Infant
Health Status Disparities
General Medicine
Mental health
Racism
Infant mortality
Call to action
Infant Mortality
Outcome Assessment, Health Care
Pediatrics, Perinatology and Child Health
Workforce
Humans
Redlining
Social determinants of health
Child
Psychology
media_common
Subjects
Details
- ISSN :
- 15385442
- Volume :
- 51
- Database :
- OpenAIRE
- Journal :
- Current Problems in Pediatric and Adolescent Health Care
- Accession number :
- edsair.doi.dedup.....d008299aa3b53fe9a892a5f108e65d06