Racism, Identity-Based Discrimination, and Intersectionality in Adolescence

IF 3 3区 医学 Q1 PEDIATRICS Academic Pediatrics Pub Date : 2024-09-01 DOI:10.1016/j.acap.2024.02.009
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Abstract

Adolescence is a critical developmental stage for young people as they transition into adulthood. Several important developmental tasks that must be completed during this transition include exploring one’s identity, developing and applying abstract thinking, adjusting to a new physical sense of self, and fostering stable and productive peer relationships while striving for autonomy and independence from parents. Young people begin to adopt a personal value system and form their racial and ethnic, social, sexual, and moral identity within a society that may provide conflicting and nonaffirming messages. Adolescent development strives toward an affirmed sense of self and self-esteem, which is best accomplished within a nurturing psychosocial context that fosters positive youth development. Youth-focused interventions should intentionally promote affirmation of ancestry and cultural identity, intersections with other historically marginalized identities, and critical consciousness. Fostering healing environments that affirm and address the radical need for change, coaching parents and guardians as critical agents in the creation of affirmative environments for development, and conducting research using anti-oppressive approaches are additional strategies to promote positive youth development. Simultaneously, structural transformations that address underlying social inequities are needed. Health care systems should continue to diversify the workforce and train staff and clinicians in integrative, identity-based, and healing-centered approaches. Organizations should consider training in diversity and competencies related to belonging while safeguarding inclusion with policies, procedures, and practices. Public health and policymakers can embed intersectional approaches within structural and systemic processes, particularly in all policies.
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青少年时期的种族主义、基于身份的歧视和交叉性。
青春期是青少年向成年过渡的关键发展阶段。在这一过渡阶段,必须完成几项重要的发展任务,包括探索自己的身份、发展和应用抽象思维、适应新的自我意识、培养稳定和富有成效的同伴关系,同时争取自主和独立于父母。青少年开始采用个人价值体系,并在一个可能提供相互冲突和非肯定信息的社会中形成自己的种族和民族、社会、性和道德认同。青少年的发展需要自我意识和自尊心得到肯定,而这最好是在一个能促进青少年积极发展的社会心理环境中实现。以青少年为重点的干预措施应有意识地促进对祖先和文化身份的肯定、与其他历史上被边缘化身份的交汇以及批判意识。促进治疗环境,肯定和解决变革的根本需求,指导父母和监护人作为创造积极发展环境的关键力量,以及使用反压迫方法开展研究,这些都是促进青少年积极发展的额外策略。与此同时,还需要进行结构性变革,解决潜在的社会不平等问题。医疗保健系统应继续实现员工队伍的多元化,并对员工和临床医生进行综合、基于身份和以治疗为中心的方法培训。各组织应考虑开展与归属感相关的多样性和能力培训,同时通过政策、程序和实践来保障包容性。公共卫生和政策制定者可以将交叉方法纳入结构性和系统性进程,特别是所有政策中。
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来源期刊
Academic Pediatrics
Academic Pediatrics PEDIATRICS-
CiteScore
4.60
自引率
12.90%
发文量
300
审稿时长
60 days
期刊介绍: Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.
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