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Editorial Efforts Across Pediatric Journals to Address Racism 儿科期刊编辑部为解决种族主义问题所做的努力。
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1016/j.acap.2024.07.009
Michelle A. Lopez MD, MPH , Cynthia F. Bearer MD, PhD , Dimitri A. Christakis MD, MPH , Lewis R. First MD, MS , Paul G. Fisher MD , Carol A. Ford MD , Peter G. Szilagyi MD, MPH , Jean L. Raphael MD, MPH
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引用次数: 0
From Striving to Thriving: Mitigating Anti-Black Family Racism to Maximize Health Outcomes in Black Children 从努力奋斗到茁壮成长:减轻反黑人家庭的种族主义,最大限度地提高黑人儿童的健康水平。
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1016/j.acap.2023.08.013
Jennifer R. Walton MD, MPH , Aurelia Wood MD , Valencia P. Walker MD, MPH , Jordee M. Wells MD, MPH
Certain inequities and injustices represent long-standing, recurring challenges that disproportionately affect many Black communities in the United States. Despite decades of efforts to eliminate these problems and improve outcomes in health, housing, education, and employment, a significant number of Black families are still “surviving” and not “thriving.” The effects of historical and ongoing discriminatory policies continue to increase risk for adverse outcomes among Black people and their families. These systemic conditions also help perpetuate negative myths and stereotypes associated with the Black family unit, and particularly, Black fathers. In striving to achieve equitable child health outcomes, it is vital for health care professionals to comprehend the tangible traumas that result from experiencing racism. This specific type of harm also acts as a driver for manifestation of developmental, physical, behavioral, and mental health issues in Black children. This review highlights the intersecting dynamics of structural racism, Black family units, and adverse outcomes on child health, development, and behavior. Health care professionals seeking to provide culturally attuned and appropriate anticipatory guidance need to address the effects of racism on social-emotional, language, and cognitive development in children. This includes centering Black family perspectives and advocating for antiracist programs and policies that protect Black children, such as increased support of Black children with special education needs, more equitable funding for neighborhoods where Black families reside, and meaningful efforts to reform criminal justice system practices that unfairly target Black men. By actively mitigating anti-Black racism, Black children and families can shift from surviving to thriving.
某些不公平和不公正现象是长期存在、反复出现的挑战,对美国许多黑人社区造成了极大的影响。尽管几十年来美国一直在努力消除这些问题,改善健康、住房、教育和就业等方面的成果,但仍有大量黑人家庭 "苟延残喘 "而非 "欣欣向荣"。历史和当前歧视性政策的影响继续增加黑人及其家庭遭受不利结果的风险。这些系统性条件也助长了与黑人家庭单位,特别是黑人父亲有关的负面神话和陈规定型观念的长期存在。在努力实现公平的儿童健康结果的过程中,医疗保健专业人员必须理解经历种族主义所带来的切实创伤。这种特定类型的伤害也是导致黑人儿童出现发育、身体、行为和心理健康问题的驱动因素。本综述强调了结构性种族主义、黑人家庭单元以及对儿童健康、发育和行为的不利影响之间相互交织的动态关系。医疗保健专业人员在寻求提供与文化相适应和适当的预期指导时,需要解决种族主义对儿童社会情感、语言和认知发展的影响。这包括以黑人家庭的观点为中心,倡导保护黑人儿童的反种族主义计划和政策,如增加对有特殊教育需求的黑人儿童的支持,为黑人家庭居住的社区提供更公平的资金,以及切实努力改革刑事司法系统中不公平地针对黑人男性的做法。通过积极缓解反黑人的种族主义,黑人儿童和家庭可以从苟延残喘转变为欣欣向荣。
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引用次数: 0
Environmental Racism and Child Health 环境种族主义与儿童健康。
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1016/j.acap.2023.09.016
M Teresa Herrera MPH , Blean Girma MPH , Akhgar Ghassabian MD, PhD , Leonardo Trasande MD, MPP
Environmental racism poses a significant threat to child health. It is a major contributor to disproportionate exposure to environmental hazards that are linked to adverse health outcomes. This narrative review shows the profound impact that environmental racism poses to healthy child development through 3 examples. Historical redlining provides compelling evidence of how historical policies continue to influence neighborhoods' physical and social conditions. Exploring chemicals in beauty products reveals how anti-Black perceptions of beauty work to expose children of color to endocrine-disrupting chemicals. Finally, by exploring childhood lead exposure, we see how decades of inequitable implementation of lead exposure prevention policies contribute to persistent disparities in the United States today. Fixing these structural issues is complex and will require political will and investment. Yet, individual clinicians play an important role in their local communities in protecting children from the harms of environmental racism, through education, genuine collaboration with the community, and advocacy.
环境种族主义对儿童健康构成重大威胁。它是导致儿童过多接触与不良健康后果相关的环境危害的主要因素。本叙述性综述通过三个例子说明了环境种族主义对儿童健康成长的深远影响。历史上的红线政策提供了令人信服的证据,证明了历史政策如何继续影响邻里的物质和社会条件。通过探索美容产品中的化学物质,揭示了反黑人的美容观念是如何使有色人种儿童接触到干扰内分泌的化学物质的。最后,通过探讨儿童铅暴露问题,我们看到了数十年来铅暴露预防政策的不公平实施是如何导致美国今天持续存在差距的。解决这些结构性问题非常复杂,需要政治意愿和投资。然而,临床医生个人在当地社区通过教育、与社区的真正合作以及宣传,在保护儿童免受环境种族主义伤害方面发挥着重要作用。
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引用次数: 0
Facing the Truth and Moving Forward: The Complicity of Pediatricians with Racism in the United States 面对真相,勇往直前:美国儿科医生与种族主义的共谋》(The Complicity of Pediatricians with Racism in the United States)。
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1016/j.acap.2023.09.017
Danielle K. Falkenstein , James N. Jarvis , Joseph L. Wright
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引用次数: 0
Confronting the Role of Structural Racism in Inequities in Child Neighborhood Opportunity and Child Health 正视结构性种族主义在儿童邻里机会和儿童健康不平等中的作用。
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1016/j.acap.2024.05.004
Dolores Acevedo-Garcia PhD, MPA-URP, Clemens Noelke PhD, Leah Shafer MPP, MBA
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引用次数: 0
Equity in Pediatric Hospital-Based Safety and Quality Improvement 儿科医院安全与质量改进中的公平问题。
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1016/j.acap.2024.01.026
Gabrina L. Dixon MD, MEd , Michelle-Marie Peña MD , Angela M. Ellison MD, MSc , Tiffani J. Johnson MD, MSc
There are well-documented inequities in the quality of care and health outcomes of minoritized youth. Patient safety and quality improvement (QI) work with an equity focus has been identified as an important strategy to remedy these existing inequities. In this article, we will present evidence of inequities in pediatric hospital-based care, describe root causes with a focus on structural racism, highlight existing frameworks for applying equity principles to patient safety and QI, and provide best practices and recommendations on evaluating patient safety and QI data towards advancing equity in pediatric hospital-based care.
少数族裔青年在医疗质量和健康结果方面的不平等是有据可查的。以公平为重点的患者安全和质量改进(QI)工作已被确定为纠正这些现有不公平现象的重要策略。在本文中,我们将介绍儿科医院护理中存在不公平现象的证据,描述以结构性种族主义为重点的根本原因,强调将公平原则应用于患者安全和 QI 的现有框架,并提供评估患者安全和 QI 数据的最佳实践和建议,以促进儿科医院护理中的公平。
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引用次数: 0
We Tell the Story: Building Collective Resilience Against Racism From Early Childhood 我们讲故事:从幼儿时期开始培养集体抵御种族主义的能力。
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1016/j.acap.2023.09.015
Ashaunta T. Anderson MD, MPH, MSHS , Adiaha Spinks-Franklin MD, MPH , Nia Heard-Garris MD, MBA, MSc , Tiffani J. Johnson MD, MSc
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引用次数: 0
Addressing the Health Impacts of Racism on Children and Youth: Equity Until Equality 解决种族主义对儿童和青少年健康的影响:公平直到平等。
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1016/j.acap.2024.05.005
Harolyn M.E. Belcher MD, MHS , Marie V. Plaisime PhD, MPH , Nikeea Copeland-Linder PhD, MPH
Race is a sociopolitical construct based on physical characteristics, not a biological construct. Racism is a system that ascribes value and resources based on the sociopolitical construct called “race.” In the United States and other countries around the world, racism is associated with disparate health outcomes and shortened life expectancies. Health equity employs health-related systems (eg, health care providers, insurance companies, hospitals, research, pharmaceutical companies) across multiple sectors (eg, housing, education, business, government) to allocate resources and services to correct and promote political and social determinants associated with health and wellness. Applying health equity practices and policies ensures that each child, youth, and adult receives comprehensive, evidence-informed, culturally relevant, and needs-based services to achieve optimum health. This article provides an overview of the impact of racism embedded in systems and policies that challenge optimal health for children and youth and offers evidence-supported paths forward to advance health and wellness in the United States. Until each child and adolescent enjoys optimal and equal health outcomes, health equity practices and social justice are mandatory.
种族是一种基于生理特征的社会政治建构,而非生物建构。种族主义是一种基于 "种族 "这一社会政治建构而赋予价值和资源的制度。在美国和世界其他国家,种族主义与不同的健康结果和预期寿命缩短有关。健康公平利用多个部门(如住房、教育、商业、政府)的健康相关系统(如医疗服务提供者、保险公司、医院、研究、制药公司)来分配资源和服务,以纠正和促进与健康和保健相关的政治和社会决定因素。应用健康公平实践和政策可确保每个儿童、青少年和成年人都能获得全面、有实证依据、与文化相关、以需求为基础的服务,从而达到最佳健康状态。本文概述了对儿童和青少年的最佳健康构成挑战的制度和政策中蕴含的种族主义的影响,并提供了有证据支持的前进道路,以促进美国的健康和福祉。在每个儿童和青少年都享有最佳和平等的健康结果之前,健康公平实践和社会正义是必须的。
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引用次数: 0
Leveraging Pediatric Departmental Infrastructure to Promote Anti-racism 利用儿科部门基础设施促进反种族主义。
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1016/j.acap.2023.06.028
Jason Deen MD, FAAP, FAAC, Leslie Walker-Harding MD, FAAP, FSAHM
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引用次数: 0
Reawakening a Reckoning: Health Equity’s Disheartening Disappearing Act 唤醒沉思:健康公平令人沮丧的消失。
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1016/j.acap.2024.07.011
Benjamin Danielson MD , Renée Boynton-Jarrett MD, ScD
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引用次数: 0
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Academic Pediatrics
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