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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Children with Short Stature and Growth Failure: Heightism, Gender and Racial Disparities
Terri H Lipman1, Ian J McCurry2
1University of Pennsylvania School of Nursing, Philadelphia, PA, USA, Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Insights
Identifying growth disorders in children is vital for health. However, biases in care and heightism negatively impact short children, necessitating advanced practice nurse intervention.
Area of Science:
- Pediatrics
- Endocrinology
- Child Health
Background:
- Child growth is a key health indicator; growth failure can signal underlying conditions.
- Existing gender and racial biases create inequities in diagnosing and treating growth disorders.
- Short stature in children is linked to significant psychosocial challenges, including bullying and overprotection.
Purpose of the Study:
- To highlight the critical role of advanced practice nurses in addressing growth disorders.
- To examine the impact of heightism and associated psychosocial issues on short children.
- To advocate for the reduction of gender and racial disparities in pediatric growth care.
Main Methods:
- Literature review on growth disorders, heightism, and health disparities.
- Analysis of psychosocial impacts on children with short stature.
- Exploration of advanced practice nursing interventions for equitable care.
Main Results:
- Growth disorders require early detection for timely intervention.
- Heightism contributes to negative psychosocial outcomes for short children.
- Systemic biases affect identification, referral, and treatment pathways.
Conclusions:
- Advanced practice nurses are essential in mitigating heightism and disparities.
- Equitable identification and treatment of growth disorders are crucial for child well-being.
- Addressing psychosocial needs alongside medical care is paramount for affected children.
Abstract:
Growth is the single most important indication of the health of a child. Identification of growth disorders in all children is crucial as growth failure can be the first sign of a number of acute and chronic conditions. However, gender and racial biases have resulted in inequities in the identification, referral and treatment of children with growth disorders. In addition, short children have been impacted by a number of psychosocial issues. Heightism is prejudice or discrimination against individuals based on height, and refers to discrimination against individuals whose height is not within the normal acceptable range. Studies have shown that short children have been affected by juvenilization, teasing, bullying, victimization, loss of independence/ overprotection, and exclusion. The role of the advanced practice nurse is critical in addressing heightism and racial and gender disparities in children with growth failure/short stature.
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