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Addressing Structural Racism in Pediatric Clinical Practice
Marciana Laster1, Daniel Kozman2, Keith C Norris3
1David Geffen School of Medicine, University of California, Los Angeles, CA, USA; Division of Pediatric Nephrology, UCLA Department of Pediatrics, 10833 Le Conte Avenue, MDCC A2-383, Los Angeles, CA 90095-1752, USA.
Pediatric Clinics of North America
|July 8, 2023
Summary
Structural racism significantly harms minoritized children
Area of Science:
- Public Health
- Pediatric Health
- Health Equity
Background:
- Structural racism inequitably allocates social determinants of health.
- Discrimination based on intersectional identities drives health disparities.
- Mitochondrial dysfunction is linked to neurodevelopmental disorders.
Purpose of the Study:
- To highlight the impact of structural racism on child health.
- To outline pediatric clinicians' roles in mitigating racism.
- To advocate for race-conscious pediatric care.
Main Methods:
- Literature review on structural racism and child health outcomes.
- Analysis of clinical practice guidelines for addressing discrimination.
- Synthesis of recommendations for culturally humble care.
Main Results:
- Structural racism is a primary driver of adverse health outcomes for minoritized children.
- Pediatric clinicians can identify and mitigate racism in healthcare.
- Addressing racism requires a race-conscious approach and shared decision-making.
Conclusions:
- Pediatric clinicians must actively combat structural racism.
- Mitigating racism improves health equity for children and families.
- Culturally humble and race-conscious care is essential in pediatrics.
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