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Updated: Jul 24, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Published on: February 16, 2011

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

Keywords:

Child health Disparities Ethnicity Pediatrics Race Racism

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Published on: January 12, 2018

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.