Promoting Safe and Supportive Health Care Spaces for Youth Experiencing Racism.
Sarah J Atunah-Jay1, Sean Phelan2, Ashaunta T Anderson3
1Mayo Clinic Alix School of Medicine (SJ Atunah-Jay), Mayo Clinic College of Medicine and Science, Rochester, Minn.
Academic Pediatrics
|January 20, 2024
Summary
Pediatric patients experience racism in healthcare settings, impacting their well-being. This study identifies clinic-based strategies to create safer, more supportive environments for children facing racial discrimination.
Area of Science:
- Qualitative Health Research
- Pediatric Health Equity
- Community-Based Participatory Research
Background:
- Racism negatively impacts child development across biological, psychological, and behavioral domains.
- Limited research exists on healthcare professionals' roles in supporting pediatric patients experiencing racism.
- Healthcare settings can be sites where children experience race-related prejudice and discrimination.
Purpose of the Study:
- To understand pediatric patients' experiences of racism within healthcare settings.
- To explore clinic-based interventions for supporting youth who experience racism.
- To involve community partners in all research phases.
Main Methods:
- Qualitative study using a community-based participatory research approach.
- Focus groups conducted with youth (11-18 years) and their parents/guardians.
- Participants were youth of color, Latinx, or Indigenous who reported experiencing race-related prejudice.
- Interpretative phenomenological analysis used for data analysis.
Main Results:
- Identified key themes of racism in healthcare settings, including patient-clinician communication and experiences of discrimination.
- Elicited patient and parent/guardian recommendations for support.
- Recommendations addressed intrapersonal, interpersonal, structural, and institutional domains of racism.
Conclusions:
- Racism in healthcare settings poses significant risks to children's functioning.
- Findings highlight opportunities to enhance healthcare spaces for pediatric patients experiencing racism.
- Developing supportive clinic-based strategies is crucial for child well-being.
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