儿童生长评估,诊断和治疗中的差异
Vickie Wu1, Terri H Lipman2, Robert Rapaport3
1Department of Pediatrics, Icahn School of Medicine at Mount Sinai, 1245 Park Avenue, New York, NY 10128, USA.
概括
儿童成长评估中的差异不成比例地影响女性和少数民族儿童. 解决医疗保健准入,提供者偏见和结构性种族主义问题对于公平的成长评估和治疗至关重要.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 卫生公平研究 卫生公平研究
- 儿童的成长和发展.
背景情况:
- 显著的性别,种族和社会经济差异被记录在儿童成长的评估和治疗中.
- 白人男性经常被高估和过度对待,而来自少数种族和族群的女性和儿童经常被低估和过度对待.
- 这些差异可能会导致长期的健康后果,并影响整体福祉.
研究的目的:
- 突出儿童成长评估中的现有差异.
- 强调需要一个全面的战略来缓解这些不平等.
- 倡导改善医疗保健准入和提供者意识.
主要方法:
- 这项研究是对有关儿科生长评估差异的现有文献的审查和综合.
- 对基于性别,种族和社会经济地位的差异性待遇模式的数据分析.
- 确定导致这些差异的关键因素.
主要成果:
- 有证据证实,性别,种族和社会经济地位对儿童成长的评估和治疗有重大影响.
- 白人男性表现出过度评价和过度治疗的趋势.
- 来自少数群体的女性和儿童一直被低估和治疗不当,这表明系统偏见.
结论:
- 必须采用多方面的方法来纠正儿童成长评估中的差异.
- 关键干预措施包括加强医疗保健准入,提高提供者教育和对偏见的认识,并积极解决结构性种族主义.
- 实施这些变化对于实现所有儿童的公平护理和最佳健康结果至关重要.
相关概念视频
01:10Nature and Nurture
20.3K
Many human characteristics, like height, are shaped by both nature—in other words, by our genes—and by nurture, or our environment. For example, chronic stress during childhood inhibits the production of growth hormones and consequently reduces bone growth and height. Scientists estimate that 70-90% of variation in height is due to genetic differences among individuals, and 10-30% of variation in height is due to differences in the environments that individuals experience,...
20.3K
01:30Attention-Deficit/Hyperactivity Disorder
23
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
23