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- Beck, Andrew F1
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Keyword
- COVID-192
- screening2
- Social determinants of health2
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1 - ACA1
- Bias1
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Health Care Disparities in Children:
A Joint Article Collection from Journal of Pediatric Health Care and The Journal of Pediatrics
The COVID-19 pandemic has highlighted the effects of toxic stresses in our society that stem from systematic and structural racism and inequities. Such stresses include poverty, homelessness, disabilities, unemployment, civil unrest, food insecurity, substance abuse, social isolation and limited access to care. The purpose of this virtual issue compiled by The Journal of Pediatrics and the Journal of Pediatric Health Care is to further name and explicate health care disparities in children and youth associated with toxic stress, and to highlight approaches to reduce such inequities.
11 Results
- Reflections on Ethics and Advocacy in Child Health
The Risk of Coding Racism into Pediatric Sepsis Care: The Necessity of Antiracism in Machine Learning
The Journal of PediatricsVol. 247p129–132Published online: April 22, 2022- William Sveen
- Maya Dewan
- Judith W. Dexheimer
Cited in Scopus: 1Machine learning holds the possibility of improving racial health inequalities by compensating for human bias and structural racism. However, unanticipated racial biases may enter during model design, training, or implementation and perpetuate or worsen racial inequalities if ignored. Pre-existing racial health inequalities could be codified into medical care by machine learning without clinicians being aware. To illustrate the importance of a commitment to antiracism at all stages of machine learning, we examine machine learning in predicting severe sepsis in Black children, focusing on the impacts of structural racism that may be perpetuated by machine learning and difficult to discover. - Original Article
The Use of Race, Ethnicity, and Social Determinants of Health in Three Pediatrics Journals
The Journal of PediatricsVol. 247p81–86.e3Published online: March 29, 2022- Wadsworth A. Williams II
- Lainie Friedman Ross
Cited in Scopus: 5To evaluate how race, ethnicity, and social determinants of health (SDOH) are reported and discussed in 3 pediatrics journals. - Original Article
Infant Outcomes among Teenage and Young Mothers: Racial Inequities and the Role of Educational Attainment
The Journal of PediatricsVol. 247p87–94.e2Published online: March 28, 2022- Catherine G. Coughlin
- Shetal Shah
- DeWayne M. Pursley
- Shanshan Liu
- Lois K. Lee
Cited in Scopus: 1To examine the association of age-appropriate maternal educational attainment in teenage and young mothers on infant health outcomes across racial/ethnic groups. - Original Article
Association of Primary Care Shortage Areas with Adverse Outcomes after Pediatric Liver Transplant
The Journal of PediatricsVol. 246p103–109.e2Published online: March 14, 2022- Holly P. Shifman
- Erika Rasnick
- Chiung-Yu Huang
- Andrew F. Beck
- John Bucuvalas
- Jennifer C. Lai
- and others
Cited in Scopus: 3To characterize associations between living in primary care shortage areas and graft failure/death for children after liver transplantation. - Article
Exploring the Effects of the COVID-19 Pandemic on the Children and Families Cared for by Pediatric-Focused Advanced Practice Registered Nurses
Journal of Pediatric Health CareVol. 36Issue 4p321–329Published online: January 23, 2022- Daniel Crawford
- Susan Van Cleve
- Ann Marie McCarthy
- Vanessa Kimm
- Anne K. Nielsen
- Jihye Lee
Cited in Scopus: 0The coronavirus disease 2019 (COVID-19) pandemic has significantly affected children and families. The study purpose was to better understand the perceptions of pediatric-focused advanced practice registered nurses (P-APRNs) on the impact of COVID-19 on patients and practice. - Article
A Schema of Toxic Stress Informed by Racism, Transgenerational Stress, and Disadvantage
Journal of Pediatric Health CareVol. 36Issue 2p79–89Published online: October 6, 2021- Felesia R. Bowen
- Linda A. Lewandowski
- Julia A. Snethen
- Gwendolyn Childs
- Freida H. Outlaw
- Cindy Smith Greenberg
- and others
Cited in Scopus: 2The Toxic Stress Schema (TSS) is an ecological framework with a social justice lens for identifying and alleviating stress and strengthening social determinants of health for children and families of color impacted by the COVID-19 pandemic and the cumulative effects of racism and generational, systemic inequities. - Health Policy
The Affordable Care Act, COVID-19, and Health Care Insurance for Children
Journal of Pediatric Health CareVol. 35Issue 6p639–643Published online: July 23, 2021- Eileen K. Fry-Bowers
Cited in Scopus: 1Despite numerous legal and political challenges over the past decade, the Patient Protection and Affordable Care Act (ACA; Library of Congress, 2010) has been integrated into the health system of the United States and has played an important role in improving child health in this country by increasing access to health care for millions of children. The ACA has also provided a health care lifeline to children and families during the coronavirus disease 2019 (COVID-19) pandemic. This policy brief reviews the legal status of the ACA, explores the impact of COVID-19 on children's access to health insurance, discusses recent legislation supporting child health, and considers the future status of child health insurance coverage and access to care. - Original Article
Development of a Health Disparities Index: Proof of Concept with Chest Radiography in Asthma
The Journal of PediatricsVol. 238p290–295.e1Published online: July 17, 2021- Kavita Parikh
- Matt Hall
- Sunitha V. Kaiser
- Alexander H. Hogan
- Jessica L. Bettenhausen
- Michelle A. Lopez
- and others
Cited in Scopus: 2To develop a tool for quantifying health disparity (Health Disparity Index[HDI]) and explore hospital variation measured by this index using chest radiography (CXR) in asthma as the proof of concept. - Article
Physical, Mental Health and Developmental Conditions, and Sociodemographic Characteristics Associated With Adverse Childhood Experiences Among Young Children in Pediatric Primary Care
Journal of Pediatric Health CareVol. 35Issue 5p491–499Published online: July 2, 2021- Stacy Sterling
- Felicia Chi
- Judy Lin
- Padmaja Padalkar
- Uma Vinayagasundaram
- Esti Iturralde
- and others
Cited in Scopus: 1To examine associations between patient characteristics and adverse childhood experiences (ACEs) in a population-based sample of pediatric primary care patients, using electronic health records and clinical, administrative data. - Article
When Families Do Not Request Help: Assessing a Social Determinants of Health Screening Tool in Practice
Journal of Pediatric Health CareVol. 35Issue 5p471–478Published online: June 8, 2021- Rebeccah L. Sokol
- Roshanak Mehdipanah
- Kiana Bess
- Layla Mohammed
- Alison L. Miller
Cited in Scopus: 10Using pediatric social determinants of health screening data from a large medical system, we explored social needs dislosures and identified which needs were associated with resource connection requests. - Article
Bringing Inclusion Into Pediatric Primary Health Care: A Systematic Review of the Behavioral Health Treatment of Racial and Ethnic Minority Youth
Journal of Pediatric Health CareVol. 35Issue 6e32–e42Published online: May 31, 2021- Florence J. Lewis
- Damon Rappleyea
- Katharine Didericksen
- Natalia Sira
- James Byrd
- Annabel Buton
Cited in Scopus: 1Currently, pediatric behavioral health care accounts for one of the fastest growing health care expenditures. Children representing racial and ethnic minority groups are still found to experience significant behavioral health needs. Primary health care represents the first level of contact with the health care system.