Addressing the Impacts of Racism on American Indian and Alaska Native Child Health

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics Pub Date : 2024-09-01 DOI:10.1016/j.acap.2023.11.016

Andrea N. Garcia MD, MS , Allison Empey MD , Shaquita Bell MD

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引用次数: 0

Abstract

The legacy of racism toward Native Americans is far-reaching. We will review the topic using the conceptual model of racism as a form of violence as it is inherent in racism, as are prejudice and power. Using the basic frameworks of racism as internalized, interpersonal, institutional, and structural, we will discuss the many types of racism affecting Native Americans today. Racism is the bedrock of generations of trauma experienced in Native communities. The generational/historical trauma of racism has led to epigenetic-level changes affecting Native American people today. We will cover the health impacts of racism and the many institutions built in racist frameworks that continue to perpetuate racism, such as family separation and child removal by child protective services, adverse policing, and disparate incarceration. These allow reflection on policies and the intentionality of racist structures. We will conclude with what can and should be done, particularly as clinicians who work within and adjacent to existing systems of oppression.

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解决种族主义对美国印第安人和阿拉斯加原住民儿童健康的影响。

针对美国原住民的种族主义影响深远。我们将使用种族主义是一种暴力形式的概念模型来回顾这一主题，因为种族主义与偏见和权力一样，都是与生俱来的。我们将利用种族主义的内部化、人际关系、制度和结构等基本框架，讨论当今影响美国原住民的多种类型的种族主义。种族主义是原住民社区世代遭受创伤的基石。种族主义造成的世代/历史创伤导致了影响当今美国原住民的表观遗传学层面的变化。我们将介绍种族主义对健康的影响，以及在种族主义框架下建立的许多继续延续种族主义的机构，如家庭分离和儿童保护服务机构将儿童带走、不利的治安管理和不平等的监禁。这些都允许我们对种族主义结构的政策和意图进行反思。最后，我们将讨论可以做什么，应该做什么，特别是作为在现有压迫体系内和邻近地区工作的临床医生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Academic Pediatrics PEDIATRICS-

CiteScore

4.60

自引率

12.90%

发文量

300

审稿时长

60 days

期刊介绍： Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.