Pediatric Annals最新文献

Language Equity in Pediatrics: Caring for Children From Families Who Speak a Language Other Than English. 儿科学中的语言平等：照顾来自非英语家庭的孩子。

IF 1 4区医学

Pediatric Annals Pub Date : 2026-05-01 DOI: 10.3928/19382359-20260209-04

Mary S Pilarz, Stephanie Granada, Hannah L Harp, Adrian D Zurca, Kshama Shah, Victoria A Rodriguez

{"title":"Language Equity in Pediatrics: Caring for Children From Families Who Speak a Language Other Than English.","authors":"Mary S Pilarz, Stephanie Granada, Hannah L Harp, Adrian D Zurca, Kshama Shah, Victoria A Rodriguez","doi":"10.3928/19382359-20260209-04","DOIUrl":"https://doi.org/10.3928/19382359-20260209-04","url":null,"abstract":"Families who speak a language other than English (LOE) are a growing population in the United States. Children of these families are at risk of disparities in clinical settings. This narrative review synthesizes evidence from outpatient and inpatient settings and outlines pragmatic strategies to improve communication and outcomes. Speaking a LOE is linked to low rates of preventive care, underinsurance, long hospitalizations, delayed escalation of care, undertreatment of pain, and adverse events. Although working with professional interpreters improves outcomes, services remain underutilized; families prefer in-person interpretation when available. Emerging modalities, such as equipment-assisted simultaneous interpretation and artificial intelligence-based translation, show promise for mitigating disparities but still demonstrate uneven performance across languages. Advancing equity will require best-practice interpretation use, investment in interpreter services and clinician language proficiency, inclusive research, and education that equips clinicians and health systems to partner effectively with families who speak an LOE.","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"55 5","pages":"e164-e168"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Systems, Structures, and Support: Using a Socioecological Framework to Improve Health Equity for Children in Immigrant Families. 系统、结构和支持：使用社会生态框架来改善移民家庭儿童的健康公平。

IF 1 4区医学

Pediatric Annals Pub Date : 2026-05-01 DOI: 10.3928/19382359-20260209-02

Nicole E Hickman, Emma L Anselin, Elizabeth Dawson-Hahn, Rachel J Welch

{"title":"Systems, Structures, and Support: Using a Socioecological Framework to Improve Health Equity for Children in Immigrant Families.","authors":"Nicole E Hickman, Emma L Anselin, Elizabeth Dawson-Hahn, Rachel J Welch","doi":"10.3928/19382359-20260209-02","DOIUrl":"https://doi.org/10.3928/19382359-20260209-02","url":null,"abstract":"Children in immigrant families (CIF) represent one in four children in the United States and face disproportionate health risks shaped by immigration policy, structural racism, trauma, and barriers to care. Using a socioecological framework, this article reviews the current state of pediatric immigrant health and outlines opportunities for pediatricians to advance equity at the individual, organizational, and structural levels. Clinicians can follow expert clinical care guidelines, practice trauma-informed care and safe documentation practices, and partner with qualified medical interpreters. Health systems can create safe spaces for immigrant families and collaborate with researchers to promote community-led cohort building while protecting patients from identification. Finally, pediatricians play a vital role in advocating for inclusive insurance coverage and equitable health policies. Advancing care for CIF requires coordinated efforts across all levels of influence to ensure that every child, regardless of birthplace or legal status, receives care grounded in dignity, trust, and justice.","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"55 5","pages":"e169-e176"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bridging the Gap: Addressing Geographic Inequities in Pediatric Care. 弥合差距：解决儿科护理中的地域不平等问题。

IF 1 4区医学

Pediatric Annals Pub Date : 2026-05-01 DOI: 10.3928/19382359-20260209-03

Amanda R Holloway, Christine E Maloney

引用次数: 0

Supporting Children and Adolescents Amid Global Conflicts. 在全球冲突中支持儿童和青少年。

IF 1 4区医学

Pediatric Annals Pub Date : 2026-05-01 DOI: 10.3928/19382359-20260409-02

Tyler K Smith, Anik Patel

引用次数: 0

Evidence-Based Strategies to Promote Diversity and Equity for Medical Education Programs. 以证据为基础的策略促进医学教育项目的多样性和公平性。

IF 1 4区医学

Pediatric Annals Pub Date : 2026-05-01 DOI: 10.3928/19382359-20260209-05

Megan Schmalz, Joyce Tong, Zoe Listernick, Audrea M Burns, Michelle A Lopez, Adam Cohen

{"title":"Evidence-Based Strategies to Promote Diversity and Equity for Medical Education Programs.","authors":"Megan Schmalz, Joyce Tong, Zoe Listernick, Audrea M Burns, Michelle A Lopez, Adam Cohen","doi":"10.3928/19382359-20260209-05","DOIUrl":"https://doi.org/10.3928/19382359-20260209-05","url":null,"abstract":"A growing body of research demonstrates that equity and diversity in pediatric medical education programs are imperative to strengthen the pediatric workforce and improve pediatric health outcomes. Despite this, there is limited actionable guidance for clinicians and educators on methods to mitigate inequities within the recruitment process. This narrative review summarizes evidence-based strategies to reduce disparities in the undergraduate and graduate medical education applicant selection process, including holistic review, data-driven selection, implicit bias training, reduction of structural barriers, and showcasing existing diversity within programs. The review concludes with calls to action for leaders of programs and professional societies to pursue recruitment practices that are fair and evidence-based, as well as to create a more representative workforce. Additionally, recruitment improvements are only part of the puzzle, and programs must ensure an equitable and inclusive learning environment for diverse learners to have the best opportunity for success.","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"55 5","pages":"e188-e194"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health Disparities and Ableism in Children With Medical Complexity. 医疗复杂性儿童的健康差异和残疾

IF 1 4区医学

Pediatric Annals Pub Date : 2026-05-01 DOI: 10.3928/19382359-20260209-01

Tolulope Fatola, Krishna Trivedi, Talia S Shear

引用次数: 0

Health Equity in Pediatrics: Review of Current State and Future Directions. 儿科健康公平：现状和未来方向的回顾。

IF 1 4区医学

Pediatric Annals Pub Date : 2026-05-01 DOI: 10.3928/19382359-20260209-06

Yuri Takabatake, Sadie LaPonsie

引用次数: 0

Migraine Variants and Precursors in Childhood: Clinical Features, Diagnostic Challenges, and Management Approaches. 儿童期偏头痛的变异和前兆：临床特征、诊断挑战和管理方法。

IF 1 4区医学

Pediatric Annals Pub Date : 2026-05-01 DOI: 10.3928/19382359-20260304-02

Anjaneya Shankar Madhav Bandatmakur, Lalitha Sivaswamy

{"title":"Migraine Variants and Precursors in Childhood: Clinical Features, Diagnostic Challenges, and Management Approaches.","authors":"Anjaneya Shankar Madhav Bandatmakur, Lalitha Sivaswamy","doi":"10.3928/19382359-20260304-02","DOIUrl":"https://doi.org/10.3928/19382359-20260304-02","url":null,"abstract":"Migraine variants in childhood present with diverse and often nonheadache symptoms, complicating diagnosis and management. This review aims to clarify the clinical features, differential diagnoses, and therapeutic strategies for pediatric migraine variants and precursors, including infantile colic, benign paroxysmal torticollis, recurrent vertigo, cyclic vomiting syndrome, abdominal migraine, acute confusional migraine, and Alice in Wonderland syndrome. A narrative approach was used, integrating case-based discussion and current diagnostic criteria. Key findings highlight the paroxysmal nature of these syndromes, frequent family history of migraine, and the importance of excluding other causes. Most migraine variants are self-limited and benefit from supportive care, trigger avoidance, and age-appropriate pharmacologic prophylaxis when indicated. Early recognition and reassurance are essential in preventing unnecessary investigations and improving outcomes. This review underscores the need for clinician awareness and individualized management to optimize care for children with migraine variants.","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"55 5","pages":"e195-e200"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Growth Faltering: Definitions and References for Typical Ranges. 增长迟缓：典型范围的定义和参考。

IF 1 4区医学

Pediatric Annals Pub Date : 2026-04-01 DOI: 10.3928/19382359-20260127-04

Natasha Shur, Sangeeta Sule, Carrie Daymont

引用次数: 0

Communication Strategies to Support Self-Advocacy in Transgender Youth With Autism Spectrum Disorder: A Literature Review. 支持跨性别自闭症谱系障碍青少年自我倡导的沟通策略：文献综述。

IF 1 4区医学

Pediatric Annals Pub Date : 2026-04-01 DOI: 10.3928/19382359-20260127-06

Alyssa P Stern, John Sullivan

{"title":"Communication Strategies to Support Self-Advocacy in Transgender Youth With Autism Spectrum Disorder: A Literature Review.","authors":"Alyssa P Stern, John Sullivan","doi":"10.3928/19382359-20260127-06","DOIUrl":"https://doi.org/10.3928/19382359-20260127-06","url":null,"abstract":"This literature review examines effective communication strategies for clinicians supporting youth with co-occurring autism spectrum disorder (ASD) and transgender and gender-diverse (TGD) identities, with the goal of enhancing self-advocacy related to gender identity and mental health. Approximately 11% of individuals who are TGD are also diagnosed with ASD, highlighting a complex intersection of identities often met with misunderstanding or dismissal by peers, parents/guardians, and health care professionals. High rates of anxiety, depression, suicidal ideation, and communication challenges are prevalent in this population, furthering complications. Based on 21 studies selected per PRISMA 2020 guidelines, the review underscores the importance of evidence-based tools that can be used to help aid treatment and communication; although, many of these tools are not diagnostic. Clinicians are encouraged to implement ASD screenings and LGBTQIA+ (lesbian, gay, bisexual, transgender, queer/questioning, intersex, and asexual/aromantic/agender) training, as well as address systemic barriers. Affirming and individualized care is essential to improving outcomes for youth with ASD who are TGD.","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"55 4","pages":"e152-e157"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0