Taryn Sirias, Jason J Lau, Amanda Leon, Amanda Millstein, Naomi S Bardach
{"title":"儿科领导人对气候变化倡导的看法。","authors":"Taryn Sirias, Jason J Lau, Amanda Leon, Amanda Millstein, Naomi S Bardach","doi":"10.1016/j.acap.2025.103134","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Climate change is a leading global threat to pediatric health, but there is limited knowledge about appropriate professional actions in response. The American Academy of Pediatrics (AAP) recommends pediatricians engage in climate advocacy. Our objective is to explore pediatrician perceptions of their role in climate advocacy and to elucidate barriers and facilitators to fulfilling that role.</p><p><strong>Methods: </strong>We conducted semi-structured interviews analyzed using qualitative thematic analysis, collected via teleconferencing software from September 2023 to February 2024. Participants were 18 practicing pediatricians serving as state or chapter AAP Members-At-Large, or committee leaders; recruitment was via email solicitation to those in Environmental Protection Agency eco-regions nationally.</p><p><strong>Exclusions: </strong>non-practicing pediatricians; those in climate change or environmental health AAP roles RESULTS: 18 pediatricians (13 identifying as women [72%], 8 as White [44%], 10 working in academic settings [56%], 14 in General Pediatrics [78%]) were interviewed. Participants endorsed climate change advocacy as an appropriate pediatric role, especially to address health inequities. We identified three approaches to climate change advocacy: healthcare, community-based, and legislative advocacy. We identified five factors in feasibility: barriers included lack of time and politicization of climate change; facilitators included the pediatricians' ability to have difficult conversations, institutional support, and starting local.</p><p><strong>Conclusion: </strong>Pediatric leaders regard climate advocacy as an important role for pediatricians who wish to promote health equity and child and family health. The barriers and facilitators to participating in different types of climate advocacy we identify provide potentially actionable approaches to supporting pediatricians in addressing climate change.</p><p><strong>What's new: </strong>This study is the first qualitative exploration of United States pediatrician perspectives on climate change policy advocacy. These findings explore advocacy's importance for mitigating climate change's impacts on pediatric health and may guide future interventions to enhance pediatricians' advocacy engagement.</p>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"103134"},"PeriodicalIF":2.8000,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Pediatric Leaders' Perspectives on Climate Change Advocacy.\",\"authors\":\"Taryn Sirias, Jason J Lau, Amanda Leon, Amanda Millstein, Naomi S Bardach\",\"doi\":\"10.1016/j.acap.2025.103134\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Climate change is a leading global threat to pediatric health, but there is limited knowledge about appropriate professional actions in response. The American Academy of Pediatrics (AAP) recommends pediatricians engage in climate advocacy. Our objective is to explore pediatrician perceptions of their role in climate advocacy and to elucidate barriers and facilitators to fulfilling that role.</p><p><strong>Methods: </strong>We conducted semi-structured interviews analyzed using qualitative thematic analysis, collected via teleconferencing software from September 2023 to February 2024. Participants were 18 practicing pediatricians serving as state or chapter AAP Members-At-Large, or committee leaders; recruitment was via email solicitation to those in Environmental Protection Agency eco-regions nationally.</p><p><strong>Exclusions: </strong>non-practicing pediatricians; those in climate change or environmental health AAP roles RESULTS: 18 pediatricians (13 identifying as women [72%], 8 as White [44%], 10 working in academic settings [56%], 14 in General Pediatrics [78%]) were interviewed. Participants endorsed climate change advocacy as an appropriate pediatric role, especially to address health inequities. We identified three approaches to climate change advocacy: healthcare, community-based, and legislative advocacy. We identified five factors in feasibility: barriers included lack of time and politicization of climate change; facilitators included the pediatricians' ability to have difficult conversations, institutional support, and starting local.</p><p><strong>Conclusion: </strong>Pediatric leaders regard climate advocacy as an important role for pediatricians who wish to promote health equity and child and family health. The barriers and facilitators to participating in different types of climate advocacy we identify provide potentially actionable approaches to supporting pediatricians in addressing climate change.</p><p><strong>What's new: </strong>This study is the first qualitative exploration of United States pediatrician perspectives on climate change policy advocacy. These findings explore advocacy's importance for mitigating climate change's impacts on pediatric health and may guide future interventions to enhance pediatricians' advocacy engagement.</p>\",\"PeriodicalId\":50930,\"journal\":{\"name\":\"Academic Pediatrics\",\"volume\":\" \",\"pages\":\"103134\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2025-08-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Academic Pediatrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.acap.2025.103134\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Academic Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.acap.2025.103134","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
Pediatric Leaders' Perspectives on Climate Change Advocacy.
Objective: Climate change is a leading global threat to pediatric health, but there is limited knowledge about appropriate professional actions in response. The American Academy of Pediatrics (AAP) recommends pediatricians engage in climate advocacy. Our objective is to explore pediatrician perceptions of their role in climate advocacy and to elucidate barriers and facilitators to fulfilling that role.
Methods: We conducted semi-structured interviews analyzed using qualitative thematic analysis, collected via teleconferencing software from September 2023 to February 2024. Participants were 18 practicing pediatricians serving as state or chapter AAP Members-At-Large, or committee leaders; recruitment was via email solicitation to those in Environmental Protection Agency eco-regions nationally.
Exclusions: non-practicing pediatricians; those in climate change or environmental health AAP roles RESULTS: 18 pediatricians (13 identifying as women [72%], 8 as White [44%], 10 working in academic settings [56%], 14 in General Pediatrics [78%]) were interviewed. Participants endorsed climate change advocacy as an appropriate pediatric role, especially to address health inequities. We identified three approaches to climate change advocacy: healthcare, community-based, and legislative advocacy. We identified five factors in feasibility: barriers included lack of time and politicization of climate change; facilitators included the pediatricians' ability to have difficult conversations, institutional support, and starting local.
Conclusion: Pediatric leaders regard climate advocacy as an important role for pediatricians who wish to promote health equity and child and family health. The barriers and facilitators to participating in different types of climate advocacy we identify provide potentially actionable approaches to supporting pediatricians in addressing climate change.
What's new: This study is the first qualitative exploration of United States pediatrician perspectives on climate change policy advocacy. These findings explore advocacy's importance for mitigating climate change's impacts on pediatric health and may guide future interventions to enhance pediatricians' advocacy engagement.
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.
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