Health professionals who care for children will find a thoughtful and hands-on resource to address racism and race-related issues in their practices in this essay collection. Leading experts from across disciplines frame the issues and provide practical information on prevention, intervention, and anticipatory guidance. Each chapter is grounded in the recommendations outlined in the American Academy of Pediatrics (AAP) policy statement “The Impact of Racism on Child and Adolescent Health.” The AAP is committed to reducing the ongoing costs and burden of racism to children, the health care system, and society—this book is an important contribution to that effort and ongoing conversation. Available for purchase at https://www.aap.org/Untangling-the-Thread-of-Racism-A-Primer-for-Pediatric-Health-Professionals-Paperback
7: Treaties, Public Health Service, and Health Status of Native American Children, Adolescents, and Young Adults
Joseph Burns, MD, Allison Empey, MD (Confederated Tribes of Grand Ronde), "Treaties, Public Health Service, and Health Status of Native American Children, Adolescents, and Young Adults", Untangling the Thread of Racism: A Primer for Pediatric Health Professionals, American Academy of Pediatrics, Maria Trent, MD, MPH, FSAHM, FAAP, Danielle G. Dooley, MD, MPhil, FAAP, Jacqueline Dougé, MD, MPH, FAAP
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Since the first European contact, Native American populations have experienced inequities in health. Although the evidence lags because of underreporting or misclassifying of race and ethnicity data, there are egregious inequities in American Indian/Alaska Native child health reports relative to the general population. These health inequities are driven by historical and current systemic racism and result in exposure to adverse childhood experiences, including psychological and physical abuse, violence, or substance use, manifesting in an intergenerational and epigenetic predisposition to poor health outcomes. Pediatric health professionals, allied health professionals, and community partners are essential in helping identify children at risk for health inequities and advocating for policies combating structural racism.
Keywords: American Indian/Alaska Native, health inequities, historical trauma