Departments of Pediatrics and
Contributed equally as co-first authors.
Pediatrics. 2021 Apr;147(4). doi: 10.1542/peds.2021-050498. Epub 2021 Mar 22.
American Indian and Alaska Native (AI/AN) populations have substantial health inequities, and most of their disease entities begin in childhood. In addition, AI/AN children and adolescents have excessive disease rates compared with the general pediatric population. Because of this, providers of pediatric care are in a unique position not only to attenuate disease incidence during childhood but also to improve the health status of this special population as a whole. This policy statement examines the inequitable disease burden observed in AI/AN youth, with a focus on toxic stress, mental health, and issues related to suicide and substance use disorder, risk of and exposure to injury and violence in childhood, obesity and obesity-related cardiovascular risk factors and disease, foster care, and the intersection of lesbian, gay, bisexual, transgender, queer, and Two-Spirit and AI/AN youth. Opportunities for advocacy in policy making also are presented.
美洲印第安人和阿拉斯加原住民（AI/AN）人群存在显著的健康不平等问题，他们的大多数疾病实体都始于儿童期。此外，与一般儿科人群相比，AI/AN 儿童和青少年的疾病发病率过高。正因为如此，儿科保健提供者不仅处于一个独特的位置，可以减轻儿童期疾病的发病率，而且还可以改善这一特殊人群的整体健康状况。本政策声明审视了在 AI/AN 青年中观察到的不平等疾病负担，重点关注毒性应激、心理健康以及与自杀和物质使用障碍、儿童期受伤和暴力风险和暴露、肥胖和肥胖相关心血管风险因素和疾病、寄养以及女同性恋、男同性恋、双性恋、跨性别、酷儿和双性恋和 AI/AN 青年的交叉问题。还提出了在政策制定中进行宣传倡导的机会。
