Coyne-Beasley Tamera, Hill Samantha V, Miller Elizabeth, Svetaz Maria Veronica
Division of Adolescent Medicine, University of Alabama at Birmingham, Children's of Alabama, Birmingham, Alabama.
Division of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Pediatrics. 2023 Apr 1;151(Suppl 1). doi: 10.1542/peds.2022-057267F.
Racism is woven within the fabric of the United States culture, structures, and systems, including its healthcare system. There is extensive research on adults demonstrating racial discrimination's physical and mental health impacts, and the evidence showing similar disproportionate effects for adolescents of color continues to grow. Furthermore, the devastation of the coronavirus pandemic has paralleled the resurgence of white nationalism movements and adverse outcomes associated with the over-policing of Black and Brown communities. Scientific evidence continues to illustrate how sociopolitical determinants of health and experiencing vicarious racism amplify overt racism and implicit bias actions individually and within health care structures. Therefore, evidence-based strategic interventions are desperately needed to ensure the health and well-being of adolescents and young adults.
种族主义交织在美国文化、结构和体系之中,包括其医疗体系。有大量针对成年人的研究表明种族歧视对身心健康的影响,而且有证据显示,有色人种青少年也受到类似的不成比例的影响,此类证据还在不断增加。此外,新冠疫情的破坏与白人民族主义运动的复苏以及与对黑人和棕色人种社区过度执法相关的不良后果同时出现。科学证据不断表明,健康的社会政治决定因素以及经历替代性种族主义如何在个体层面以及在医疗结构中放大公开的种族主义和隐性偏见行为。因此,迫切需要基于证据的战略干预措施,以确保青少年和青年的健康与福祉。