Department of Health Systems Science (JR Javier), Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, Calif.
College of Social Sciences (LM Takahashi), San Jose State University, One Washington Square, Calif.
Acad Pediatr. 2024 Sep-Oct;24(7S):S147-S151. doi: 10.1016/j.acap.2024.07.005.
This paper discusses how anti-Asian American, Native Hawaiian, and Pacific Islander (AANHPI) racism affects pediatric training, research, and clinical practice. Extant research shows that racism and discrimination are social determinants of health that impact AANHPI populations, including youth. AANHPI youth face significant health disparities and a wide range of barriers to health care access. However, AANHPIs tend to be seen by clinicians and depicted in training as monolithic, high achieving, and a relatively low priority in terms of pediatric workforce recruitment and training and pediatric research. After a brief discussion of US policies that have explicitly aimed to exclude, punish, or imprison AANHPIs, the paper explains AANHPI racism and its consequences. The paper then describes evidence of anti-AANHPI racism in pediatrics and offers recommendations for training, research, and clinical practice.
本文讨论了反亚裔美国人、夏威夷原住民和太平洋岛民（AANHPI）种族主义如何影响儿科培训、研究和临床实践。现有研究表明，种族主义和歧视是影响 AANHPI 人群（包括青少年）健康的社会决定因素。AANHPI 青少年面临着严重的健康差距和广泛的医疗保健获取障碍。然而，临床医生往往将 AANHPI 视为单一群体，认为他们成就高，在儿科劳动力招聘和培训以及儿科研究方面的优先级相对较低。在简要讨论了明确旨在排斥、惩罚或监禁 AANHPI 的美国政策之后，本文解释了 AANHPI 种族主义及其后果。然后，本文描述了儿科学中反 AANHPI 种族主义的证据，并为培训、研究和临床实践提出了建议。
