Racism: Assessment of the Impact on Pediatric Holistic Health
摘要
The COVID-19 pandemic disrupted the holistic health of children in the United States beginning in March 2020. It exacerbated health, economic, and educational disparities that existed at baseline. Racial and ethnic disparities in COVID-19 infections and deaths were identified early in the pandemic ( https://www.cdc.gov/mmwr/volumes/70/wr/mm7011e1.htm ). Access to primary and preventive pediatric care was severely disrupted; communities that have been historically marginalized due to racism continued to face the greatest disparities and inequities in accessing services. Difficulties in accessing care such as well-child visits and immunizations were not experienced equally across populations. Disruptions in access to care were the most pronounced in Black and Latinx households (Phan et al., Public Health Reports 138(4):633–644, 2023). These disparities are rooted in inequities that stem from structural racism, including payment and insurance coverage, access to healthcare facilities, access to employment that provides time off for medical appointments, and historical and current-day mistrust of the medical system by minoritized communities due to mistreatment (Phan et al., Public Health Reports 138(4):633–644, 2023).