Ms. Hester is Content Specialist with Contemporary OB/GYN and Contemporary Pediatrics.
A new policy statement offers recommendations for tackling inequities in health care for American Indian and Alaska Native children and teenagers.
Recent research has indicated that many non-White children experience poorer outcomes than their White peers and the pandemic, with its increased toll on non-White Americans, has further illustrated the need to address health inequities. A policy statement from the American Academy of Pediatrics addresses how pediatricians are in a key position to improve health outcomes of American Indian and Alaska Native (AI/AN) children and teenagers.1
The statement first examines important areas where AI/AN children and teenagers are at increased risk of negative outcomes. Children who were AI/AN are more likely to experience multiple adverse childhood experiences than non-Hispanic White children. Obesity is more prevalent in AI/AN children than other children and the prevalence has been increasing in AI/AN children, even as it decreased in other groups. Poor oral health is another major public health concern for AI/AN children and many of them have limited access to dentists because of lack of recruitment to the Indian Health Services.
The statement has several recommendations for how pediatricians can provide improved care to AI/AN pediatric patients:
The statement also included recommendations for public policy advocacy:
1. Bell S, Deen J, Fuentes M, Moore K, Committee on Native American Child Health. Caring for american indian and alaska native children and adolescents. Pediatrics. March 22, 2021. Epub ahead of print. doi:10.1542/peds.2021-050498