Caring for American Indian and Alaska Native Children and Adolescents

Shaquita Bell · Jason F. Deen · Molly M. Fuentes · KELLY R. MOORE · Daniel J. Calac · Allison Empey +4 more

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Indigenous Health, Education, and Rights Child and Adolescent Health Indigenous Health and Education

Abstract

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.

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References

1998Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults 1990Child abuse: Adolescent records vs. adult recall 2005The enduring effects of abuse and related adverse experiences in childhood 2012The Health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding 1999Prevalence of and Risk Factors for Lifetime Suicide Attempts in the National Comorbidity Survey 2004The interrelatedness of multiple forms of childhood abuse, neglect, and household dysfunction 2011Early Childhood Adversity, Toxic Stress, and the Role of the Pediatrician: Translating Developmental Science Into Lifelong Health 2019The Impact of Racism on Child and Adolescent Health

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2021Land Rights and Health Outcomes in American Indian/Alaska Native Children 2021American Indian/Alaska Native Child Health and Poverty 2024Diversity, Equity, and Inclusion, Child Health, and the Pediatric Subspecialty Workforce

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