Caring for American Indian and Alaska Native Children and Adolescents

Author:

Bell Shaquita12,Deen Jason F.12,Fuentes Molly3,Moore Kelly4,Calac Daniel,Empey Allison,Nadeau Kristen,Oski Jane,Thierry Judith,Weedn Ashley,

Affiliation:

1. Departments of Pediatrics and

2. Contributed equally as co-first authors

3. Rehabilitation Medicine, School of Medicine, University of Washington and Seattle Children’s Hospital, Seattle, Washington; and

4. Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado

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.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

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