Time for Inclusion of Racial and Gender Discrimination in Routine Clinical Assessment.
J Racial Ethn Health Disparities
; 8(4): 803-808, 2021 08.
Article
in English
| MEDLINE | ID: covidwho-1241721
ABSTRACT
Recently, there has been an increasing amount of scientific interest towards the broad theme of racial inequalities and their impact on human health, specifically exploring how ethnic discrimination affects the wellness of black people and the COVID-19 pandemic. Some of these conditions of inequity also affect black children. Discrimination and racism should be routinely considered as causative agents or triggers of disease and routinely included in clinical examination, during history collection and evaluation of vital signs. This will benefit child and family health, worldwide. We shared our recent experience by reporting a case of a 13-year-old black girl who came to Italy from Niger about 3 years earlier through the traumatizing migratory journey. She was evaluated in the Pediatric Emergency Department (PED) for sleepiness that had progressively worsened during the last days. We describe the case and how it was handled differently by pediatricians and pediatric trainees with equally different personal and professional backgrounds.We also report the preliminary results of a national survey aimed to assess discrimination and inequalities in Italian Paediatric Residency Schools. Medical ability has been allowing us to respond rapidly to a novel virus in order to save lives. The expertise of doctors and researchers must be used to evaluate this hidden crisis as well, to address racism and injustice and to protect vulnerable people from harm. Our case showed us how it is essential including racial and gender discrimination in a diagnostic process.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Black People
/
Health Status Disparities
/
Racism
/
Sexism
/
Routinely Collected Health Data
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
Limits:
Adolescent
/
Female
/
Humans
Country/Region as subject:
Africa
/
Europa
Language:
English
Journal:
J Racial Ethn Health Disparities
Year:
2021
Document Type:
Article
Affiliation country:
S40615-021-01061-0
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