Pediatric nephrology has a history rooted in pediatric advocacy and has made numerous contributions to child health policy affecting pediatric kidney diseases. Despite this progress, profound social disparities remain for marginalized and socially vulnerable children with kidney disease. Different risk factors, such as genetic predisposition, environmental factors, social risk factors, or health care access influence the emergence and progression of pediatric kidney disease, as well as access to life-saving interventions, leading to disparate outcomes. This review will summarize the breadth of literature on social determinants of health in children with kidney disease worldwide and highlight policy-based initiatives that mitigate the adverse social factors to generate greater equity in pediatric kidney disease.

中文翻译：

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儿科肾脏病学政策：成功、失败和对差异的影响。

儿科肾脏病学有着植根于儿科倡导的历史，并为影响儿科肾脏疾病的儿童健康政策做出了许多贡献。尽管取得了这些进展，但对于患有肾病的边缘化和社会弱势儿童来说，仍然存在巨大的社会差异。不同的风险因素，如遗传易感性、环境因素、社会风险因素或医疗保健可及性，会影响小儿肾病的发生和进展，以及获得挽救生命的干预措施，从而导致不同的结果。这篇综述将总结全球范围内有关肾病儿童健康的社会决定因素的广泛文献，并强调以政策为基础的举措，这些举措可以减轻不利的社会因素，从而在儿童肾病中产生更大的公平性。