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Bringing Inclusion Into Pediatric Primary Health Care: A Systematic Review of the Behavioral Health Treatment of Racial and Ethnic Minority Youth
Journal of Pediatric Health Care ( IF 2.8 ) Pub Date : 2021-06-01 , DOI: 10.1016/j.pedhc.2021.04.002
Florence J. Lewis , Damon Rappleyea , Katharine Didericksen , Natalia Sira , James Byrd , Annabel Buton

Introduction

Currently, pediatric behavioral health care accounts for one of the fastest growing health care expenditures. Children representing racial and ethnic minority groups are still found to experience significant behavioral health needs. Primary health care represents the first level of contact with the health care system.

Method

The purpose of this systematic review was to synthesize articles discussing the behavioral health needs and treatment of racial and ethnic minority in primary care settings.

Results

Results yielded 40 articles meeting the inclusion criteria. Themes included: provider screening, provider selected treatments, prevalence and need, and stigma and patient-provider communication.

Conclusions

Themes were discussed through the Ecological Systems Theory lens. Study limitations included its exclusion of intellectual disabilities like Autism Spectrum Disorder, lack of literature utilizing large minority samples, and lack of attention to the intersection between race and/or ethnicity alongside other demographics of concern like gender, age, social class, and geographical location.



中文翻译:

将包容性纳入儿科初级卫生保健:对种族和少数民族青年行为健康治疗的系统评价

介绍

目前,儿科行为保健是增长最快的保健支出之一。仍然发现代表种族和少数族裔群体的儿童有显着的行为健康需求。初级卫生保健是与卫生保健系统接触的第一层次。

方法

本系统评价的目的是综合讨论初级保健机构中种族和少数民族的行为健康需求和治疗的文章。

结果

结果产生了 40 篇符合纳入标准的文章。主题包括:提供者筛选、提供者选择的治疗、流行和需求,以及污名和患者与提供者之间的沟通。

结论

通过生态系统理论的视角讨论了主题。研究限制包括排除自闭症谱系障碍等智力障碍,缺乏使用大量少数族裔样本的文献,以及缺乏对种族和/或族裔与性别、年龄、社会阶层和地理位置等其他关注人口统计数据之间的交叉点的关注.

更新日期:2021-06-01
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