Health Equity and Social Determinants of Health in Pediatric Gastroenterology

Pediatr Clin North Am. 2021 Dec;68(6):1147-1155. doi: 10.1016/j.pcl.2021.07.004.

Abstract

Social determinants of health (SDH) as outlined by Healthy People 2020 encompasses 5 key domains: economic, education, social and community context, health and health care, and neighborhood and built environment. This article emphasizes pediatric populations and some of the existing SDH and health care disparities seen in pediatric gastroenterology. We specifically review inflammatory bowel disease, endoscopy, bariatric surgery, and liver transplantation. We also examine the burgeoning role of telehealth that has become commonplace since the coronavirus disease 2019 era.

Keywords: Endoscopy; Inflammatory bowel disease; Liver transplant; Obesity; Pediatrics; Social determinants of health.

Publication types

  • Review

MeSH terms

  • Child
  • Child Welfare / statistics & numerical data*
  • Gastroenterology / organization & administration*
  • Health Equity / statistics & numerical data*
  • Health Services Accessibility / organization & administration
  • Health Status Disparities
  • Healthcare Disparities / statistics & numerical data*
  • Humans
  • Social Determinants of Health*
  • Socioeconomic Factors
  • United States