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  1. A scoping review was conducted to systematically map the research on children with medical complexity and children and youth with special health care needs (CYSHCN) surrounding health equity. Fifteen articles were reviewed with focus on: access to care, quality of life and well-being, and insurance challenges/financing. Findings suggest CYSHCN require more and different types of services than ...

    • Anti-Black Racism as A Determinant of Health
    • Context
    • Experiences of Institutional Discrimination – Evidence Highlights
    • National Inequalities in Health and Determinants of Health
    • Acknowledgements

    The following snapshot aims to highlight how Anti-Black racism and systemic discrimination are key drivers of health inequalities faced by diverse Black Canadian communitiesFootnote i. Evidence of institutional discrimination in key determinants of health is also presented, including education, income, and housing. Finally, national data is shared ...

    Social, economic, and political factors shape the conditions in which individuals grow, live, work, and age, and are vitally important for health and wellbeing.Footnote 1 Inequalities in these conditions can lead to inequalities in health. When these inequalities are systematic, unfair and avoidable, they can be considered inequitable.Footnote 2 In...

    The first section of this snapshot describes experiences of discrimination that affect access to important resources for health, including education, employment, and housing. This section highlights select evidence from the research literature and national survey data on experiences of discrimination for Black Canadians. The second section of the s...

    Research has shown that Anti-Black racism and discrimination are important drivers of inequalities in education, employment, housing, and other determinants of health for many Black Canadians. However, research on the specific relationships between Anti-Black racism and the health and social inequalities revealed by national survey data is limited....

    Social Determinants and Inequities in Health for Black Canadians: A Snapshotwas written by Ifrah Abdillahi and Ashley Shaw (Social Determinants of Health Division, Public Health Agency of Canada). The authors would like to thank Beth Jackson, Sai Yi Pan, Christine Soon, Colin Steensma, and Marie DesMeules from the Social Determinants of Health Divi...

  2. Jun 1, 2022 · BACKGROUND AND OBJECTIVES. The National Survey of Children’s Health (NSCH) is the nation’s primary source for data on children and youth with special health care needs (CYSHCN) and the only source for state-level estimates. We provide the latest estimates of CYSHCN in the United States, describe population characteristics, as well as the proportion that are served in a well-functioning ...

  3. Jun 1, 2022 · All children and youth with special health care needs (CYSHCN), as currently identified, have chronic health conditions. Health, in this context, should be understood not as the absence of disease, but rather the extent to which children are “able or enabled to (1) develop and realize their potential; (2) satisfy their needs; and (3) develop the capacities that allow them to interact ...

  4. Jun 24, 2024 · Houtrow AJ, Carle A, Perrin JM, Stein REK. Children with special health care needs on Supplemental Security Income for disability have more health impacts and needs than other children with special health care needs on Medicaid. Acad Pediatr. 2020;20(2):258-266.

  5. Dec 1, 2021 · The care gap is so bad even minority children who are relatively healthy and have not experienced decades of discrimination fare worse than their white peers during common, straightforward operations.

  6. In 2019-2020, nearly 1 in 5 children (19.4%) in the United States had a special health care need, representing 14.1 million children. More than 1 in 4 households with children (28.6%) had at least one CYSHCN. Special health care needs were slightly more common among non-Hispanic Black children (23.3%) and children living in poverty (22.8%).

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