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Sociocultural Considerations in Juvenile Arthritis / Lewis, Kimberly A. in Journal of Pediatric Nursing, Vol.37 No.6 (Nov-Dec) 2017 ([03/29/2018]) 

Public ISBD No review available on this record. [article]  inJournal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.13-21 Title : Sociocultural Considerations in Juvenile Arthritis : A Review Material Type: printed text Authors: Lewis, Kimberly A., Author ; Brown, Sharon A., Author Publication Date: 2018 Article on page: p.13-21 Languages : English (eng) Original Language : English (eng) Keywords: Pediatric rheumatology, Underserved population, Minority health, Social determinants of health, Disability outcome, Quality of life. Abstract: Problem Juvenile Arthritis (JA) is one of the most common autoimmune diseases in children. A variety of sociocultural factors that influence health outcomes in children with JA have been examined in previous research. However, clinical guidelines to guide the care of these children lack support because this research has not been systematically examined and synthesized. Eligibility Criteria Primary research articles from five internet databases were included if they were peer-reviewed articles in English of studies conducted in the U.S. or Canada and referenced one or more determinants of health, quality of life, socioeconomic status, or health disparities in children with JA. Sample The final sample included 16 articles representing 2139 children and 939 parents. Results Topics covered in the studies included medication compliance, electronic medical records, environmental risk factors, economic hardship, parental coping, leisure activities, and their effects on patient outcomes including disability and quality of life. Patients with Medicaid experienced more severe outcomes than patients with private insurance despite equivalent levels of healthcare utilization. Other important topics, such as effects of the physical environment and alcohol use, were missing from the literature. Conclusions Five categories of health determinants were found to influence outcomes: biology, individual behaviors, social environment, physical environment, and health services. Disparities continue to exist for racial and ethnic minority children with JA and those of low socioeconomic status. Implications Sociocultural factors should be taken into consideration when developing care plans, research studies, and policies in order to remove barriers and promote the best outcomes for this vulnerable population. Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27617 [article] Sociocultural Considerations in Juvenile Arthritis : A Review [printed text] / Lewis, Kimberly A., Author ; Brown, Sharon A., Author . - 2018 . - p.13-21. Languages : English (eng) Original Language  : English (eng) inJournal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.13-21 Keywords: Pediatric rheumatology, Underserved population, Minority health, Social determinants of health, Disability outcome, Quality of life. Abstract: Problem Juvenile Arthritis (JA) is one of the most common autoimmune diseases in children. A variety of sociocultural factors that influence health outcomes in children with JA have been examined in previous research. However, clinical guidelines to guide the care of these children lack support because this research has not been systematically examined and synthesized. Eligibility Criteria Primary research articles from five internet databases were included if they were peer-reviewed articles in English of studies conducted in the U.S. or Canada and referenced one or more determinants of health, quality of life, socioeconomic status, or health disparities in children with JA. Sample The final sample included 16 articles representing 2139 children and 939 parents. Results Topics covered in the studies included medication compliance, electronic medical records, environmental risk factors, economic hardship, parental coping, leisure activities, and their effects on patient outcomes including disability and quality of life. Patients with Medicaid experienced more severe outcomes than patients with private insurance despite equivalent levels of healthcare utilization. Other important topics, such as effects of the physical environment and alcohol use, were missing from the literature. Conclusions Five categories of health determinants were found to influence outcomes: biology, individual behaviors, social environment, physical environment, and health services. Disparities continue to exist for racial and ethnic minority children with JA and those of low socioeconomic status. Implications Sociocultural factors should be taken into consideration when developing care plans, research studies, and policies in order to remove barriers and promote the best outcomes for this vulnerable population. Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27617