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Persistent Inequities in Pediatric Atopic Dermatitis Care

A recent scoping review has revealed significant racial and ethnic disparities in the prevalence and care of pediatric atopic dermatitis (AD) in the United States. A scoping review systematically maps the extent, range, and nature of research literature on a broad topic.

The review, published in Pediatric Dermatology, highlights that Black and Hispanic children, as well as those from lower socioeconomic backgrounds, are disproportionately affected by this chronic skin condition. Black children are 2.4 to 4.1 times more likely to experience early-onset and persistent AD compared to their white peers. They also face higher odds of poor disease control and are more likely to require hospitalization or urgent care. The review found that Black children with AD are nearly four times more likely to experience financial hardship related to their condition and have a 32% higher likelihood of food insecurity.

Hispanic children also face significant challenges, including reduced access to care and increased comorbidities. They are less likely to receive certain AD treatments or be evaluated by a medical professional. The review emphasizes that socioeconomic status plays a crucial role in these disparities, with children from lower-income families experiencing worse AD severity and outcomes.

A scoping review is a type of research that aims to map the existing literature on a particular topic, identify key concepts, gaps in research, and evidence. It provides a comprehensive overview of the available information and helps guide future research directions.
The researchers call for targeted interventions to address these inequities, including increasing access to care and providing culturally tailored treatment programs. Addressing these disparities is essential for improving health outcomes for minority children with AD and ensuring they receive the care they need.

See: “Health Disparities in Pediatric Atopic Dermatitis: New Scoping Review Reveals Persistent Inequities” (April 7, 2025) 

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