A Systematic Review of Race/Ethnicity and Parental Treatment Decision-Making

Clinical Pediatrics
Vandra C HarrisEmily F Boss

Abstract

Patient race/ethnicity affects health care utilization, provider trust, and treatment choice. It is uncertain how these influences affect pediatric care. We performed a systematic review (PubMed, Scopus, Web of Science, PsycINFO, Cochrane, and Embase) for articles examining race/ethnicity and parental treatment decision-making, adhering to PRISMA methodology. A total of 9200 studies were identified, and 17 met inclusion criteria. Studies focused on treatment decisions concerning end-of-life care, human papillomavirus vaccination, urological surgery, medication regimens, and dental care. Findings were not uniform between studies; however, pooled results showed (1) racial/ethnic minorities tended to prefer more aggressive end-of-life care; (2) familial tradition of neonatal circumcision influenced the decision to circumcise; and (3) non-Hispanic Whites were less likely to pursue human papillomavirus vaccination but more likely to complete the vaccine series if initiated. The paucity of studies precluded overarching findings regarding the influence of race/ethnicity on parental treatment decisions. Further investigation may improve family-centered communication, parent engagement, and shared decision-making.

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Citations

Aug 14, 2019·Journal of Palliative Medicine·Bryan A SiskJennifer W Mack
Dec 18, 2019·Journal of Paediatrics and Child Health·David Isaacs
Jun 17, 2020·Journal of Palliative Medicine·Christian MpodyOlubukola O Nafiu
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Jan 13, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Grace R LeuEmily F Boss
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Sep 10, 2021·JAMA Otolaryngology-- Head & Neck Surgery·Nneoma S WamkpahJohn J Chi

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Methods Mentioned

BETA
circumcision

Software Mentioned

Mixed Methods Appraisal Tool ( MMAT )
PRISMA

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